Laserfiche WebLink
APPLICATISAII FOR CONSTRUC&N PERMIT <br />CITY OF EVERETT• BUILDING DIVISION <br />3200 CEDAR SFREET A EVERETT, WA 98201 • (425) 257-88 0 <br />❑ DEMOLITION ❑ COMBINATION 0 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTAD1D-RESS: q$37_ EV(„J's./a.. Way II <br />�%Llvina� jClv`..t'IbY �YnVVI 16Son TVE1E`l.'u EL LTYTII((•.VV L 91I0b 4T-r-147-76673 <br />OWNFA M .DDwEss an nP INTONE <br />tP%kXAroYIs. VA IE ACSv �-Qa B NTH RA<.>,. R-h.•. 19a5s 41.r.17-4l64'e <br />TENANT uYl Y,OIIESs 0TV NP R,DNF <br />AIILIR(CT OII DESI(MP N•II •a111E55 CITY !,P hNME <br />AUAIEE 0 ONIPY.I(IP VAA A00AfSS CIE, ZIP NK1NF STATFOCENSF9 <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />gscFUOF WJN1tAM1 $OUAPE rODTWE NVav(0 1 CONTACT M.A.'. <br />• • I 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />i�7K1Iv.FD 1++`�A�tmt \ I10 APPLICATION AND KNOW THE SAME C BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />1FGAl o[scumiKAq P,IgE- n I�EF suowN nFEow ql Ao,Twn con[sl NOT. TIIE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />101 SIMI, q 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 THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />wK:E11AA MPNPn CONTRACTORS LAW 1827 RCW AND 296200 WAC <br />CONSTWILIIONIOANIEMIFP AOMKSS. tt1EAlONE MNPFP X <br />sKMaVW D.11 <br />GTY lUSIWtSIK[NSE NG <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />_ <br />WATER CLOSET (TOILET) <br />AEC-AMNOLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK L DISP <br />CLOTHES OR1'ERS <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 />BACAFLOW PREVENTERS <br />GAS RANGE <br />(SERVICE - BAR. ETC.) <br />GAS PIPING <br />_SINK <br />EXHAUSTFAN_ <br />SUBTOTAL f <br />SUBTOTAL f <br />PERMIT $1 <br />PERMIT f <br />_ <br />TOTAL FEE S <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />UNION( <br />IOIAWA <br />VACA4191E <br />KCD <br />vwWn <br />.• <br />DVtS O NE, <br />PMIDINfi <br />I,EIn111 VIIANpY <br />NO EX PWH11W <br />SUE q ND091 <br />'— <br />HMIs <br />WR <br />AIAMMO <br />_— <br />' <br />u:ClnvNllwn <br />P•VAENI <br />ME(:N•NIC•I <br />an <br />n <br />^�� <br />_+"! <br />DYEP a <br />•WIIMN•I MAN Cltflt <br />uq[ SNMACEP PEO'0 <br />WANN <br />OIUFP <br />,Ii.UIIM PEG <br />W•II" <br />/`U J <br />SIAI( AIP111ND SIAICHAIKE <br />[�L <br />i <br />I'M Dr cg1Al <br />AANS •n DY <br />CRY OF EVERETT <br />nrol P: wanAS <br />—'- <br />LOCAL SALES <br />TOTAL <br />- <br />1,•r`TAX.CODE <br />IS 3105 <br />