Laserfiche WebLink
APPi.IC�+f10Id FOR CONSTRI..:TrdN <br /> PERMIT <br /> I�n C vnrprnxn r��v��ll <br /> (;ITY OF <br /> everett <br /> BUILDING DEPARTMEN7 <br /> �� �+ 259�eeto TO BE COMPLETED IN INK - PLEASE PRINT <br /> y crr.r�cn unii�ooacss a�r rm �nant <br /> C H 1- �C'�J(h�5 � Q�fo7S�..�j.Y'�..75'c> , <br /> L�lf1^L-w�P falo�-l-b--`�_�lL�'�� LA'L'=����--1�-_'S�� .�,����E <br /> � y IiN�Nt M�II�DOP[55 <br /> �� � .. ..__._ .__ _ ._ ___ . <br /> __.___ . ._ _. __ .____.__ . <br /> Y � �qC���1EC10��E5iONER-- MAIL�DDUE54 -- -�— � OM1 1�P PUON[ <br /> � <br /> O GRY ZIP. _- .-...—PHpNE I�CVK� • .. <br /> I M OENEP�ICONiRALTOR MMLAO�MESS <br /> N � �s�w����/O Bf/ <br /> ��o� MEGN IGAL ONiqA� MAIL�D�PE69 CIIY ZIP VNONC LILENSE• <br /> �1 H C —_ — -- —__—" <br /> � ~ PLUM��NOCONIR�CIOR M�IL�O�PE% CI1Y )14 VNONL 4CEN9f.• <br /> �^�g -- --- <br /> y,V � <br /> LL�59 OF NV BM <br /> �H� ❑ NEW ❑ ADOITIUN ❑ ALTERATION ❑ AEPAIR ❑ �EMOLITION ❑ WOODSTOV&FRPI INSERT _❑ BUILDINGRELOCATION <br /> �i iEN�NiiM�qOJEMENtORIMENIOAPEMODELONLY WNi�L�CEP50N�NDP110NEN0 <br /> C y LONIPACI VRICEOf NVOM1 ---��- --�" — -� <br /> ��� DE6.RIBE WOReAN0501APE�OOGOE�NVOIVF.D <br /> � � rROPo5EDU5EofBaLLOn+a INEREBYCERtIfv!MNTIMAV[REA�AqDE%AMINEDTHISAPPLICAfIONAND <br /> O y ��� S ��M- ES_ NNOW THE SAME TO BETAl1EAND CORRECT ALl PROVISIONSGF LAWSAND <br /> ORDINANCES GOVERNING TMiS TVPE OF WGnK IVILL BF_COMPLETF.D WITN <br /> �e ��o��PTiON�XPnoc[urv�SNowr+n[�owon t1ACHfOURCOFE51 y./�{ETHERSPEG�RE�MEREINORNOT.iHEGPAN7INGOFAPERMITDOE5N0T <br /> PR[SUM E TO GNE AUTHORITY TO VIOLATL OR CANCEL TNE PfiOVISIONS OF <br /> toi� BLoce O° - � FORGANCE OF CON6TRUCTION TH T I AM'AUTMORRlD BY�THEOOWNER OF <br /> iH15 PPOPERTY TO PERFORM THE WORK FOR WHICM APPLICATION�$MAOF <br /> -- AqD I COMPIY WITH TNE STATE LONTRACTORS LAW iB27 FCW AND <br /> 296100 WAC <br /> S�rrv�lunEOrcONI � r'.u.<i' i� 'tt��ctv� J�rE <br /> ___.. <br /> -- -- --- - -- X .�_ /L1�,�..��rL' <br /> FRQIECIADOPCSS ������ ��IL�C 15G�1AB NIY�IIClrrylb. l. 9U9iNE'.HMA� <br /> �'J <br /> PLUM91N0 MECMANICAL _ <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EGUIPMENT FEE <br /> ��t' WATERCLOSETITOILETI __ —____ _ ,__ __ _ _ AiC—A/HNOLGUNITS—HP _ .__ ._ <br /> ■� BAiHTUB FORCEDAIRSYSTEM'i �TU MCA . <br /> �i' __' ' <br /> —__ <br /> ; LAVATORYIWASMBASIW UNITHEATERS BTU M _ T . <br /> 1 � SHOWER _1 CLOTNES ORVERS _ � _ � � ; <br /> _ _ � / <br /> __'_ _._— __ ' _— <br /> NITCHEN S'NK 6 DISP. VENTILATIJN FAN ___ __ _ ,. ....�`.� <br /> _ _'_ — _-/ <br /> _'__ __.— <br /> � DISHWASMER RANGEHOOD __ __ — - <br /> '_ ___ _. __. .____-'_—_'__— <br /> � �� — WAT[RNEATER —._______ . <br /> LAUNDRVTRAV --.. _- . . -�-----'---'— <br /> _ _.__—__--.. __ <br /> ��I� CLOTMESWASHER WOODSTOVE _ ___ __ - <br /> __'__' <br /> � �� rdLInL�IRCPLPf,EdCHIMNEY ___ _ <br /> � URINAL ._ . . . —�-- <br /> ._____'—_"_—_ <br /> I —�� IIREPL�CERlSERT <br /> ` ' DRINKINGFOUNTAIN - ---- ------ � ----�- <br /> � FLOORORAIN _ —� N[ATVUMP _ _— -- <br /> . ._ _—__._._ <br /> ----- GAS PIPING <br /> BACKFLOW PREVENT[RE . - -- --.-. .. -- -' - - � . _-... <br /> — __— ' ___ _. . <br /> ROOPDRAINS—FAINLE�DERS [xHAl1STFAlr ___ . ___ _- . <br /> 1� _ SINK�SERVICE—BAR,ETC) _ ___ _ � � -- - �- � -- -"� - --- <br /> �� - � . _—___._. .. __ __ <br /> I !' � __—_'_ __ . — _... .. _ -__ . - _— _ _ <br /> $UBTOTAL 5 � . i01�PLT'[[ ..P¢CEImNO ��� r�� <br /> —__. . . __— __ _ .. <br /> I PEPMIT S . .. . � ' - <br /> � ___ . _ . —__ _ _ - _ . <br /> � � � TOTAL FEE 5 <br /> `I lPO�JSCIB�V. Rf�NSCIB�C6 SUESPPdI:n F4BCNECRMUNBIR iEE <br /> __.___.__.. —_— ____ FEE <br /> usE 1ov["- . ...- ...- - ���"nt� v�ury�sut FEI[S VALUATION <br /> vEs rvn — <br /> "_'__ .....__._— —_—'---_. . OUILDING <br /> iVPEOf(ANS1 OLCUV/.NLYpNOV� NOOfOWEILINGUNi6 � �- <br /> •ILOW�BLE�ci W L V W R1 BI IrG <br /> _ .._ _ __ _—. —__ . .. _.. .._- _ � . <br /> b�ZEO�BLUO NOOi510RiE5 BtiN� �o(C�ua� � �� � <br /> M[CHANICAL .� � � <br /> �. <br /> _- _._ .. ..i-..,�i�-�uue?ior� _. . OTHER <br /> _"._-'___. <br /> i �.�5�nirvM�ER5AE0u1nED ❑YES ���� _.. . . $TATE BUILOIVG SURCNAi1GE <br /> STATE ENERGY SURGMA�IGL <br /> < <<���norv�CC Nv—�r�ivsm��i� o. �� PUBLIC WOAKS . <br /> rora� <br /> 7 ��i <br />