Laserfiche WebLink
APPLIG.�TIGN rOR CONSTf��1CT10N <br /> P�RMIT <br /> ��e Evrrprren irvemlt <br /> CITV C F <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259•BB10 TO BE COMPLETED IN INK-- PLEASE PRINT <br /> OWNER M�R�DDRE55 Cn" LP P��ONE <br /> I���1�K�ir �;�A� �._ �� I u l ISHI.•k 0-`_----�� ��_w.. �V--��-�.�- `.'_�------�.' 7 L —=iu�o <br /> TENANT MMLe00RES5 bIV ZiP P�IONf. <br /> ARLNRECTOHDESIGNER M�II�D�RE55 GfV ZiP PNONE <br /> OENEB�LGONTPAGtON M�il AOORE59 l'ITY 21P P��ONF IICENSE• <br /> MECN�NICAL ONTR� MUL�00RE55 LIT\ ZIP PIIONE LICENSE� <br /> PLUMBINOCONTR�CTON M�L�UDRE54 --' '--'--CiIY bP PNONE UCENSE• <br /> C1n880fNOflN ___— _"__'_— --- — <br /> ❑ NEW ❑ �DDITION ❑ ALTEPATION � REPAIR ❑ �EM�' �ON ❑ WOODSTOVE/FRI'L�NSERT ❑ BUIl01NORELOCATION <br /> TEN�MT IMPHOVEMENT OR IN7EPqR REMO/��EL ONtY�' CONIeGI PERSON�NO PIIGNF HO <br /> GINTfUCi PNICE'1i WOFK ISL� __ i /'I(L� l.���fY� • � S I.� [��+ G f.-J _ <br /> OEHGPIBE W011Y�ND BOUARE FIXII�OE INa.ILVFp —� <br /> �y � ___ _ ______'—__�__—_ __ <br /> rnb e ous¢os noiea IMEREBYCER11ryTHATIHFVEREADANDE%AMINEDTHISAPPUCATIONAND <br /> NNOW TNE SFME TO BE TRUE AND CORPECT.ALL PROVI51�]N9 O�lAlVB AND <br /> � �� —�-- ORbINANCEF.60VERNING TH15 TVPE OF WORN WILL BE COMP�c'1f:�W11H <br /> LEO�IDEBCRIPTIONOfPNOPERTY�SNOWNBEIOWOR�TUf,I�FOUHCOPiE& y�!!E7HEHEF'ECIFIEOHEREINORNO77HEGRANTINGOFAFEhM17DOF.9N07 <br /> fRE'sUME Tf,GiVE AUTHORITV TO VIOLATtS OR CANCEL ThE PROVISION9 OF <br /> lot BioCK of ___ ANYO7HF.H:?TAIEORLOCALLAWHEGULAIW�CONSTFUCTIONORTHEPER� <br /> FORMANCE OF CONSTPUCTION THAT 1 AM AUTHORIZEO BY TME OWNER OF <br /> THIS PROPERTY TO PEFFOFM TME WORN FOR WHICH A�?LICATION IS MADE <br /> � --- AND I COMPLY WI1H TIIE STAiE CONTR.4CTORS U�W 1827 RCW AND <br /> 296 200 WAC <br /> 6iGNAlURF O�CONiR�QOP UN AUIIIOPILE��OENI O�IE <br /> __ --_ � ,� � I' <br /> � S-� � I � ��� i <br /> c�G� v-cu— �1-1,�—� <br /> PdOJECiMOPEB9 APFtICRNi�rtYBO51NE5SlICCNSENO�NDBl15 Eb9N�ME <br /> � � �.� � 1�)N ka:K I\�c' L l,,- Y'e ( � _ <br /> PLUMBINO MECNANICAL <br /> NO. TYPE OF FI%TURE ON ITEM FEE NO. TYPE OF EOIIIPMEPlT FEE <br /> WATER CIOSET(TOI LET) A/C—lVHNDLG UNITS--N P <br /> BAiMTUB fORCED AIR SVSTEMS-BT U_M EA <br /> LAVAtURY�WASHBASINI UNITHEATEFS--BT.0 M <br /> SHOWER _ CLOTNE5DRYERS _ <br /> KITCFIEN 81NK 6�IBP. VF NTILATION FAN <br /> 019HWA9HER RANGF HOOD <br /> I.AUNURY TRAY WATER NEATFR _ <br /> CI.OTHES WA9HER WOOD STOVE <br /> URINAL METAL FIREPLACE d CHIMNEV � <br /> DRINKINQ FOUNTAIN FIFEPLACE INSERT <br /> FLOOR DRAIN MEAT PUMP _ <br /> BACNFLOW PREVENTER9 OAS PIPING <br /> ROOF DfiAIN3—PAINLEADER3 EXHAUST FAN <br /> 91NN�9Ei1VICE—BAR,ETCI .---------- - —� <br /> SUBTOTAL S _ _SUBTOTAL S _ <br /> PERMIT 5 PERMIT S _ <br /> TOTAL FEE S T�7TAL FEE S „ <br /> iPONTSEiB�LN PE�R9E19ACa SIpESETB�CM P4MCHECKHUMBER iF[ RECEIPTNO. <br /> UBEIONE LOT�PE� V�LeN18rtE FEES VALUA�IDN FEE <br /> ❑ YE9 t)NO <br /> -- BWLDING <br /> TYPEOlfAN9i IX.CUPANCYORUUP NOOFpWEIIINOUNILS — ------- — �--- ----- — <br /> �LLOW�BIEiAciu�'. P�UMBING <br /> BREOiBLW HOOf9����'FS PEMi (KCIO�D M�C�IANICAL <br /> [i Y <br /> ❑ N —' — _ <br /> HE16NILIMIIATION OTHER <br /> FIRElPRMYLEPBREONPED ❑YE9 ❑NU _ _ STATE BUILOING SURGHRRGE <br /> STATE ENERGV SURLHARGE <br /> 11=_RIG�TIONhGC 9Y PI�NS�f�PR BY� —�----—"�—�—��_�_ —_-- �. <br /> PUBLIC WORNS �' <br /> �,�p. TOTAL <br /> � <br />