Laserfiche WebLink
APPLIC�►TION FOR CONSTRUCTION <br /> ,�.F»��.� <br /> PERMIT <br /> GRY OF •��•r��11 <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259�BBi0 TO 6E COMPLETED�N INK—PLEASE PRINT <br /> omrtr. u n.uoacss c,�. :�, i.,�r� <br /> SAf-1ES P. WII�iPMsoN 59�o fSRO/�h*{ EVE1C�iT �i6Za3 353•�ZO_ <br /> nwwr r.ui.ow+ess cnr no �o+i <br /> QP�VE <br /> I.1IGNAR�EC��09M9N:VfN u�IL�DD�f55 C�1♦ Z�v H1OM[ <br /> /�v-+i�� — <br /> IXMCRµFOM'n�CTO4 A�e Mut�WPF99 CII� li0 {NpNC IIGtN$[• <br /> F�2/+ME R��tF 6�i�o f?s��W�l EVEG'C�tT q8?�o3 �J-�3"ORZO F�ANER117SH <br /> NECX�NiC4CONiP/.CtOP N(IL�OOIIC99 LiIY $�� �ME \IQNSL• <br /> o w�tER <br /> nwmr�ocow�n�cron uuir.owrcv cm zm rHow[ �wEHs[. <br /> o rl NtR <br /> rx,ss or uom <br /> ❑ NEW ❑ �DDITION � �UER�bON ❑ REPAIR ❑ PEMOLITION ❑ WODDSTOVE?RPLINSERT ❑ BWLOIN(3RELOG�TION � <br /> �EM�Mi NCA'IVCM[Nt OR 1ViEP�REMOCEI OML! Cp:�Ci V[PSON tNO VIqME MQ <br /> cann.crmwEawoa. � � OWNC"le 3�i3'D�120 <br /> o[nc�ieEwom�+neou�uE�oo+w[�xva � <br /> Rn�SE !�1£iUHT OF 2!'—�F�taYt �Q.�,5��1'9Lc*�� � <br /> vrJros[o USF O�BuupxO I HEREBY CERiIFY TNRi I N4VE RE/D AND ENPMINE�TMS RPPUCAiION RNO <br /> {jES I OEUGE Kt:OW TN[S�ME i0 BE TRUE ANO COAA[CT RLL PROVi510N5 OF�qWS AND <br /> IEORDEeCni✓tqMpVTORRf�'�9uvxu6ELPVOneII¢tliOUnCORCA ORDINRNCLSGOVEPNR.'GTHISTPEOfWORNWIILBECOMPLEi[DWIM <br /> WNEiNERS�'EGinEUMEREiNORNOT THEGRANTINGOfAPERMIiDpESNOT <br /> ` PR[SUM[TO GrvE AtItHORITV TJ VIOInT[ON CF4CEL TME PROVIS�ON$Of <br /> , :pi_ 0�0.+_p ANVpiHCASiAiCORIOCRLLeWR[GULATINGCONSiRUCiIONORTHEP[R� <br /> fORMANGE Of ppNSTRUCTION THAi I AN.AUTHORI]ED BV TNE OWNER Of <br /> THIS PROPERTv TO�[��ORM THE WORN fOR\4MiCN q�t+�ICFTION IS MRDE <br /> � — �ND i GOMPLv Wi1N TNE STAiE CONTR>QO45 lnW �02) RCW �ND <br /> 1B8.2oo WnC �'�� <br /> S�OxO�le[O�C04�e4�Onpn�V1 OPR[O�GfMI Dnl[ <br /> 1TOJfRI.DUNC55 f�1•LIL/.Hl�bl��.--�NU�4�� <br /> �=�t.� P.�''.OAOWM-1 �'�lYL'E1T�vJA <br /> PLUMlIM6 MECH�NIC�L <br /> Iq. TYGEOF FIXTl11E OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSETITOILEII h'C—A'��NOIOUNrtS—NP _ __ <br /> B�TMTUB FORCEDAtq5Y51FM$—BTU. ME4 _ <br /> LPVRIORYryINS��BA51N) _ UNITN[ATERS_� BiU A1 ' _ <br /> SHOWEN _ CLOTNES�RY[RS_ _ <br /> KITLHEN SINN 8 DISP. VCNTILATION r,N <br /> DISHW�SNER AANGE MOpD _ <br /> UUNDRY TRRV WATER HEATEF <br /> CIOiNES WASMER WOOC STOVE _ <br /> URIN�L ---� �A[TALfIR[PLPCE6GHIKMEY _ <br /> ORINKING FOUNTAIN fIREP�PCE INSE(ii _ <br /> Fl OOP DRRIN H[RT PUMP <br /> B�CNfLOW PAEVENTEPS G45 PIPiNG _ <br /> ROOF DHAINS—RRINLE�DERS E%NAUST FNN <br /> SIHH�SERVIGE—B4R.ETC) __ — <br /> II <br /> SUBTOTAL f SUBTOTR� S _ <br /> PERMIT S PERMR f _ <br /> TOTRLFE[ f TOTALfEE S <br /> f1qM18l�9WK PL�RpC�� tiOt��N III�MCM1 ![I1 itL 7�f �[C[IRFO <br /> ' �f a� I " a31 �� <br /> me[q� im�uc� ����"�s��F FEES V�L1I�TION FEE <br /> K � �,.E, �o ) <br /> nrtamxs*. occuvu1c�crou> rqorpw[�urwux�rs BUILOING �z6{,� iJ� � � <br /> r.uow�xvectw� Q.� , PLUMBiNG <br /> s¢coraitn —� Iaoreionio esu� occ�wo MECHRNIGAL <br /> �9G sr z �� _ - �5 � <br /> n�wnriir�rt�irow pTHEP <br /> fIPElMIMRL[PSPCW�MF� I]Yf9 V'NO � � Si�TEBUILDINOSURCHARGE - � <br /> � f' <br /> STFTEENERGVSURCH�RGE <br /> •rmtic�noMnccpr vur�a�wner <br /> 1 � PUBLIC WOAKS <br /> `�/� �T,{ („� TOT�I � <br />