Laserfiche WebLink
APPLICATA FOR CONSTRUC&N PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 1201 P (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SInN <br />Ir"MAi <br />1ENAN1 4u1 .n01` <br />a�1 <br />YFCNINiCAl Ln4IRALIOn MAIL ADDAESS OTY llr p1104F %TAFF LICENSE• <br />PI UMBMG CONISNLlM MAIL AMAESS CITY ZIP PNONF 54IFIKENSF. <br />cmflnACl PmcE of Wp11A <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />XE IAITFYIORMANO SOUNnEfp�IAGE NVOa <br />Ie _ rilJ, :I TN' nf <br />r <br />n DIIA <br />CONTACT rI ASON ANO PNCNf NO <br />_ r -- <br />pmd <br />Tt) <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRITE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <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 LY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />7TRACTORS <br />C LAW 18 2T RC W AND 296 200 WAG. <br />I%nOlnsfO USE OF BInIUINE, <br />LEGAL DESCmPTION a rNTrEnt, lSNaNM&[tow OK AnACN TwOConfsl <br />LOT BLOCA o< <br />PATCOL TAA I0 M KI <br />CONSTRUCTM LOAN TENDER. AD[TI TELLTN10NE MIAIAEA <br />INRL OAT[ <br />CRY RU4M55 LKfUAC NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />VC—, NDLGUNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMn <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 6 DISP <br />CLOTHES DRYERS <br />_ <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />_ <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />_ <br />FLOOR DRAIN <br />I <br />GAS FIREPLACE <br />_ <br />BACKFLOW PREVF.NTERS <br />GAS PANGE <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL S <br />�— <br />PERMIT S <br />PERMIT f <br />T' <br />_ <br />TOTAL FEE S <br />TOTALFEE f <br />FOR OFFICE USE ONLY: <br />F RONT ATIRACK <br />WAn SFiRACA <br />SCE SEIBACA <br />PIANCNECA NUMRFn <br />TIES <br />OfCEIPTFq <br />USE EONF <br />101 AAEA <br />N.CAII SITE <br />OYES ❑ NU <br />FEES <br />VALUATION <br />FEE <br />RUl01NG <br />_ <br />NEIG II PVITATION <br />NO a O"ELLING <br />U411S <br />SIZE W bIOGTI <br />pl11MPINM1 <br />0L1IIMALCY <br />I 4J P151M.!] <br />Of:CUpANT ICAO <br />BASEMENT <br />❑TES ❑ NO <br />MFLNANK.AI <br />AECIMNAI. FYANCNLCA <br />— <br />FIRE SMNKLEN KOO <br />nFASCN <br />OU,En <br />FIRE AIARMREa0 <br />WAFOY <br />STATE Da11MwO SnnCNATIGE <br />I TINE Of r.OPMT <br />rLANs mrnovfDm <br />DATE �AX <br />pTV OF EVERETT <br />LOCAL SALES <br />CODE IS 3105 <br />r...ur. wvne5 <br />-- " <br />TOTAL <br />