Laserfiche WebLink
APPLICATICA FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 - 257-8810 <br />DEMOLITION COMBINATION j4BUILDINO I' MECHANICAL PLUMBING SIGN <br />PROJECT ADDRESS <br />- �iYa@Goo 90- s>- sL✓, ESL-,zA:-„- <br />JY/IRi' u.A AUDR ss cR, rr Iw. <br />DAVE MADLE 16VZ'3 W.IA Ln.b iw Ap 57TNANt•D y6-297- 360-662-3397 <br />rEWMr , YR.MXX`ESt CITY tr <br />DEDICATTat PROF. Oe516Nm A• 2S/7 Inr" Aw SE Emwe7r *VIA5 4i5-7Sz-/7/.} <br />aE1EwLCWTI.CrOn uY MpnE's <br />CRY <br />M - <br />Mprt STATE t"16t. <br />p&vmm <br />(sn« F <br />k-� O,M, <br />475-339-5716 <br />YET;A, fpltn..Ctpn WA.CMEIE <br />CITY <br />!r <br />RMF4 STAR IKCNSt. <br />PL16E7 ME�nrrNG <br />4zS-334-Alll <br />RWSaq CONiNa IOn U., NYARSS <br />CITY <br />Ir <br />FIGNE SUIE IKENY. <br />Tic-A.c_ DI u.I.A:.t/ <br />:Le bn-7 <br />CCNIRACT MILE a RIMY, <br />HEATING SYSTEM: OAS ❑ ELECTRIC ❑ <br />usclleE wdn+ro Souu,[ romloE ,R.Mvto <br />EM�37RM Ps<FE /iPPF.VOD <br />CCMl41 RRSpN Nq 4g11[ q <br />3/Lsr� dF 203 <br />CJ �R <br />P MD USE M ELADFU <br />_ <br />I HEREBY CERTIFY THAT 1 HAVE READ AID EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINAN^.ES nOVEHNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO DIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION 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 PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICAT S DE AND COMPLY WITH THE STATE <br />I CONTR TOR 27 ZB8,7W WAC. <br />LC'34 MWIT'T" M MMERTY ISNRNN YIM M Att4N trq rCVRs1 <br />Lor�KMA M_ <br />C IVY O F &VEAW.rr S.P. 1T..2- /7-9p' <br />Q%O- 011- 000Z <br />P Nr/AID NUMAIR <br />CCNSIROCIM tOAN MAKER'EMESS nIEA,MR rRrFR <br />S N+t• R M F <br />CirY WSYASBIrI XO <br />PLUMBING <br />MECHANICAL <br />TYPE OF EOI 'ENT FEE <br />AIC-AHNDLG UNR' <br />FORCED AIR SYSTE' <br />HEAT PUMP <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />_ <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />( <br />_ <br />SHOWER <br />UNIT HEATERS <br />T— <br />KITCHEN SINK A DISP <br />Z <br />CLOTHES DRYERS <br />DISHWASHER <br />Z <br />RANUF 111,100 <br />LAUNDRYTRAY <br />WATER HEATER <br />CLOTHES WASHER <br />( <br />WOOD STOVE <br />URINA _ <br />METAL FIREPLACE (WOOD BURNING) <br />MRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLO,)R DRAIN <br />I <br />Z. <br />I GAS FIREPLACE <br />BACKF'.OW PRE"ENTERS <br />Z, <br />GAS RANGE <br />SINK (S:PVICE - RAP. ETC.I <br />GAS PIPING <br />EXHAUSTFAN <br />i <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT s <br />PERMIT S <br />I <br />TOTAL FEE S <br />TOTAL FEE F <br />FOR OFFICE USE ONLY: [M) 0104 . 0l7 <br />EI.M,TSETSACx <br />1 U <br />REAR YISACN <br />7 iJ <br />Stl: KRACK <br />AAN CHIC- R <br />S 01 -OI <br />rFE <br />WCEMT ND <br />LKZC. <br />(.- <br />ID, AIK+ <br />YACANT MIS <br />nns UND <br />FEES <br />VALUATION <br />FEE <br />"C"All <br />b$ S <br />NEaNILwi <br />NO MwnMF'3 <br />Mxn <br />HrzarDa I <br />Ze00 Fj2D SA <br />AN,S.ID <br />O CIFYCY <br />gptNMS <br />'L <br />(IU:WANrIND NY4ENI <br />nYEE B+1� <br />yECN.WC4 <br />+10,TIJN4 r4N CHECK <br />iPESPNiMLE. REOR <br />NEASM, <br />onKR <br />EFEAURMMOD <br />REASCh <br />ST.TE SM,D.KI rFG„AAGE <br />— <br />IYPEMCMKT <br />^%EI <br />AANsuFIYADn <br />aTEAiVO <br />CITY OF EVERETT <br />LOCAL BALES <br />TAX CODE IS 3105 <br />Pure WMAS <br />TOTAL <br />