Laserfiche WebLink
APPUCATIA FOR CON=TRUCAN PERMIT <br />CITY OF EVERETT • BUE.DINO DMSION <br />320L CEDAR STREET • EVERETT. WA 99201 • (425) 257-8810 <br />❑ DEMOUTHM ❑ COEAMATMIFI O NMLDM6 9 MECHANICAL Cl PLII 1 ❑ SM <br />PROJECT ADDRESS: <br />al• !Y Malr <br />EueY•r/r k.Ia 91Jo, Svs' as9 �sGv <br />Gn Elr rP[+.r <br />MIIMII.GC 10W.lp1 Y1..OL.ICiS piY tle plpr{ SI.R IK.FMSF• <br />I$' /S. Vdo. ob <br />CWIP.<I Ur YpY <br />NEATMKi fYlTEM: ❑OAS >tELECTRIC Cl <br />of wo1..NP sou.Rr rm .fY .Iw1VEo <br />mAnocl Am <br />fiYKcv r1s / .3S <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRITE AND CORRECT ALL <br />FROVISKNIS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WKL BE COMPLIED WITH WHETHER SPECIFIED HERE04 OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO DIVE <br />AU ITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />0 R TATE OR LOCAL LAW REOULATRO CONSTRUCTION OR THE <br />ANCE OF CONSTRUCTION. THAT 1 AM AUEORRED BY THE <br />OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />A PLI TION IS MADE AND I COMPLY WITH THE STATE <br />C CTORS LAW 18 27 AND EPf 300 WAC. <br />/y <br />X <br />PllOrosro use a RINpMII <br />LEGAL NKMPT"M PICnERT'ILOIIY FFIOIr 0A.I1.CM iMO CUM51 <br />Lor RacR 01 <br />MI1cEL lA.l o MALRF <br />o v <br />CGKSTTFIRMIMYIrMIF .pYKSS RI[MIdrL.AR.IEP <br />tUR DAR <br />G PllN[R LKI RSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF BOIIIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />NC—AABIDLO UNITS <br />BATHTUB <br />FORCED AM SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK f DISP <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 />OAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BA A. ETC.) <br />uA5 PIPING <br />EXHAUST FAN <br />SUB TOTAL 3 <br />SUB TOTAL f <br />0 <br />PERMIT f <br />PERMIT f <br />_ <br />TOTAL FEE $ <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />I np4l vfn.r. <br />nI.PSCIR.C. <br />sw u1R.C. <br />MAN CM <br />rrr <br />wlwlN <br />5 � <br />115[zw <br />Rol A.I. <br />VKA41 vlL <br />FEES___ <br />VALUATION <br />FEE <br />—� <br />0vE5 DNO <br />RMIIP•!. <br />NfIC.Nl11M1.IgV <br />W1p UWT111NG <br />cRE b RIW91 <br />1YIPMNf. <br />�— <br />OCll.4CY <br />GPIXT <br />VJ IV SIM'If <br />M.<I W.HI IUAO <br />RA$FY[NI <br />yr1...ANlC.1 <br />_ <br />p Yes ❑No <br />.IOpININAI ry.V GRf.. <br />— <br />fIP[SPRM.ICPPLU'D <br />n(AirW <br />O1NEP <br />nn[.UPM PLOD <br />__ <br />NI A.0 <br />sIAR 8Ill1U !.IWIIANIE <br />lvrr Of Cowl <br />ry.Ns.rmDvrn P. <br />CRY OF EVERETT <br />ry--7As <br />-- <br />LOCAL SALES <br />--' <br />TAX CODE IS 310S <br />TOTAL <br />D.le <br />