Laserfiche WebLink
APPLICATIO.. FOR CONSTRUCTbJN PERMIT PYH'PLL <br /> TO BE COMPLF TED IN INK—PLEASE PRINT <br /> CRv w <br /> evere <br /> BUILDING DEPARTMENT HEATING SYSTEM: GA. DELECTRIC U__ <br /> 2598810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> o VR MAt ADMISS ory <br /> I~ wl AD"IM�Es�s Cm �w ry F Rr 1l 11 <br /> �IY _L" 1!/Al_ &W- E17FJPL7IG`J�Z-�7I lLl�fr <br /> A1CIM ;LMSGMR Wi Wdif SS /� CRr !D 9M <br /> ��,¢ ZDC M6Ae/DILJ .77F <br /> 6[MR4LCNIRACtOR Wl Appi[59 Cn1 !�P f?MIKFNbff <br /> w:CMWFx Cd1rRAC1OR waRCdlFu CITr rn PIgIE rSfvuf <br /> 11 I�ALn, R.>.a AaA/ic� 90 $ry'J46 �A?AD 9Fb73 F34�9 k� dA.3Ei3 <br /> nuef�DcwlRAcrin w&ATnMu ciry A+ morn toxo• <br /> &A)/1/EJ4$ <br /> $Attar Navel -- <br /> NEW ADDITION ALTERATION REPAIR DEMO-ITON WODDSTOVFIFRPL INSERT BUILDING RELOCATION <br /> � I,OxiKl rERpd Wa nF]I!Na <br /> CaxiMGT PRICE Dr w =,coo _--� <br /> a WRaENCxf1ArK)BaW -MTA D <br /> PRDrosiDu mBUKDfp 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> .� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> LfaM rxsCRmrMNar INnMRtr ivlDwx Rung aR ANAcl.ram rpfy PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> LOT kmK Dr NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION THAT 1 AM AUTHORIZED BY THE <br /> OWNFR OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTMS 1827 RCW AND 298200 WAC. <br /> Xl rrn DADFNT DALE <br /> RRDIFCi ADCII[89 I �R�hMI11F64lCENYANJ NW IIISNF�NN/�LM r`��� <br /> /AID - fes' garu� <br /> PLUMBING I MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> _ WATER CLOSET)TOILET) _L A'C-AMNDLGUNITS-HP <br /> BATHTUB FORCED AIRSYSTEMS-B.T.0 E.A. <br /> LAVATORY(WASH BASIN) UNITHEATERS-B.TU. M <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK A DISP VENTILATION FAN <br /> DISHWASHER RANGE HL)00 <br /> LAUNDRY TRAY WATER HEATER <br /> _ CLOTHESN'ASHER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS-RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE-SAR,ETC.) <br /> SUBTOTAL f _ SUBTOTAL f <br /> PERMIT f _PERMIT f <br /> TOTAL FEE f TOTALFEE f <br /> FOR OFFICE USE.ONLY: _ <br /> ERp11 EEllRC1( MMlf(rIRCN FOf"RIMCK nMI CRM) . ill MCEM,m <br /> LroE lDlrt L01 AMA sRCAl1T K1E FEES VALUATION FEE <br /> BUILDING <br /> "Owl NIDRAYE MWIMPGTMIDN OSPMF if ReHusun - <br /> fnK PLUMBING <br /> brEE0ffl0I IN slR*A BAIm!ww MECHANICAL <br /> OfL1tNCYLOAD rIR[SrR111nfPb RFDa KKW1lfR1ATIOH ADDROMPIANCHECK yy-✓+�� <br /> OTHER <br /> REAfdiOR]mIMLFR9 - ) <br /> STATE BUADING SURCHARGE <br /> MAR[D'. n.NAA N•nmmofr CITY OF EVERETT PUBLIC wows <br /> LOCAL SALES <br /> TAX CODE IS 3105 rout <br />