Laserfiche WebLink
APPLICATA FOR CONSTRUCIRON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET-EVERETT,WA 98201 R(425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL kG PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: J/// - ed *L, S f SCAJ _ <br /> $. /... h4yirs CFKp, L4ILY 2ey, fA JfSw L..f-_Y.w._.J yl! 718-2/ 9/ <br /> QWVfH YYl N CIM1� rMnl <br /> �a <br /> At,J• /-Of 6 A L f/rCW <br /> RNur Yu M'41rs On N /1U1R <br /> •IIMSrr GI(111Apf yrMR YY•DP11 A4 Lln l.' RRYi <br /> IIrMrlft. 1,11 lm YM MPIIE NS / CIITM1rM .1•II IKfNV 1 <br /> hoe r MY /. . Dv 1 (W;l.f rsraZs? tfnlfHC f4tC7 <br /> Yrc..wk CMIR�KLII�U UK"ADRrfS on Pr Albf "Alf IKFNMA <br /> RI IRY:Ip1 YM•RRIf <br /> an 1• 1'MDNf ti•lflKfMrr <br /> O s � <br /> CWIR (Y YfyRI <br /> HEATING SYSTEM: ❑OAS ❑ELECTRIC ❑ <br /> asp•nr w>rw•Nn Eou•RI roDl•DE Rralvfo caP.cl Rural•Nn fIYYR ND <br /> LyYf 1 O c7 <br /> / 1 HE REBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLCATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IYIDPON DIM rx MNprlrl PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> 1f640lXRFl101p lANN fEPnIL1ORT1f[rOnWAn•CN IM00011f F1 WORK YML BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> IDI IIDCK a 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 I COMPLY WITH THE STATE <br /> F•Ilc[l lu 1D MIIM R CONTRACIORS L AW 18 27 RCW AND 293 200 WAC <br /> COnIMKRtIIIOAMIfMIfR AAFKIE RIERKINF MRRKR X_ , r���,l,�- 7/Io/s97/I l <br /> 61NM1�AI MR�MR� <br /> piF IU41A SS IKIRV ND <br /> PLUMBING — MECHANICAL - <br /> M'1. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF[OUIPMENT FEE <br /> WATER CLOSET(TOILEp AC-A NNOLO UNITS <br /> BATHTUB ' FORCED AIR SYSTEMS <br /> LAVATORY(WA-RH BASIN) HEAT PUMP <br /> SHOWER ' UNITHEMERS <br /> KITCHEN SINK E DISP CLOTHES DRYERS <br /> DISHWASHER RANGE HOOD <br /> _ LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> _ OAINXING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) _ <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE-BAR.ETC I GAS PIPING _ <br /> EXHAUST FAN <br /> _ <br /> SUBTOTAL t I I SUB TOTAL t <br /> PERMIT $1 PERMIT 91 i <br /> TOTAL FEE $1 TOTAL FEE E <br /> FOR OFFICE USE ONLY: <br /> I"TVMY'• MU N1Wf sp ulMC• A IOWMM11R rlr were,ND <br /> ALN IMF lolw• YACANI wR FEES _ -VALUATION_ _ EE <br /> 1349 O ND MRFM: <br /> RIXRII IIMIAI" W Ill MUM RR m R11D'Ir <br /> IIYIR RIMING I <br /> OCI.IRYNT N"Y II.Nf 111lIRYN110AD RAMMI, Wl'..Wm - +- <br /> RQI <br /> Owes ONR <br /> rwl slYw�-- nr A.TN •DPIIIWY nw Mr..-- .--- _— <br /> 1".AA,F10U gANDN --� <br /> AI.11 Mn MIRHIRCww <br /> Ilmml Ncl A•YY•1'1YYIYrD11r CITY OF EVERETT nMKwrwa <br /> LOCALSALES - --- - —i---• <br /> mut TAX CODE 15 3103 TOTAL <br />