Laserfiche WebLink
APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT E BUILDING DIVISION <br />3200 CEDAR STREET E EVERETT, WA 98201 E257-B010 <br />DEMOLITION COMBINATION 1 I BUILDING I I MECHANICAL PLUMBING SIGN <br />PROJECT ADDRESS L+L 7y <br />ST SC 'j-e -(l pp,)C3 <br />°;jPP N14MWF6 [Nr rF A,tMe <br />rj0./YFSL-1 4S wA 05-•397-8573 _ <br />NNWt Y8 Ae SS CITr IF A1aK <br />M•CMIFCI a1 RSN<P Y848aSNS5 PA JF AIaL <br />OSKPeI IP��y1pp^^ <br />YY BLpEN CIIY 1F AIOI( 81SISFILTNSEr <br />1G1al� oof Y"sr„ *Z EuT 9�ia� r/)S 7iP8Yi7A CuTwooaPMQ <br />WCn4MfN COMP 10Vial Y84A.T a1r IF Aq1< 61SN'"llu <br />— <br />Al1W*MVCW1PICT0P W4 MaS86 c.Tl IF A101< 8181E L"W <br />Cp,IPeCI gICFO1 WOPP <br />H TIN6 SYSTEM: IIGAS �ELECTRIC <br />FOR OFFICE USE ONLY: <br />oEuax YN1PN8W SWePF 10018 SNOlKO <br />CONI PEON µ1N101A N0 y�ayO O(/aa <br />�EPM' <br />�rnrM 1a Sf Q qr,a,� <br />4�P <br />I IIEREOY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICJTION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL DE 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 WORN FOR WHICH <br />AP DE A I COMPLY WITH THE STATE <br />NTRACTORS LAW ND 298.200 WAC. <br />% OI <br />rwnlosEo usE a euawn <br />1E04 U[SI;NF1gNa MORNrr ISILLINrI MIVN OP 8118a1 N'IO CIII%61 <br />w1 aOFP a <br />P•Pcn 1u m MIMAP�O � <br />CpRlllUCigNI l[rlfP 8Ca1I W.1[l[A,a41PN9EP <br />snN+lura w E <br />aR eusFAss I rPnE ro <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF fIf7URE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />i <br />AlC— AMNDLG UNITS <br />BATHTUB <br />! <br />FORCED AIP SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />� <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />i <br />DISHWASHER <br />i <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />! <br />URINAL <br />METAL FIREPIACE (WOOD OVRNIN01 <br />' <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />i <br />6A5 FIREPLACE <br />BACKFLOW PREVENTER4 <br />' <br />GAS RANGE <br />SINK (SERVICE —OAR. ETC I <br />GAS PIPING <br />EXHAUST FAN <br />I <br />I <br />! <br />SUBTOTAL f <br />PERMIT f <br />I <br />I <br />SUBTOTAL f <br />PERMIT S <br />�— <br />�— <br />TOTAL FEE S <br />' <br />TOTAL FEE f <br />EPPII NIeetBZ <br />1"[8P 6[I88Ce <br />60F MIT IeKE.J <br />�N a1E1:P Nale[P <br />IEF a ��1 <br />MCfFF NJ <br />usE rrNP <br />1ojAry,sJG y <br />VeCeN n4f <br />TEES <br />VALUATION <br />FEE <br />_ � <br />NEN•1 Wnelcw , <br />ie1r19 urrtuNn <br />SVEa BwTI <br />RusroNul <br />_ <br />a:amur.. <br />raasvwE <br />CCCUI'eNl low <br />e+MINw1 <br />SKcruNrx <br />ePINFN4 RNI Pl(Ce <br />— <br />H rEe I►'fu <br />1 M fiA1MV1IP 11EOO <br />IpeF011 <br />OFIKP <br />IFE NeP41CUU <br />NFegprl <br />BM1F MIabNO BUT.NegIF <br />I'm Tit luwsl <br />nulsunlwfuer <br />CITY OF EVERETT <br />RRIIC naIwF <br />LOCAL 8ALE8 <br />— <br />TOTAL <br />TA1f CODE 15 3105 <br />uue <br />