Laserfiche WebLink
APPLIC�.�ION FOR CONSTRI..:T10N <br /> PERMIT <br /> tM EwryrNn <br /> CITY OF evarett <br /> everett e <br /> BUILDIt7a DEPARTMENT <br /> 269•Beto TO BE COMPLETED IN INK— PLEASE PRINT <br /> �R �)�, M�II�OUPESS �q���GTY 21P PI�ONE <br /> ( T(.�1�D+— � N�ts•..eF �_ i�/S/S' ��,�^-" <br /> TEN� T M�Il�0UPE8S CITY SIP PNONE <br /> MCNITEROFOEOIONER M�IL�PDRESS CIIY ZIP PNONE <br /> OENEML Cq1TilAGTON MMl�DDNE54 CIiY 21P PNONE IIGENSE• <br /> / <br /> MEGM�NiGLCONTRALTON MMI�DOREBS CIIY ZIP PNONE 4CENSE• <br /> PLUMNNOCONTP�LTOR GUIL�ODBE93 CITY 21P PNONE 11LENlE• <br /> CWlOfWOR1t _ ____' <br /> ❑ NEW ❑ ADDITION ❑ ALTEHATION ❑ REPAIR ❑ OEMOLITION ❑ WOO�STOVE/FFPLINSERT ❑ BUILDIN6RELOCAiION <br /> 1EIMNT INP11pVENENT OP INTEPION REIAODEI ONLY CONT�CT PERSON�HD PHONE NO <br /> —ooMmec.rn�ccorwa�K � S U U <br /> p(lCIII�EYq111t�ND0OUMEfCO1A0EINVOL D � <br /> .� PuN�ay in G� P VP�� �!/Yiu.x.A,� ��u.r<�af <br /> �qro7E(D�y"�� qMmwNo IHEREBYCEHTIFYTH�TIMAVEREADANDEXAMINEOTHISAPPLICATIONAND <br /> ' .\ / N Gh�� ��MI��! NNOWTME9AMETOBETRUEANDCOFPECT.ALLPROVI810NBOFLAWBAND <br /> icoko[3Tic rra�arnoverm�eHownee�avon�n�cNro ORDtNANCE940VERNIN6TH19NPEOFWORKWILLBECOMPLETEDWITH <br /> WHETHER 3PECIFIED HEREINOF NOT.TME�RANTIN�OFAPERMIT DOEB NOT <br /> PRESUME TO dIVE AUtHORIiV TO VIOLATE OR CANCEL THE PROVI&ON8 OF <br /> LOt ROCK or � ANVOTHENSTATEORLOCALLAWREOULATINOCONSTRUCTIONORMEPER <br /> FORM�NCE OF CON9TRUCTION.TNAT I AM AU7HOPIZED BY THE OWNER OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR WMICH APPLICATION 18 MAD£ <br /> ANU 1 COMPLV WITH TME BTAiE CONTRACTOR9 LAW 1&47 RCW AND i' <br /> 289.200 WAC. <br /> �i _ —_— NONANREOiGO11TR�G10PONAU1110P12E0A0ENT O�fE G <br /> MQKCTAOOM!! � `-�� 1. <br /> ♦P%IL�NTBCITYBU ! ICEN5EN0 DWOMElBN � <br /> / S / S� �a.t�.a�- i'• <br /> , <br /> /LUMNNO M[CNANICAL <br /> N0. TYR Or/OfTUII[011 IT[M F[[ NO. TY/E O/[OUIMALNT F[[ `�. <br /> WATERCLOSETITOILET) NC—AIHNDL6UNIT9—H.P. � I� <br /> MTHTU! FORCED AIR 8Y9TEM9—6T.U. M EA " <br /> LAVATORVIWABNBASIM UNITMEATER9—fl1.U. M �{ <br /> gMONrEp CLOTHEBDRYER9 � <br /> KITCHEN BINN{DISP. VENTILATION FAN !-� <br /> DI811WA8MER RANQE HOOD i.� <br /> LAUNORV TRAY WATEH MEATER ' � <br /> �. <br /> CLOiHEB WABHEH WOOD BTOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> D111NNIN0 FOUNTAIN FIREPLACE IN8ERT �' <br /> FLOOR DMIN HEAT PUMP ' <br /> oACNFLOW PREVENTERB QA9 PIPINO <br /> ROOFDMINe—MINLEADEFB E%HAUSTFAN <br /> OINK�BERVICE—!A0.ETG) - i'i <br /> n <br /> i � <br /> � <br /> BUBTOTAL 3 SUBTOTAL { <br /> PERMIT i PERMIT f <br /> TOTAL FEE { TOTAL FEE i i <br /> N PGR6ETMCN lIDEBETMLK MANCNlCMNUM�LII �![ MC��►�MO. <br /> ueemNe �pt�nu vc.uTerte f��� VAIUATION I[t <br /> ❑ree o No <br /> BUILDINO <br /> lY►(0►CONlT. OLWMNCYOROUP NOOFOWElLINOUNITB — <br /> u�awav�crwu <br /> PLUMBINO <br /> eucaKoa ra.aeronice eeMr. occ�o.o <br /> ❑Y MECMANICAL <br /> ❑N 1 <br /> NEIOM1lIMIUTION OTHER I� <br /> _' �. <br /> iI1KlPRINNI[PbPEWIR[D O YE! o No gTATE BUILDINO SURCHAP6E � <br /> 1 <br /> 9TATE ENERQY SURCHApOE <br /> MRICATION�CC.BY PLu19�PPrtB1' <br /> � PUBLIC WORNS <br /> TOTAL �� <br />