Laserfiche WebLink
APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET A <br />EVERETT WA cWAI98201,4 (425) `2L5�7-881j0 <br />BUl�❑ DEMOLITION6MEC ANICAL 7� <br />❑PLUMBING -❑/SIGN <br />PROJECT ADDRESS:� <br />AVICNtrot On lNVWlrn uu AIXIPrSS CITY 8r <br />In 1 vdcr d <br />G CY> <br />�EkATING SYSTEM: ❑ GAP- ❑ ELECTRIC ❑ <br />p$Cp �WJ�nll/•� IISdIIPF [ 1•O Lf ryV01'/FP <br />J— P�� � 1�(T.�•vi'j � I .r�l�w� <br />C! •. <br />�- _ • . - TIr == [ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL 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 AUTHORITED BY THE NO OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />ICATION IS MADE AND I COMPLY WITH THE STATE <br />i ACTORS NIS 21 RCW ANDK6 200 WAC n <br />lI <br />A. \ <br />�T <br />rmros[ous�[ ppF�nKrlmo``Xp� /1' _�, <br />W,6.' _{-/ /TC�. CCtJ�xIJF-Utr C <br />t muC KIWIM V rPdYntrlyVAN MICW dI ATACK I"GD,"1 <br />IUI Mtge OF <br />IN IIOEL IA[ m NuuPtn <br />COYSTM1CIgNlO.u1INKn yXM1651[l(AgNF MMPFn <br />_ <br />DIV MII9 SS[CIN`[NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE <br />TYPE OF EOURNAENT <br />FEE <br />WATaR CLOSE <br />A`C—AMNOLG UNITS <br />�— <br />_ <br />BATHTUD <br />FORCED AIR SYSTEMS <br />LAVATORY (WA <br />HEAT PUMP <br />SHOWER <br />N <br />k�FEENO. <br />UNIT HEATERS <br />KITCHEN SINK <br />CLOTHES ORYERS <br />DISHWASHERRANGE <br />HOOD <br />LAUNDRY TRAWATER <br />HEATER <br />CLOTHES WAS <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 />' <br />T <br />_ <br />SINK (SERVICE —BAR, ETC) <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL S <br />44 <br />PERMIT $ <br />PERMIT f <br />TOTAL FEE f <br />TOTLFEE f <br />FOR OFFICE USE ONLY: Yw AADI-IX)k [rAlof2SS`Ii <br />rdMr VIMKe <br />Pr/J1 MtIM•[l <br />L VIMK• <br />M.CIKC. NUY11tP <br />rfl <br />fl/'t rq <br />USE IONr <br />tOLAWA <br />VgANt PIE <br />FEES <br />VALUATION <br />FEE <br />_ <br />❑YFS 0 Mu <br />Hr1 l HwMlgn <br />NO d VIWUV i <br />SUE 0V MCG'" <br />_ <br />-- <br />tM1IM <br />nIryMM <br />w"AyrM <br />.- <br />AMCY <br />VJn aIfA:I6 <br />GF(IANtLW <br />MAV. KNI <br />OVtS OMG <br />-- <br />.DbIpIM TAM D`I . <br />'-- <br />E <br />rIRF SIVINxHn M'JD <br />FIF AEON <br />o1NFn <br />FIFE NAPM PEOD <br />of ASOV <br />{IAII MW VMG SIIIKN•nOr <br />11"FK CWAI <br />MAMAAPM VfDMY <br />CRY OF EVERETT— <br />LOCALSA'.ES <br />— — <br />TAX CODE IS 3105 <br />TOTAL <br />M•It <br />