Laserfiche WebLink
. .. . , . . .. .6�.:. . L'�'. . . ' " " .. .... . .. . . __ .. . .. .... . � . . . .. . . . .. .. . i.� ..-ca.. ., . ...... <br /> i <br /> '� �i , <br /> APPLIC.+�ION FOR CONSTRvCT10N <br /> PERMIT <br /> M�Ewrymn <br /> CITV OF Cvereft <br /> everett e , <br /> BUILDINO�EPARTMENT � <br /> 269•8810 TO BE COMPLETED IN INK— PLEASE PRINT <br /> HER M�R�OORESS CitY ]iP PHONC I <br /> TEN�NT M�IL���RE9a� n,.�� CGtY /����N /-i�T� 1 I <br /> Ti��-i� ���=�� oG(/n? C , �r L� ��_�i�i14 <br /> RICHrtEGtOROElIONEN MML�DDRE59 CITY ZIP +' JNE"' <br /> OEN CONIN N M�IL��OFESh C�TY ZIP VNONE 111EA�E• <br /> ,�•�Ci��'p'(.+.'''T �r-e�" - T - <br /> MECN�NICAICONTMGTOfl MI11l�DOREEB LIIY IiP PNONE L��;EN9E• <br /> PLVM NO(�/V� J M�IL�j�S��/����y���[LGL/lG� LICENBE• � <br /> / �' <br /> CAA6!Of NORK / � <br /> ❑ NEW ❑ �DDITION � ALTERATION ❑ REPAIR ❑ UEMOLITION C� WOOD6TOVE/FPPLIN9ERT ❑ BUILDINORELOCATIUN _ <br /> IEN�NTIMP [MEN70RIN�ERIORPEMODELGNIY COhTACiPENfiON�NDPNONENO <br /> CpNTMCT MICf OI W011ll _ <br /> p[ II�EVqRN�NOlOI1�REFOp��OCINYVlVEO — ' <br /> ��l 11Jl <br /> v�0 u oseuLLoino IHEREBVCERTIFVTHATIH�VEHEADANDEX\MINEDTHIBAPPUG�IONAND � <br /> KNOWTMEBAMETOBETHUEANDCORRECT.ALLPROV1910N90FUW9AND � <br /> L ElCRIPTqNOfPROPERTYIl� EllOWOR�R�GNfOUNLOME9� OPDINANCE900VERNINOTHI9TVPEOFWORNWILLBECOMPLETEO�N�TH ` <br /> WHETHER SPECIFIED MEFEIN OR NOT.THE aRANTINOOFA F'f.RMIT DOE3 NOT <br /> PRESUME TO QIVE AUTHORIN TO VIOLATE OR CANCEL THE PHOVI910N8 OF � <br /> LOT kaK or — ANYOTHERSTATEORLOCALLAWREOULATINaCON97RUCTIONOR7HEPER� <br /> FORMANCE OF CONSTRULTION.TM�T 1 AM AUTHORI2ED BV TME OWNER OF <br /> TH19 PROPERiY TO P OFM iHE WORN FOR WHICH APPIICATION 19 MADE <br /> AND I COMPLV NE 8TATE CONTRACTORS LAW 18.27 RCW AND { <br /> 588200 W�G � <br /> � &ONIRUREOi iN ON�IITNORi � iT D�TE <br /> I <br /> / ✓/ � <br /> P/IOJECfMD11E88 ' �PRICAN pTYBU5�NE88LiCEN4EN0�NDBU91NEB8N�ME <br /> Q_oS E. r�• - � <br /> PLUMOING ECMANICAL ' <br /> �� NO, TYPEOFPU(TUI160111TF.M FE N0. TYPEOFEOUIPMENT FEE � <br /> WATERCL09ET(TOILEn '- NC-NHNOLOUNITS-HP. <br /> g�q{Ng FORCED AiR SVSTEMS-BTL. M EA � <br /> UVATORVIWi19N8A91M � UNITHEA7EFS-9T.U. M �1 <br /> � BHOWER CLOTHE3DRVERB <br /> KITCHEN BINK!DIBP. VENTILATION FAN <br /> DIBHWABHER RANOE NOOD <br /> LAUNDRVTRAV WATER HEATER <br /> CIOTME9 WA9HER � WOOD STOVE I <br /> � URINAL "' METALf1REPLACE6CHIMNEV _ � <br /> i <br /> _ DRINKINU FOUNTAIN FIREPL�CE INSERT � <br /> FLOOR DHAIN � HEAT PJMP _ <br /> B�CNFLOW PNEVENTEFB ��g P�P�NQ I <br /> ROOFORAINB-RMNLEADEF8 EXHAUSTFAN _ _ � <br /> . — � <br /> SINKI9ERVIOE-BAR,ETC) _ — i, <br /> G ts� — — -- — � <br /> � <br /> — -- � <br /> ��� - � — -- — <br /> SUBTOTAL • f SUBTOTAL S <br /> PERMIT i PEHMIT i <br /> TOTAL FEE t � TOTAL FEE 3 <br /> Fqp1T 6ETMCN NE�R BEfB�CR &�E BEtBAtM 'lAN CM[LK NUM![II �[[ �«<�'T N�� <br /> u6E ioNe �m�ne� V�CANT 81TE FEEB VALUATION FEE <br /> u vice n No ' <br /> - BUILOINO <br /> IYPEOlCONB. OCLUP�NCYONOUP NOOfDWEILIN(II�NItB — <br /> •upMe���cTu�u PLUMBINO <br /> OREOFBlDO rroor8toaiEs oMT. OLc�o�o MECHANICRL <br /> 1 <br /> ❑ N <br /> NEioNT u�rt�Tir,•: OTHER � <br /> — I <br /> FlR!lPRINKLERlREOWNEO ❑ree nHo gTATEBUILOtNO3URCHAROE ` <br /> BTATE ENENOV 9URCHAR�E <br /> .MfLIG�BY YUNB�PPIi BY <br /> PUBLIC WORK9 <br /> TOT�L o-�� <br /> .. �(� c�J�': <br />