Laserfiche WebLink
APPLICAT6 JN FOR CONSTRUC ION PERMIT <br /> TO BE COMPLETED IN INK-PLEASE PRINT <br /> CITY of i <br /> everett ATINGSYSTEM UGAS OELECTRIC U_ <br /> BUILDING DEPARTMENT ___HE <br /> 259-8810 <br /> DEMOLMON COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> I 70ivw�A�_E% KAT.772 <br /> IfAMIT UAX�W CITY <br /> OL N <br /> AMMItCl <br /> W�C4�TKXTM k�m <br /> PA,IMINM IK47' <br /> �m� <br /> NEW ADDITION ALTERATION REPAIR DEMOLMON WOODSTOVE)FRPL INSERT BUILDING RELOCATION <br /> 7WAZ� Ek" <br /> @b a <br /> I HfFIE0Y CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALI <br /> KLM FmWt�Esi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ,of m 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 I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION 15 MADE AND I COMPLY WITH THE STATE <br /> CONTRACTOR�LAW 18.27 RCW AND 295 200 WAC <br /> ��;MgW�M I DJMN? MIt <br /> A-AS <br /> �cf�ffss <br /> C' <br /> S1,L) �-,w-yte­ 7p�C"VW 95 CE MWAT�53� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO TYPE OF EQUIPMENT FEE <br /> WATER r.LOSET ITOILET) A C-&HNDUG UNITS-H P. <br /> BATHTUB FORCED AIR SY5tIEMS-B.TU. M EA I <br /> LAVATORY fWAS"BASIN) UNIT HEATFRS-BTU. M <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK A DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHESWASHER WOOD STOVE <br /> URINAL METAL FIREPLACE&CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOWPREVENiERS GAS PIPING <br /> AOOF ORAN&--RAINLEADERS EXHAUST-AN <br /> SINK(SERVICE-BAR,ETC.) <br /> SUB TOTAL SUB TOTAL <br /> TOTALFEE 6 <br /> FOR OFFICE USE ONLY: I -) li. <br /> MCI.,.1 <br /> 1W WAR A <br /> IL h !=::::_ <br /> 10tAKA' mults'll FEES VALUATION FEE <br /> It BUILDING <br /> 4 mumem <br /> ww"Ims MECHJINK� <br /> I ADWIONALPtAN�" <br /> I'm 2�93 mm AEWTt.IAI� <br /> OTHER <br /> STATE BUILDING SUWRARGE <br /> PLSLCWOMS <br /> New" v NY CiFTY OFWERM' <br /> LOCAL SALES <br /> TAJ:CODE 18 31011 TOTAL 3 6-q �00 <br />