Laserfiche WebLink
APPLICATION FOR CONSTRUCRON <br />PERMIT <br />CITY OF EVERETT •BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (125( 257-8810 <br />❑ DEMOLITION COMBINATIONp_ BUILDING MECHANICAL 9 PLUMBING ❑ SIGN <br />PROJECT ADDRESS • 73 ro <br />/aRq—n5/D -— <br />iEU,FgcfJ 6iRE-r. /-)OR- I&Y4Sr.SLJit<E2lY 71`�b3 4a ,15.7•G70� <br />HUN, W, 71P P,1911 <br />•RCMIrG7 QIgSg41R Y41fARl St On /,, hKPA <br />O/IM'R4 VOxIRKIOI YM •RIry R6 GII• 7T APY( SI•II ISFMYr <br />,e,R/ <br />LFUI°I�GfJ �LAE'7• IJoS' Y,', 57 SSJ EIEEQR'7 `!Pb3 y'�'yY (r elfcr�ntmr <br />u`cx1ulw caxrR•991wu•f •ro4ss nn r.• AIM xl.n IKrxFI , <br />RIMMGC IPKIpI Y4 KIlfN Cln bP Hlpll SIIIf1Yrx4• <br />cox,.Kt PRICI ar nrKu <br />HEATING SYSTEM: kGAS ❑ ELECTRIC ❑ <br />d YJYY WJIN SMrIIQI•M rOal NVa1H0 <br />1y53 al <br />GpIKIgRM1.MlMF/MI <br />I HERERY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />warafro uR a PAR4t <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND conRECT ALL <br />We - IM <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TI115 TYPE OF <br />frail, of FI`F`f)I, ar Rn ILg11 MSOF p1•nKM TYq ipllSl <br />WORK VRI L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />I 0 Amic <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />to, am. of C1 <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION ANY <br />pp�� � <br />PAQC <br />OF <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />1A1L8LV BlK C;7 -D -ry IYT I /.OSS (j71% EIAo2 <br />���'',7Fe, <br />PERFORMANCE OF CONSTRUCTION THAT 1 AM AUTHORIZED BY THE <br />OWNER O' THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />To - I CM HR+M WD 355- 733 <br />APPLICATION S MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 1A 27 RCW AND 2FA 200 WAC <br />Il„ lcrf ru 4MKR <br />f g aio Z oa f- 3 <br />p <br />ia.•,w �-. `~ S'7'yq <br />L <br />,N.:nwlwRlr4Xn wlAlas RHn,o,r 4rem <br />lb i� <br />wn <br />cneueNlu lnr,v a -- <br />MECNANICAL <br />NO. TY►E OF EOIXPMENT FEE <br />Ii1RTB <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOR ET) ZI�AAS7SOLG <br />BATHTUBi <br />IFORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />NEAT PUMP <br />SNOWER iI <br />IMITHEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />-�— <br />DISHWASHER <br />RANGE H000 <br />LAUNDRY TRAY <br />WATER HEATER. <br />CLOTHES WASHER <br />II <br />WOOD STOVE <br />URINAL <br />METAL iIREPLALE WOOD RUNNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />/ <br />OAS FIREPLACE <br />BACKFLOW PREVENTERS <br />OAS RANGE-- <br />_ <br />SINK SERVICE —BAR, ETC <br />OAS PIPING <br />121- <br />FXHAUSTFAN <br />_ <br />SUB TOTAL f <br />SUB TOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE { <br />TOTAL FEE f 1FOR <br />OFFICE OFFICE USE ONLY: <br />rMMr YfeK. <br />MM pn.t. <br />L/AA <br />FIC(Sile•LK/ /O� <br />n Ctc. MISMII <br />`/VS <br />rII ,� <br />MFlnllq <br />uA/a4 <br />IPI •RF• Mpi' <br />v.cwl VI <br />FEES <br />VALUA ION <br />—FEE <br />r _ <br />,i MI•Ilp)I <br />��jA•' <br />B[rt6 D N) <br />��/l� <br />�! <br />MMM1Nf. <br />� •�/� <br />S• <br />Ma O IMi1lIR0 <br />rS(Y�t P KOa'll <br />1-{sz . r <br />�- _ <br />hIMIM: <br />�' <br />K <br />O•a <br />N I M.4 .1 <br />--- <br />J• <br />IR. RHPMVU -- <br />-- <br />M•MN <br />•OPIKWI hwcrllr= <br />rM1,41x4MVP <br />M.,av <br />51.11 NMD41 HnCIYMY <br />CITY OF EVERETT <br />rvwrwnl.a <br />n^ <br />LOCAL SALES <br />----- <br />-- <br />—n +_- <br />__ <br />oet <br />TAX CODE IS 3T06 <br />TOTAL <br />7 <br />