Laserfiche WebLink
APPLICA i ION FOR CONSTRI►.:TION <br /> PERMIT <br /> Ih�Ewrpn�n <br /> CITY OF rvcrell <br /> everett e <br /> BUILDINO DEPARTMENT <br /> 269•BB10 TO BE COMPLETED IN INK— PLEASE PRINT <br /> NEO WR�OOPC.S GiIY 21P PIqNE <br /> � Y' �' ' n o .. f �"'/U s !' ! <br /> �iQr'� O_.��;Y --�_L—�_ � GAou� r u �f..u.s" �•//' //Ui — <br /> 1_-_ <br /> TENNIf M�Il�U011E55 � CItY � ZIP VIIONE <br /> NIGNIIEGTOflDE810NEN M�Il�00RE5S ---------CIIY 21P PNONt --- <br /> OEN�E `CONIRdC10A 1 �/ IMIl�OD0E59 GIIT ZIP PNONE IICEN4E• <br /> /OS�Y �vt/7✓�/ /�0/I/rS •r4�q �/ �C. .l�� <br /> MEd11�NIG WNTMGiOR M�II�DDPE89 CIIY 21P ONE LIGENSE/ <br /> PLUM�INOLONTfUGTOq MAlLAp00EW GfY 21P i110NE IICEN9E� <br /> C1A60 W MORK <br /> �S NEW ❑ �UOITION ❑ �LTEI'ATION ❑ REPAIR ❑ 0[MOLITION ❑ WOODSTOVE/FRPL INSENT ❑ BUILDINO RELOCATION <br /> 1[WW I W/110VEMENT OII IMEflIOR PFMOOEL ONLY C/1NIM.I YERSON�ND PNONE NO <br /> 0011TMCTMIICEOFWOIIII �J��C) <br /> Ofw:M/E WOMI/�yDlOUMf f007 INVOIVED <br /> �� - _ <br /> /IIWO! UlfqMlllDINO IHEREBYCERTIFYiMATIHAVEREADANDE%AMINEDTHISAPPLICATIONAND <br /> ��,/V ���� ` _ KNOWTMESAMETOBETAUEANDCORHECT.ALLPROVI910NSOFLAWSAND <br /> l[�Uf M10PfR1Y�9NOWN BEIOWOR�T1ACN iOUNCOPIE� ORDINANCES GOVERNINO THIS NPE OF WORIf WILL BE COMPLETED WITM <br /> WNE7M EH SPECIFIED HEHEIN OR NOT.iHE 6pANTINOOf A PERMIT DOES NOT <br /> �pT p�j{ 0� �u cllr " PRESUME TO GIVE�UTHOHI7Y TO VIOLATE OR CANCEL THE PROVISIONB OF <br /> ANVOTHER STATE OR LOCAL LAW REGULATIN6 CONSiRUCTION OR THE PEiF <br /> FOHMANCE OF CON9iHUC110N.THAT 1 AM AUTHORI2ED BY THE OWNER OF <br /> THIS PROPEP�Y TO PERFORM THE WORK FOR WHICM APPLICATION IS MAUE <br /> AND I COMPLV WITH iHh STATE CONTRACTOFS LNY 1827 RCW AND <br /> 288.YOO WAC <br /> &aNAIURE Oi GON7AACIOR OII AUI1101112ED�OENI O�IE <br /> X � I�"� <br /> �� /�N E691 HOM108U91HEBBNAME <br /> NUY/INO MECMANICAL <br /> N0. TYNOI/plTUll[OIIIT[M fL[ O. TNP[OfEOUIPMENT fE[ <br /> �� WATERCl09ET1TOILEi) NC-NHNDL6UNITS-HP. <br /> BATHTUB ORCED AIN SVSiEM3-BT.U. M EA <br /> UVATORYIWABHBASIM U EA7ERS-BT.U. M <br /> HOWER CLOTN DRYERS <br /> KI ENBINKtDISP. VENTILATIO AN <br /> 01 HER RANOE MOOD <br /> LAUHOR Y WATERHEATER <br /> CLOTHEB MER WOOD STOVE <br /> UqINAL METALFIREPLACEBCIiIM V <br /> DRINNINO FOUNT FIREPLACE INSEHT <br /> FLOO�i DRAIN HEAT PUMP <br /> BAf.KFLON'FREVENTER QAS PIP�NQ <br /> ROOF�MIN9-MI EAD E%HAUST FAN <br /> BINK�SERVICE- R,ETC) <br /> SUBTOiAL S SUBTOtAL S <br /> PERMIT S PERMIT S <br /> TOTAL FEE t TOTAL FEE S <br /> (�TBEIMGN PE�fl8E761GN SiOEBET&1CN PIANCM CRNIIMlLII i[/[� �„� 11lC[IPTNO. <br /> 2� �/�y � /1 I / � �� G' . `�L.�- L <br /> iFw•� Vw <br /> uaET io�raee V�GANTBIfE FEEB VALUATION FEE <br /> ES I1110 <br /> t P '// <br /> - � is 3 r� <br /> nreacanst - ocwr�ncranour � -rroosowEunwuHns �UILUING _� s,�r�i __�Oj����_ __—C � <br /> KLOW�BLEIAGIU�L PLUMBINO <br /> .7r--�i 2- 3 f <br /> 612EOiBLOQ Y.00iBTOPlE9 B9MI OCGIO�D <br /> � ��J�j� I uH � MECMANICAL _ _ <br /> NEIONTLIMIGIION OTHER <br /> iIRE6PNINelEP9PEWIPEO OYEB �¢NO <br /> STATE BUIIDING SURCMAR�iE <br /> STAtEENERGYSURCHARGE _ _._1 � <br /> �PPLIC�fIONALG6Y PL/WSAPPPBY <br /> PUUIJC WO11NS <br /> ��L�/ TOTAL � <br />