Laserfiche WebLink
APPLICATION FOR CONSTRUCTION PERMIT <br /> „mH <br /> m.E.wPtPP <br /> CITY OF ie <br /> everett <br /> BUILDING DEPARTMENT <br /> 2598810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> I I DEMOLITION I I COMBINATION X BUILDING I I MECHANICAL I I PLUMBING 1 1 SIGN <br /> R UML 99 til♦ }/ nIpIF <br /> fuj,, y rf-,&A zz <br /> '[WHY WL 209 CRY m PHONE <br /> AIK'PI[CIq Df9aRP �,�"E��NIIIPF9t city TV RIP[ <br /> ,�tOCs1��'�e�/ F°� �tdD a$cA AS3'3__ . 109514--- <br /> «MRHfdllW.iq /YI.4 AllINI[�9 Cllr TI' my R I4"K[1 <br /> � <br /> YAI ApOMG9 C <br /> L�3y it <br /> _P�l�'l�}E_ —�P.S�' '�! UL-Ct'��ib ✓C <br /> YpINIRACIOI RRUM IKENlE• <br /> nIPwNC LONIRAI:ICEI wa.XAXF9 -. _-_nn__. m Rrrlr lmw. -. _-- <br /> NEW I I ADDITION 11 ALTERATION I REPAIR I I DEMOLITION I WOODSTOVHFRPL INSERT I I BUILDING RELOCATION <br /> TENANT MRJ/[wNIgt11F MMLtIYMY C0111H:11Y119(1N MRRPYIFM <br /> cgIRACITNKc«Pawl _ <br /> 8,1.06, L' <br /> MPCPIBt PaM MIO tIIUAP[fgl {NVIlYE J#f c <br /> V yl d ry L&Wy <br /> PllartntolNt« «lD I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME 108E TRUE AND CORRECT.ALL <br /> it" -IrAIA'nu«m«t9ry 191UPT,immomNTACNfagcax9l PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> LD1 Hoa « NOT.THE GR.INTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW FIEGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSIPUCI ION THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TC PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.77 RCW AND 298.200 WAC, <br /> - _._______ __ _ e4NAllmt« IYctq�aNa}tRP«Nl alt <br /> rmBci ADg1EFEX C,,,F// -- <br /> J#19 �m� alr I4rl,u IN+ANII IfIPFXa � _ <br /> PLUMBINU MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIC-ARINDLO UNITS-H.P. , <br /> _ BATh[U6_ FORCED AIR SYSTEMS-B.TU. ME.A. <br /> LAVLTORt(WASH BASIN) , UNIT HEATERS-B.T.U. M <br /> SHKWFH I CLOTHES DRYERS �— <br /> _ KPCR'N SINK B DISP I VENTILATION FAN <br /> DILIHWASHER RANGE/HOOD _ <br /> IA!7NDRY TRAY WATER HEATER ' <br /> CLO tHES WASHER WOOD STOVE _ <br /> URINAL METAL FIREPLACE 8 CHIMNEY _ <br /> GRIN(ING FOUNTAIN FIREPLACE INSERT <br /> ICOM)DRAIN HEAT PUMP <br /> BACKIlOW PREVENTERS GAS PIPING <br /> ROOF DRAINS-RAIN'.EADERS EXHAUST FAN _ <br /> SINK(SERVICE-BAR,ETC.) _ <br /> I <br /> I <br /> SUB TOTAL f SUB TOTAL f _ <br /> PERMIT f PERMIT S —� <br /> TOTAL FEE f TOTAL FEE f <br /> 1"T FETMa RMF[IFACtIF"UIFACP nMGRCP NAMtR f E HE, Vtw <br /> Ge 3yr-w/ 7/ 3334E <br /> IRE}«t IDI MEA vACMT Mt FEES VALUATION FEE <br /> I I YES I I NO DIIADITAI IO 7 ��-G+�, <br /> lm«(dIt NI 1 ImUFAEI[T Y4 ®rte YIYrwITNwn --- — L _r.�it� <br /> EYF«YDD S0. way TgEE FM[YFM YECIIIINK:AI <br /> /,777 Fr, r I YES I)(NO — - j— <br /> OLCMNKVLUAD rAK EtRMI[Rl MRO MEWTLFIITAIUN I GATE. �/'' <br /> 1Q VYES I I NO r SIATE BUVMNG SUM11ARGE 40 <br /> ern INCRCAS� STATE rNEHYY SINWHAH(W <br /> 1 MRIWiollom.Br oFy CITY OfEVERETT I'mcwaws ' <br /> LOCAL SALES ' <br /> TAX CODE IS X108 TOTAL <br /> l�'imlf l* ,1y56I <br />