Laserfiche WebLink
, <br /> . � 1 APPLIC�►TION FOR CONSTRI..:TION N�'`l C <br /> PERMIT i <br /> M�Er�rpresn I <br /> CITY OF everett <br /> everett e <br /> BUILDING OEPARTMENT <br /> 259•8810 TO BE COMPLETEO IN INK— PLEASE PRINT <br /> OWNEP M��I�DORE55 CiIY ZIF V110NE <br /> M,k� Crw+e. 1�35.t. £�.erttMotlwn ..,4eA £verett' 9 ;?wY 3b3-b.5'oo <br /> TEH/JlT M�II�DORCSS �---C�lv -- — IiP i9�ONE <br /> MCNITECTORDElIONER M�IUODf1E39 --"--- Olv Li� PnONF <br /> �ow�N �fomfs '1�3 sf f�wtY rHatl 4+k.� S...kA Fven.st 98to�1 387-�soo ��a�u��a�wOd <br /> OFNI�MLCONINACfOR M�ILIIDOPE9': Gi1V tl� n1�pNE UCENSE� <br /> MEGHANIC�LCONIN�CtOR MMI�OD�E99 ❑1♦ !iv P��ONE �IGENSE• <br /> Mq�v►u.«t�awM4�.a• 197�8 5� 530N•L Ra��ucT1w� Wq._9/i7.3 N3S•7Ytf�ARvd/Z"ieiJ'� <br /> RUNMNOCONIPIiCTON Me�l�0UPE99 (�V Zlv M�ONE I�CENBE• <br /> p,.v�i� _ <br /> CIADlOFNORN .__._ ._. <br /> L�YNEW ❑ ADDITION ❑ ALTEBAiION ❑ REPAIR ❑ DEMOLITION L�WOODSIOVE/fRPL.INSERT ❑ BUILOtN�RELOCA710N <br /> 7[N�Ni IMPIIO�/EMENT OB INfERIOR REMODEL ONIY CON I�CI I`E1150N�Nfl P�IONf NO <br /> I/ �7t�__�fIY/ _ 1 <br /> CONTMCTPRIC[OFMORK�� I16000 . 00 /onj-7Z�--f3�c.�_L.�v_i_v_cr.r_ 3s3G.1�o <br /> pElCpilEVYORN�NO60U�RE FOOIWE INVOLVED <br /> n�o�i� �i:a a�e�e ; a,W b�.r - -- ---- -- <br /> nqvOeED uee or xra0wo I NEREBv CERTIFY 1HAt I HAVE R[AD AND EKAMINED THI9 PPPUCATION AND <br /> IZiwTAb 4 OC���oA✓�L NNOW`HESAMETOBETRUEANDCOA�Ef,T.ALLP(tUVI$IONSOFLAW9AND <br /> �[o��o[ecn�viroeorreovenrvm��owHe[iowon��.c��rouncori[sr — ORDINANCESOOVERNINOIiiISTVPEOFWORKWILLBECOMPLE�EDWITH <br /> WHE11iER SPECIFIED NEREIN OR NOT.THE GRANTINO OFA PERMIT DOEB NOT <br /> �" BLOCN oF PRESUMETO4IVEAUTHORITVTOVIOLAiEOfICANCELTHEPROVI9�ON9Of <br /> ��T AN V OTHEp STATE OR LOCAL LAW REOUL AIINO CONS?RUGTION OR THE PER- <br /> FORMANCE OF CONSTRUC110N TNAT I AM AUTYUR12ED BV THE OWNER OF <br /> THIS PROPEHiV TO PERFORM iHE WORN FOR W HICH APPLICATION 19 MADE <br /> RNO 1 COMPLY WITH THE 3TATE CONTRACTOR9 LAW �8.Y7 RCW AND <br /> I Y9B.200 WAC. <br /> &ON��IIREOfCONIfUC10f10�i�111n011R D�OE t DAtE <br /> ,�y�,,ir,,�J G��i 40 <br /> �,wi, G�wra./+c1r►'j �i'�a tto��rsivo3 <br /> TO.1lCT�OONF!! ��. �pp��CANiBptYBU91NE9SlIGFN9ENO�NpBU9wE50N�ME <br /> d <br /> �LUM�INO MECHIINICAL <br /> NO. TYPE OI'PIX?UNE OR ITEM FEE NO. TYVE Of EOUIPMENT �EE <br /> WATEHCL09ETITOILEn �J' C NC-NHNDL6UNI19-H.P. <br /> BATHTUB /O eZ FORCED AIR SY9TEM9-flT.U. M EA <br /> LAVATORV�WASHBA9IN) �p UNITHFATERS-B7.U. M <br /> BMOWER _ �• CLOiHCSDRYERS <br /> KITCNEN81NK6DISP. /d VENTILATIONFAN <br /> '�Z. D19HWABHER _�Q RANQEHOOD <br /> LAUNDRYTRAY _ _ _ � WA7EH HEATER <br /> CLOTHE9 WA9HEA WOOD S70VE <br /> UHINAL METAL fIREPLACE 6 CHIMNEV d <br /> DRINKINO FOUNTAIq FIREPLRCEIN9FRT <br /> FLOOR DRAIN HEAi PUMP <br /> BACNFLOW PREVENTERS OAS PIPINO <br /> ROOFDRAIN9-FRINLEADERS ,2 E%HAUSTFAN <br /> SINK(SERYICE-BAR,ETC) _ <br /> ' 1����f � <br /> SUBTOTAL S 9U SUB70iAL S p <br /> PERMIT S PERMIT f <br /> TOTAI FEE f q TOTAL FEE S / ' - <br /> fIqNT8E181�CR RE�R9EIBI�Ck Bi0E8Cf&1CK PIANCH[Llt UMlFR iElr�`S! Y 11[ClIRNO. <br /> �� �o' S ��ri 9� ay9 : i . 3�s'sG <br /> UlE20NE LOI�REA MC�NIB�1E FEEB V�lUl1TION FEE <br /> /� E9 ❑NO <br /> /C Y � 3U:�%= BUILDINO �,Z� ?�$_ 7/G sL <br /> IYPEOFCONBI OCCUMNLYpr��t,P NOOiCWE�011Ni18 _ _ __ <br /> KL =Ei�CT l � PLUMOINQ ___' <br /> YC� PU <br /> MZEOFtlLU0. AJs NO�B'1T9P�E9 B9M1. OCCLO�D <br /> i� ❑r _ ,/� IAECHANICAL �a'rJ Do <br /> a�98 s rr. c,na. L ,�N " M. p <br /> IIE�OII�lIM11�ipN OTHE �� � � _.._ L/ �/ <br /> IIPElMINNlER9PEqUIRED f'YF! Nfl � <br /> _ .___—PC. --- a� StATE BUILDINOSURCNFPOE � s-p <br /> STAiF ENEROV SURCHAf3[ <br /> MpLIUf10N�CGU� PL�Nl� N.BY —' -- --" --- <br /> ���; PUBUCWOFKS �� �O <br /> TOTl1l / o6a �P <br /> • � � "�+ I <br /> V N <br /> cm�- �,���. � : a . . . . .. <br />