Laserfiche WebLink
APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT r BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 • 257 8810 <br />DEMOLITION COMBINATION Z BUILDING 7 MECHANICAL PLUMBING I- SIGN <br />PROJECT ADDRESS uxc( $S-11, SrfjEEi SE C'Uf O.t T U-'M} `I%zc P� <br />3M[n Mµ A1Mln[Ss nrr rr RI:Ya <br />WkLLAN4 C- "Wr tOD9 -69-51 ]C tJTiiC11- I%L,0'6 `f7-5 - ss5 -&PI III A, <br />rumull MAIL ADDRESS Orr m Rg1A _.-.. <br />ARCNIFCrMREOIA:R MIEWWN6f UIY m "'OE -- <br />R Lvesq CaxlnY;lOR Wrt ADOMSS all rr AM)xE METE IKtW <br />cr�nmcl Tmcf DF "070Y,9 I t' <br />HEATING SYSTEM: Il OAS f 1 ELECTRIC 1 <br />IX6tni6t Mq 6011MIF roDiMFJn rrIaVFO 2.0 <br />cW�y'.I Rnylr-Mongn[w <br />39F <br />1AkUTk1'I C L+MvLr SR• <br />RlDlo¢R euEo.n <br />�q�•"' <br />1 HEREBY CERTIFY T J . HAVE READ AND EXAMINED THIS <br />APPLICATION AND K'OW TI.E SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS ARE, ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLI'D WITH WHETHER SPECIFIED HERLIN OR <br />NOT THE GRANTING OF A.'FRMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL 711E PROVISION OP ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TI/IS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW IB 27 RCW AND 296200 WAC. <br />' ///�^�L''��// +I11 <br />Il 0 �'/��/ <br />LEOILCESCr#""IOt TTOlnlr IAA. Oil EIN Dn At 1XII IM cas[ R <br />Lot Rae rN <br />rM.c[L""II� lR MRTR'n <br />•yAT�S' 0190 O Lo �O <br />CG161RICISXI LDM1 lE1QP. ANAM EE I[1E11t.]T41111LRER <br />�. <br />I Air <br />LIIY RI6IA66 Ict MF MI <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FIE <br />WATER CLOSET ITOILETI <br />IVC—A'HNDLO UNITS <br />—�— <br />BATHTUB <br />FORCED AIR S"gTEMS <br />LAVATORY (WASH BASINI <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK B OISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT(WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC) <br />_ <br />GAS PIPING <br />EXHAUSTFAN <br />I <br />SUBTOTAL f <br />SUBTOTAL f <br />PERMIT f <br />PERMIT f <br />_ <br />TOTAL FEE $1 <br />TOTALFEE f <br />FOR OFFICE USE ONLY: <br />FRONT RIeIte <br />Mm MTIA0, <br />Z.o <br />Elt[fE1FEOt <br />S <br />AAN pRCeMMEA <br />Oa- D! a <br />IE[ <br />NL_5o <br />R[C[YI NO <br />ulla N _ / <br />LOT , <br />GO <br />WANT wit <br />Gnr m <br />FEES <br />VALUATION <br />FEE <br />euLD"' <br />O p68 <br />IR4111YR1Tgl <br />I Nte DWE flM <br />RR V eIDD'H <br />—Sirf/ T <br />RLYe.a <br />O:ONVM:v fIDN x00 E <br />yor <br />DI:CU'NII IOW <br />4.K_NI <br />nne <br />KdMMCA <br />WdIpMLRNIGI[CII <br />FWI SMOALER MO D <br />MASON <br />OTHER <br />IPENIRMMOD <br />w4"O" <br />EIIR FUIOSU SUM.mIppE <br />nTavuwsl <br />��{{ <br />RwslmvtEoer <br />CITYOF EVERETT <br />LOCAL SALES <br />%CODE IS 3105 <br />ItAXCY.oMa <br />TOTAL <br />