Laserfiche WebLink
APPLICpcT10N FOR CONSTRvCT10N <br />PERMIT <br />rne e�eroreen <br />CITV OF <br />everett <br />BUILDING DEPARit�1ENT <br />2ss-eaio <br />.AN�o MoRALES 5t <br />MA�I 0 <br />�AME AS ABot/�° <br />� ��N � � � <br />causr. Po <br />rvrmll <br />e <br />TO BE COMPLETED IN INK— PLEASE PRINT <br />�DonEss Pir ri�' rr�ovE <br />1 ��- R. o q8- '� 1 55ZZ <br />5nbt� �90 ------- 3-" — <br />_.. -- � - - ' - <br />__ e___-- _. .nr � vir r�roNe <br />� <br />p1Y <br />„�� _...--._-------.._---.._---. _._ <br />cus=or wonK . <br />�NEW ❑ AOUITION ❑ �LTERAiIDN ❑ REPAIR ❑ bEMOL1tION ❑ \YOODS10V6fRPL.IN5GR1 ❑.�UILDINOR[LOCATION <br />TEN�NTIMP�OVEM[N10filNiff1100fICA10�/[�L/Uy1`�–� ^ ,�1 COytIIM:11(��d�N�NP.1Pi1/p�NfNl� <br />___—__ _.._._ <br />CqNTR�GI l'RICE Of WORK. �,�✓V v _ 4/RIAN _I , I ��N� � !���� � T � � <br />DEBCNiBE WORN �NO SOO4RE f0014Gf. rNVOlvEO � <br />a, rY . I�.lu �.1 �rtn �,� ��,t� ---- <br />I-SToRh4� -` <br />loi eLOGN_�! <br />ATt�c�� n <br />pLUMBING <br />VO. TYPE OF FI%NRE OR ITEM <br />WATER CLOSET 1TOILET) <br />BATHTUB <br />LAVATORY (\NASH BASIN) <br />SHOWER <br />KITCHEN SINKB DISP. <br />DISHWASHEF <br />LAUNORYTRAY __ <br />_ CLO"�ESWASHEfi______7 <br />URINAL <br />DRINKINO FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTEHS, <br />ROOF ORAINS — RAI NLEADERS <br />ciuv�eco�ncc—Aea FTCI <br />Z <br />—�ln_�-5 <br />nne srnwk�ens neauin <br />J r�"�`4 <br />,�1 bv1 <br />FEE <br />PERMIT $ <br />TOTAL FEE S <br />nuns[ioACK smesEtencK <br />LOtARER VPCRNT ❑ <br />fl YES NO <br />OCCUPNNCYGROUP NO OfOWEL�I <br />N F�-2 <br />— ------- - ---- ----- --- <br />1 r+o ar s�omEs � osM�, a:c iono <br />_� _I__ iir LI <br />N <br />_ . __._. _' _ '_ . <br />-'� --- uemifiiininnno <br />en n res �r+o_ _ . <br />Pl�NSAPPP 6Y <br />l- �.� <br />L_ _-.__.. _._.___"_.__._..—_— <br />I H GRFOY CERTIFY 7 HAT I HAVE fiEAD AND E%AMINED TNIS APFLICAiION AND <br />KNOW T �{E SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND <br />ORDINAIJC[S GOVBRNMG 71115 TVPE OF W0�7K WILL BE COMPLETED W�iH <br />WHEI HER SPECI FIBO HERGN OR NOT.1 H[ GR�NiING OFA PERMIT DOES NOi <br />PRESUME TO GIV[ �UTIIORIIV TO VIOLA7E Of. CANCEL 111E PROVI510NS OF <br />ANY O7 H ER 51ATE OR LOCAL LAW REGULAiING CONSTRUC710N OR THE PER� <br />FORIdANCE OF CON5117UCTION. THAT I AM AUiHORIZEO BV TNE OWNEP OF <br />THIS Pf70PERTV TO PER�Of7M 7HE WORK FOf7 WHIC�� APPLICATION IS MADE <br />ANU I COMPLV WIPI TIIE STNE CONTRACTORS LAW 1827 RCW AND <br />296200 WAC. <br />smi+niunenrr�rr+n�nciannununiorurrunc[u� u�iE <br />X �...(� p <br />I.PPLIG�I SC DU' ! .SSI�CI'NSENO�Nf)OUSM[SSN�ME <br />MECHANICAI <br />A/C — NHNDLG UNII <br />FORCED AIR SYSTEh <br />UNIT IIEATERS— B.7 <br />CLOTHFSDRYERS <br />VENTILATION fAN <br />RANGE1100� <br />WATER HEAiER <br />WO00 S70V[ <br />MEIAL FIREPLACE & <br />I{EAT F'UMP <br />_"_ _ _._. .._ _ . _ . <br />_ __ __ -GAS PIPING _ <br />— H.P. <br />— B.T.U. M EA <br />M <br />TOTAI � <br />FEE <br />ir./ C j <br />ree <br />7J� l,� �-L <br />BUILDING �, � ��'_ _ _ <br />PWMOING <br />__ _ <br />MECI IANICAL <br />Ot7iEf7 <br />___._ ._____ ._. <br />SiNE DUILDING SURCIIMGE _ __ _ <br />S1NE ENERGY SURCH�RGE <br />PUOLIC WORKS <br />rora� <br />