Laserfiche WebLink
APPLICATIA FOR CONSTRUCAP4 PERMIT <br />CITY OF EVERETT - BUILDING DIVISION <br />3200 CEDAR STREET - EVERETT, INA998201.259 8810 <br />I I DEMOLITION COMBINATION BUILDING✓MECHANICAL PLUMBING SIGN <br />PROJECTADDRESS <br />SG 62"D S BE 21' SE E✓CaEff k%A 9EZ o 3 <br />•M RXI(,mmv. MY 4RYIF!'l c." nl` e.ws <br />rnwTWIm Tav <br />/9 <br />HEATINGBYSTEM: "GAS I"IELECTRIC <br />aY;IMr MfyyRlSg1A11t�T4x nvalY�o �L� <br />1 I <br />rR4lacl nafOl Aran M <br />✓LL i.� a E..A <br />/ / <br />rMpprO1M[ Ilr RIM <br />1E0A1 ulrnanwanwP[anlllnwll Mlow wArrAcx MO Wlr[R <br />101 4M1 a <br />I HEREBY Ce RTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE 3AME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL GE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW IS 27 IICW AND 296200 WAC <br />lanctt lAA In 4ala <br />CONTIMICTONIOW I[IR-.a 4XaRS! nlfngNF MNafa <br />O1A F a4[ <br />OIYF ..mlcrw MI <br />PLUMBING <br />MECHA KCAL <br />NO. TYPE OF EOWPMENT FEE <br />AT — AARIDLO UNITS —HA <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET(TOILET) <br />1 <br />BATHTUB <br />FOACFD AIR SYSTEMS —B.TU M E.A <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS — BTU, M <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />i <br />VENTILATION FAN <br />LAUNDRYTRAY <br />RANGE FOOD <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />WOOD STOVE <br />1 <br />DRINKING FOUNTAIN <br />I <br />METAL FIREPLACE (WOOD BURNINGI <br />FLOOR DRAIN <br />_ <br />FIREPI INSERT (WOOD BURNINOI <br />1 <br />1 <br />13ACKFLOW PREVENTERS <br />1 <br />OAS FI..CPLACE <br />SINK (SERVICE — BAR. ETC,) <br />OAS RANGE <br />OAS PIPING <br />E%HAUSTFAN <br />— <br />i <br />SUBTOTAL <br />! <br />SUB TOTAL f <br />_ <br />PERMIT <br />! <br />_ <br />PERMIT f <br />TOTAL FEE <br />f <br />1 <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />rnWlvTaAfll <br />IIIN RrTIIArw <br />9XX MIR4A <br />nAN nK�M� j/ <br />rr(—�� <br />Rrrf w'Iwo <br />lW 7 <br />IwuMA <br />vACARI4H <br />n Y[! I'MI <br />FEES <br />VALOANON <br />FEE <br />MKaMI <br />_ <br />x[Allw lMlAllOw <br />NO dIYMllnO <br />IMI! <br />RR OI MaMI <br />nuwwrlo <br />RLPM'Y Illn{I(MI{ <br />�— <br />OfFIgw11M0 <br />RAYNNI <br />y(CMWf;4 <br />AIX{IIIW4 M1Aw LlII CR ` <br />rRR 4AaM MOa <br />RI ANn � <br />OIIaR <br />I RII 11'IYMHRRr9n <br />MA•'rH <br />clAII MIR 11Nf:w4Y1[ <br />Irnalvxxl <br />nAwl Arlvrownar <br />not /I <br />CITYOFEVERETT <br />LOCAL SALES <br />TA%CODE IS D105 <br />nwr, worts! <br />-- <br />TOTAL <br />