Laserfiche WebLink
< �11'�� <br /> : APPLICA� ON FOR CONSTRU��TION <br /> i • PERMIT <br /> �1 fAsEroryrem evrrcll <br /> CI1Y OF <br /> ; everett e <br /> i BUILDING DEPARTMENT <br /> � 269•8810 TO BE COMPLETED IN INK— PLEASE PRINT <br /> OWNER MML��OHE55 GOY T�P �I�ONE <br /> � <br /> ��u �.�,�C) AL�F°<r S.� GJ�e�rf� q�ao�3'7-NG�S`/ <br /> �1 TEN�Ni '�� M�IL�DDRE39 C�1Y IIP PIIONE <br /> � AqGHREQOB�ESIONER UI'.ADDPE99 QiY ZI� VNOHE <br /> � ���"�16�—��`���1licKso� ��L�l��d-qS�Q3— 3S3= �a00 _ <br /> OfNEHAICONIPACT08 MML�GDPE99 Clfv 21P PIIONE LIGEN9E• <br /> � M/ E�;N�1111C�LC0 iP H - M,�I��E9e� 1--a�.���/-�F-VIt���Il�h/�Y�J___c UrtWTC`EJE�s�.T <br /> I <br /> � PL11M&HOGDHtRACTOR M��L�I�OBE99 CiIY lir P�IONE LIGFNBE� <br /> 1 <br /> •� CWlOiWORK -'- <br /> NEW ❑ ADDITION ❑ ALTERATION ❑ REV'AIR CI UEAIOLITION ❑ WOODSTOVE/FRPLINSERT ❑ BUILDINONELOCRTION <br /> � NNlIIMPROVEMENTOPIIIIENIOP [MOOELONL� w yy COM�CIVENSON�NDPIIONENO �J�JJ� <br /> � CpNTpACTPRICEOP WOPK �, B�"�'�_J7� , / � / ��/�,� �.ST(�.�_ :]`� / -N�S�( <br /> pElGPIBE WOFK�ND 6011ME FOOf�OE IH VEO q� _ �T�- � <br /> �POBEDU9E�D U, ������ <br /> `'�� I HEREBV CERiIFY THAT I NAVE READ AND E%AMINED THIS APPLICATION AND <br /> KNOW T HE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND <br /> lEMLOElCNIPiIONUFVRGPERIY�9NOWN9ElOWUR�TUGNf0UNC0%Eti ORDINANCESOOVERNINOTHISTVPEOFWORKWILLBECOMPIETEDWITH <br /> � � �Q�� /� �K WHETHERSPECIFIEDHEREINORNOT.TNEORANTINOOFAPEPMITDOESNOT <br /> !�n PRESUMETOGIVEAU�HOHI7YTUVIOLATEORCANCELTHEPROVISIONSOF <br /> LOT BLOLN OF u� +,NVOTHERSTA7EORLOCALLAWREQULATINOCONSTRUCTIONOR7HEPER� <br /> FORMANCE OF CONSifiUCTION.THAT 1 AM qUiNOR12E0 BY THE OWNER OF <br /> TIIIS PROPE�TV TO PERFORM 7ME YJORK FOR WHICH APPLICATION IS MRDE <br /> � — AND I COMPLV WITH THE STPTE CONTRACTORS LAW 18.27 RCW AND <br /> 288.200 WAC. <br /> 610N�IUREOfCONiRAC10ROMU1110R4E0�0EM D�iE <br /> � X C� � ,�:-�Y�'� <br /> MqJECTAUDRElB ��P4G�M Y BI151NE ll ENSE NO�NO BI191NES9 NAME <br /> � <br /> � 1 � � <br /> PIUMBINO � ' MECHANICAL <br /> i N0. TYPF OF FU(TURE OR ITEM FEE N0. TYPE OF EUUIPMENT FEE <br /> �- WAiERCLOSETIT01LE7) AIC–A/HNDL6UNITF–H.P. <br /> jBATHTUB = FORCEDAIf7SYSTEMS–BT.U. MEA <br /> '� UVAtORVIW�HB0.tiIM – UNITMEATE(iS–BT.U�M <br /> BHOWEF CLOTHESD�7YER5 <br /> � NITCHEN 91NN 6 019P. VENT�LATION FAN <br /> DISMWASHER RANOE HOOD <br /> , LAUNDRYTRAV Z WATERHEATER <br /> CLOTHES WASHEFi WOOD SiOVE <br /> URINAL METAL FIREPLACE 6 CHIMNEV <br /> ,� URINKINO FOUNTAIN FIREPLACE INSERT <br /> FLOOR ORAIN HEAT PUMP <br /> i — <br /> BACKFLOW PREVENTEP3 / aAS PIPG..� _ <br /> � ROOFORAIN9–RAINLEADER9 E%HAUSTFAN _ <br /> 91NK(9ERVICE–BAR ETC I <br /> SUBTOTAL S �' SUOTOTAL S T <br /> PERMIT S PERM17 S <br /> TO'AI.FEE S TOTAL FEE S � <br /> �� fRONIBETBM:N �EANBEIMGR SI�t5F1��, I P�AMC {LKNUli1![R � FE!_ I � � 11lCEiR� �� <br /> / / CYk / 1 1:.LC i3 1 li <br /> �V OC�cJ J sJ l -1 <br /> � LSEIONE �or�nu V�C�NI61iE FEES VALUATION FEE <br /> � � � 17� �YE9 ❑ NO �y n <br /> lY OfGGNSI OCGUMNCYC- !UV NOO�DWCLIINOUNli9 — BUILDING _ 1 I ��� 1 _��� <br /> � J <br /> �BIE/���/ .N fJ��.{ / PLUMdING __ _ � <br /> .Y /1 <br /> &2E Oi BLOQ�! Sr NO OF B�ONIE9 BJM/. OCG 10�0 <br /> � � A'� � )[v N A MECHANICAL <br /> ❑ N Il _ <br /> NEIOHILIMI�Al(1p��N O7HER � <br /> fIRE3VNINNLER9PEW01E0 ❑VF9 NO � `� SiATEBUILDINOSURCHARGE � <br /> STATE ENERGV SURCHARGE <br /> MVLIG110NI�CC�Y PUNSAFPP 9'� <br /> � /� vueucwor.Ks _ <br /> IOTAL <br />