Laserfiche WebLink
APPLIC�.f10N �OR CONSTRI,�:TION /�/� � <br /> PERMIT <br /> fhe Evorqreon <br /> ��,Y o< <��r�t��1�-z'.c� �=�-�� "`e <br /> everett <br /> 6UILDING DEPARTMEN? _, <br /> 259-BBiO TO BE COMPLETED IN INK- PLEASE PRINT <br /> T(���3 _N-Y�:��C��'ITC�u�Jonn�ss / iJ�r���L�,� .I�VCiV"'_ (�C/�- ..�'��—'7_( Cld .__ _ ' <br /> () <br /> •�C�nTEQOFOES�ONCfi MAIL110URE55 (:ilv nr�� � iqlO�iE <br /> GiNf.O�ICON�P�GfUR MRiIqODf1C55 d1Y ]il' � � PIIONE LILCNS[• <br /> �C�.0.«oN,a,�IG��`o_Ss'�(_��_k1C1'�i���1.—--`�����Ol�1�5�19.�? U/��CL�C��:3 <br /> CLUTAp111000 fP ,1011 M��LRpf)PiSS ( CIIY lIP 1'11��Nf llf,fN <br /> CL�SSO�MN�N — -- — �----_— - <br /> ❑ NEW ❑ ADDITION ALTERATION ❑ �EPAIA L� UEMOLI71ON ❑ WOODSIOVE/lPPL.INSEfIi U OWLDIfJOpELOCAIION <br /> i:N�N111AP110V�MLNIO�INiF UP(ICNOfIC�ANIY �---- �f'ON��C1�YIl:d)N4NIIPIIONfNf1"---- - - --- �---- �-'-- <br /> fAN1q�Gl PPICE Of WORK <br /> DESGFIA[WORN�NO SOWNElOOiROE INVOLVED <br /> rno�eoUSeoreui� - IHERG�YCEf711fY?HATII{qVEREA0AN0EXAMINEDTHISAPPLICATtONAND <br /> ���!1 NNOW7HGSAM[7��ETHUFAI�DCORRECT.ALLPROVISIO�SOfL�WSAND <br /> i.FUnt De9(:niruor+or Pnov[ �YIS�IOWNBGLOW ONPtUCNlOURCOPICSI ORUINAHC[S GOV[RNIIJG 111151YPE OF WORK WILL BF COMPLETiD WiTH <br /> WHLTHEH6PfCIfIfDHFHCIIJONNOT.IHGGRANTINGOf APFRMITDO[SNOT <br /> PRLSUMf 10 GIV[AUTI IORITY lO VIOI.NE OR C�IJC[L iH[PROVISIONS Of <br /> iu,__ oiocK of - -- qryyO711CH57Nf:ORLOCALIAWfiCGULATINGCONSTRUCI1UNOliTHEPER� <br /> fOR1AANCE O�CONSI�UQION.711N I AM AU7l10RIZED BY THF.OWNER OF <br /> 1HIS PI70P[lil l TO PEf7fORM TNE WORKlOR WHICH APPLIC�dION IS MADE <br /> -- - -- AND 1 GOMPLV WITH THE STATE CCNTRACTORS LnW iB27 RCW ANO <br /> 296200 WAC <br /> smria.uncorcnwnncionnnmm�omzronc[r+� oAic <br /> X(��l'j�'1SL� �I C Q � o�����`{ <br /> PROI�Gi��E�I rG M1PPI.ICA1 1:CIIY OUS� FS9 LICENSE NO 0110 OUSW[5^IIAIAE <br /> 1\ <br /> L�� <br /> PLUMBING MECHANICIIL <br /> NO. TYPE Of FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WA7ERCLOSET�TOILEn WC-N�iNDLGUNITS-HP. _ <br /> BATHTUB FJRCED AIR SYSTLMS-BT.U. M EA <br /> LAVATOfiV(WASHBFSINI - -- -(------�� _- —� / <br /> U41T HEATERS-f3.T I��rt � <br /> SHOWER CIATHESDRYERS <br /> KITCNENSINK6DISP. VEP�TILNIONfAN . _ <br /> OISHWnSHER N�NGE HOOD <br /> _— __ _ __ _—_. __--- _____ . . _____-__--. _—— . _ . <br /> LAUNDRY TRAV IVATEfi HEAIER <br /> CLOTH[S WASHER WOOD STOVE <br /> UFINAL MET�L FIREPLACE 8 CHIMNEV <br /> DR!NKI�G FOUNTAIN FIREPLAC[INSERT <br /> FLOOR D�RIN HEAT PUMP <br /> BACKFIOW PREVENTERS � GAS PIPING _ _ <br /> ROOF DRAINS-RAINLEADERS E%HAUST FAN <br /> SINK(SEfiVICE-BAR,ETG) <br /> SUB TOTAL S SUB TOTAI E � � <br /> PERMIT 5 PERMIT S ��- <br /> TOTAL FEE 5 TOTAL FEE 5 ��� - <br /> fPONI5E1BeGN PEMSEIO^frc Si0[SETBnCN PLANCNEGKNpMBEB fEE AECEIIRNO <br /> usezor�E wr�aEe ��G�NTSILE FEES VAWATION FEE <br /> n res n r+o <br /> nreorwnst `occurenerarrouv �+ooroweumoUNns � �UILDIN6 <br /> - _—__-.__. __ __.._-_ --_- ___-_ -_� _ <br /> ni.�.owe6leiectwL PLUMBING 1 <br /> SiiE OP BLDO. NO.O(STONIE9 BSMT. OCG LO�O .t1 1 — <br /> u r MECHAI+ICAL vS L <br /> ❑N — <br /> I�EIONTUMIGT�ON OTIIER <br /> FIRESP!lINNlER9RE0VIRED ❑vEs oNo STATEBU�LDINGSURCNARGE <br /> S�ATEENERGVSURCHARGE <br /> arrucnuounccor r�nr�s�vm.er pUBLICWORKS <br /> TOTAL ��� <br /> � <br />