Laserfiche WebLink
, •. � � i <br /> APPLICATION �OR CONSTRUCTION <br /> PERMIT <br /> IAe Eroryreen <br /> CITY OF cvrr�tl <br /> everett � <br /> BUILDINO DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK— PLEASE PRINT <br /> OWNEP M�IL�DOOESS GI1Y ZiP /,�_If�'a7�•p242 <br /> L�G� n_r_�reiJde�1LL�(,��YJ..��LQ��Aht6r��elhL�.fZD_.,�21GNMoA1cZ�.,J, G �l(nX�A�_ <br /> . <br /> TEN�VIf �ILeUU�E63 CIIY ZIP FNONE <br /> L�'.L'fJ�U�n �� �Dcx7-1127�t�.u�_N��.J��.u.�vu�_ �UA�9�cx���A.33qd <br /> IILGNREGIOR0,9�ONER MML�90f1ES9 CiIY 1� P��ONE <br /> O�EMLGOHIP�CiOIr� M�II� AESS ' 4Y Ln P��ONE L�CENSE• <br /> i��.v��'?N �M ? I��� Y� C�.�►�u'� ���'� �-i?�� ?���- l�f�l <br /> M N�NIGLCONiq�f,TON M�iL�ODREBS CrtY i1P PNONE LICENSE• <br /> PLUM&NOCOHfR�CTON M�II�UJnE99 GIY 21P PIIONF 4CENlEI <br /> . C1A560F WJ11N <br /> ❑ NEN ❑ ADDITION ALTERATION ❑ REPAIR ❑ DEMOIITION ❑ WOOOSTOVE/FPPLINSERT ❑ BUILO�N�RELOCATION <br /> TiN�NTiMP110VEMENTONINTFIIORPEMODELONLY fANi�1G �ER90N�N�PIIONENO <br /> � CONTRACTPRIC[OFMIORK� ��, I� ^r ��2�� �x�`L��j[r� <br /> DESCRIBE WORN�ND 80U�RE fOOUOE INVOWEO ' �,,1 <br /> 17�nMa��r_ nr �eirrf. Krtht��(- 7�� _ _�ZC111�����1- ��1t� <br /> � �voaEou9Eor ui� r+a IHEREBVCERiIFYTHATINAVEREADANDEaAMINEDTHISAPPLIC4TI0NAN0 <br /> / ..�d 1 Q�� _ KNOWTHESAMETOBE7RUEANDCORRECT.ALLPROVI910N90FLAWBAN� <br /> � I EMLOEGCP�P110N f VFOPERII'19NOWNBELOW ORQUGH fOU�GOPIEW DADINANCES GOVEANINO THI9 TVPE OF WORN WILL Bl COMPLETED WITH <br /> . WNETHf:R SPECIFIED HEREIN Oq NOT.THE ORRNTIN�OFA PERMIT DOES NOT <br /> PRESUME TO 61VE AUiV10R17V TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> Lor B�xK or ANVOTHER3TATEORLOCAIIAWRE�ULATINOCONSTRUCTIONONiHEPER� <br /> FORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BV 7HE OWNER OF <br /> � C�AI LI1 1�r �-I L7 r �L�(.l� THIS PROPER7V TO PERFORM THE WORH FOR WHICH APPLICRTION 19 MADE <br /> �7-�—� AND I COMPLY WI7H THE SiATE CONTRACTORS LAW 1B.Y7 RCW AND <br /> � 288.200 WAQ <br /> ' SiON�tU� ONIMCI �01UUiNOFIZED�OENT U�IE <br /> ` + � <br /> PROJECTADOPE88 �4PLiC�NiSG � 9i [88LICEN f �N S� i AE <br /> _205 r-_,ahT cnS��ip 12n,a r� <br /> PWMBINO MECNANICAL <br /> NO. TYPE OF FIXTUNE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � W�TERCIOSET�T01LEn A/C-/VHP�DL6UNITS-H.P. <br /> BATHTUB FORCED AIR 9VSTEMS-B.T.U. M EA <br /> ' LAVATORV�WA9H BA91M UNIT HEATERS-9T.U. M <br /> � BHOWER CLOIHESORYERS <br /> KITCHEN 91NK6 DISP. VENTILATION FAN <br /> DIBHWA9HEF RANOE HOOD <br /> � LAUNDiiYTRAV WATERHEAiER <br /> CLOTHE9 WASHER WOOD STOVE <br /> � URINAL METALFIREPLACE6CH�MNEY <br /> DRINKINO FOUNIAIN FIFEPLACEIHSERT <br /> F600P DRAIN HEAT PUMP <br /> OACKFLOW PRCVENTER9 OAS PIPINO <br /> ROOF DRAINS-RAINLEAOERS EXHAUST FAN <br /> 91NK(SERVICE-BAii,ETCJ <br /> SUBTOTAL i SUBTOTAL S _ <br /> PERMIT S PEHMIT S <br /> TOTAL FEE S TOTAL FEF S <br /> iP,Y1iBETBACI PE�FBEIBI�CM 9i0E8ElMGN PIANLNE MMUMBER fEE � R!C[IWNO. <br /> ' � b, � <br /> usE[oNE IO�ARE� v�c�xrartE PEEB VALUATION FEE <br /> ❑YE8 �AJO <br /> / � <br /> � 7YPECiGON9t. OCCUP�NCVOqOUP NOOfOWELUNOUNIi9 BUILDINQ - � �� ___ ,.�� �� <br /> dILOW�BLE/�GIWL�I /)�•2�� �— pLUMBIN6 <br /> f�r <br /> . EIZE oF eLOQ No or S1oRiEs esMt OGo Lo�u <br /> 7D�� S� / n N .p�L� MECVIANICAL _ _ _ _ <br /> V <br /> HEIOHI LIMII�IION OTHE� <br /> fl11[SPPINKIEPSREWIpEO ❑YE9�N0 _ �� <br /> — STATE BUILDINO SURCMIIRGE <br /> STATEENCPOYSURCHARGE <br /> �PPLIWS�ONM:G BY PL�NB�PVR�Y -- — _ -- ' <br /> j��j / PUBIIC WORKS <br /> `?,f V ��' TOTAL ������ �� � <br /> � 'l/"': .1� �1C'l !' ( li I� I - � � r'�lll� . .� � � / � f �/_ �il� � . , <br /> r"�I YCr �� . �- ' <br />