Laserfiche WebLink
APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR S79EET P EVERETT. WA 98201 P (425) 257.8810 <br />❑ DEMOLITION ❑ COMBINATION .0 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: __lj Lo 3_2.' Sr. spy, M&jBff LJw. Qf D3 <br />M KHxttYr r'd Iu1A >sr s[, $.e. 6,h!lgM 4fa03 4Zi'-al.91so <br />4M AnnPIH on <br />!n HONT <br />.nOPnLl plyneWPNP MNNA St CnY iw hPV/ <br />eAl I"1 Ye1iuY5c IL' _ it, RI Uut Sr. s e. euo✓mk-912 0 — <br />WMnNCONIMcIm 4M MMRN 011 llr nIM 1 <br />YFCNNKNf.[YI013O 4MAiprNsS fln .•� NYW( tnn ltFh6[l <br />n PIPING CdIIPN;r(In 4M NnR55 LIIY DrI 1•N!Y6 SIAIS ICENUI <br />HEATING SYSTEM: Cl GAS ❑ ELECTRIC ❑ <br />a scwPr wslw A—Nn s0u•nr rnnrAol wavrn 'InrAcr n wsnN •Nnlr,rw .q <br />R• IMP I <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TI/IS TYPE OF <br />WORK WPIL BE 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 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 19 27 RCW AND 296200 WAC <br />X �� 4((,�'4���N1lJI"'"w'V P�N�/p <br />T!IFMAIU� (1.11 <br />do.rP Mnw.�s F R <br />'To, <br />I'oN(KuwnrlwP nlorYnn ltPGAN NIGwaAnAGN reo Lrowlsl <br />tol MOcA (K <br />— <br />' rule n <br />S,OD/ OD'7 000 <br />CMt1wSIfINIWNtfMIFP NtnLSt rflfnKNE n <br />blr lUYNLtS Ifi MI Np <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMEYR <br />FEE <br />WATER CLOSET [TOILET) <br />AIC—ANNOLD UNITS <br />BATHTUB <br />' <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />_ <br />RANGE HOOD <br />-- <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />ISERVICE — BAR. ETC 1 <br />GAS PIPING <br />_ <br />_SINK <br />EXHAUST FAN <br />SUB TOTAL f <br />SUB TOTAL f <br />_ <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />InflNr Vle•r, <br />w.n NreN, <br />SIC(u1sIM <br />n•Pall(,MMIP� <br />rrt <br />welp, No <br />Uv rtvF _—_— <br />IlT •w• <br />rN.MI VH <br />FEES <br />VALUATION <br />iEE�_ <br />uN wNr. <br />t <br />Gas D NV <br />NIyW1I NNIAI" <br />NP o1M'InM <br />mummll <br />IYXIe <br />nlPwhr. <br />' <br />yIIMAM'•1 <br />�Ip N'.Y N`�a.ii�l♦ <br />PIIP'AMI1U•P <br />eAYN\1 <br />OYTs 134) <br />—�_.. <br />endlYWN nA40ll1• <br />1MI gTmnlIP M91 <br />nANM <br />111MK <br />Ij <br />IIVI •UNV MUP <br />P•�nV <br />�` <br />SHII wwInNS1111rNAnN <br />' <br />— <br />' <br />Irnn�lwtr <br />nwt•nl.Nwlne. <br />CITY OF EVERETT <br />nlwrnYKwt <br />LOCAL SALES <br />-- — <br />--- <br />-- ---'L— <br />TAIL CODE IS 3105 <br />TOtAI <br />wll <br />