Laserfiche WebLink
ArrlwlIUAI hilt tuft Uuna l Muti 11un lam" Wl 1 <br /> ITY OF EVERETT•BUILDING DIVISICA <br /> 32010AR STREET•EVERETT,WA 08201 •8810 <br /> • JEMOUTION 0 COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBING ❑ SI( <br /> PArC�JCTA�DRESS: q <br /> o»NE Y,]AOdNfi pn - nP — <br /> 711n:.. . c.. ,y n11 A , f,j-fl t:P <br /> T]NWI Yµ10pR[{] all Id npNE <br /> A`%O"ncTaILwi " YM AOOMff CM !N• PIUI,F <br /> LIAA <br /> (w`W FY <br /> .t P•.L.♦ nFI <br /> ! .n. > >c'� e, i Tot aA Yd YJ4 LJ i19x J.T 9u <br /> n/1TRri7PbTg cr' <br /> aFMn4 CON1MCl01 Y•AAOnRfN plr ZM nnxE LINE IKfNMI <br /> YFCN.MCµCaNRI•CTd1 uµAWPfff CITY FIP llgNf SlANtK]NHI <br /> PUUNWCONtPAC1011 Nµ•lpnf SS CII♦ ZM ngnf SI•IELKINSII <br /> CCNIPKTIdC{d'WJN. <br /> ,bpl YLy CL HEATING SYSTEM: ❑GAS ❑ELECTRIC O <br /> as<n{[wan.ANo SWAM rlwtae mono coNMCI nnswANo PNd,f NY <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI <br /> Plloros[PusEdeuaowo 'PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT AL <br /> enOVIS10NS OF LAWS AND ORDINANCES GOVERNING THIS TYPE 0 <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OI <br /> .aEscT]PtIVI OF PIXIPEnn ISllawn AOawan AnACR TMCMESI NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIV <br /> LOT uon o. AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF AN <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THI <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THI <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICI <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATI <br /> PAEKFI iM I a.HWEER CONTRACTORS LAW IB 27 RCW AND 296.200 WAC. <br /> p TAUCRON taut L11,Gf0.1OOIIEfS.TEL[n10NE NUN{EP X /t�i..kll 11•, t` .T,/q/79 <br /> SIONAIUPE VAN <br /> pM1{USMF{]lCEN3[NO <br /> PLUMBING j MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. I TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AID—AMNDLG UNITS <br /> BATHTUB I FORCED AIR SYSTEMS <br /> LAVATORY ASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 6 DIS P CLOTHES DRYERS <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL I METAL FIREPLACE(WGOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT MOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS OAS RANGE <br /> SINK SERVICE—BAR,ETC.) GAS PIPING <br /> EXHAUST FAN <br /> I <br /> SUBTOTAL f SUBTOTAL f <br /> PERMIT S PcRMIT f _ <br /> TOTAL FEE i TOTAL FEE i <br /> FOR OFFICE USE ONLY: <br /> Fl lEEl{ACS RAR SEI{KN SIDE SfI{ACA P MCIKp MN111fR !iF Pff]MI NO <br /> G03 <br /> usf EdK LouaA vsc•NI uIf FEE9 VALUATION FEE <br /> arcs GIA+ dmlmM <br /> if mtAtb NO o"MU)Na SIZE 01 K0 I <br /> UMI] PIIWOSA <br /> O dl.•MCr Iq dEIryN{ IXC10.1 LOAO lAlFYFNI Yfc..wa <br /> Orfs ONO <br /> IMf{PPoMI[R RF00 PEtldl Im'"n 11•N C.0c. <br /> 011KA I <br /> nPEHAPNRE09 At.." <br /> F1A1!{MOwO EIMCN4Mt <br /> ITPFOFCUNst PLANSAPPI rnST CITY OF EVERETT mm w.. <br /> LOCAL SALES <br /> PnE TAX CODE IS 3105 TOTAL I <br />