Laserfiche WebLink
"� FOR CONS�CTION <br /> APPLI�TION <br /> ,n,����v J PERMIT <br />' M�ErorprNn ,w <br /> GTY OF everett <br />� everett � �a� e <br /> BUILDING DEPARTMENT <br /> 259-88to TO BE COMPLE7E� IN INK—PLEASE PRINT <br /> �a� � BE�(Lo55rMw �; � i��f s T. ,ac. sE, '8az 74z ssz9 <br /> pypEq MAIL��OPESS C�IY Z�P �-y� .�/�� �MONE <br /> � `LV��J <br /> �4NNA 5 � rn �rw.� k�rrN�+ Zy30 Gp�R V d.,c -���" I <br /> lE1MNT MMIAPDRE68 GrtY LP PeOME . <br /> � _ I <br /> MCMREGIOPpESqNER MUL�DOPE68 GTV ZIP � � NE ��� <br /> AcaC�ET Sww� T�i_{� �dw�.+. S �2U $e /ND t,.r11V �,/a8 6ZT�$L/g � <br /> CpENER�LGONTH�GTON I1R�OUnEBS CITY 2iV �NpNE UCE118E• I <br /> , <br /> MECX�NICKCOMTMCTOR M4L�DDRE99 GR1' ZIP PMONE LIG[HAE• <br /> PLUM&NOLONTRACTOA M�IL��OHE89 CITY IiP MONE IK:EHSE• <br /> CL/380F WDRR <br /> . ❑ NEW ❑ ADDITION ❑ ALTEPRTION ❑ REPAIR Q DEMOUTION ❑ WOODSTOVE/FFPlINSERT ❑ BUILDIN6RELOCATION <br /> ' jEN�NTIMPROJEMENTORINTERIOiiREMODELONLV fANI�GTPERBON�NDPNONENO � <br /> WMTRI�CI PH�CE OF wOFK I�/N.I�� yp(�� S�.�Ilil�A��Zi=—S(� <br /> pElCq�SE Wpfit ANO SOU�RE FOOT�OE iNVOLVED <br /> ' /M 17►(,C A�n,yN G� � <br /> PROPOBED UeE OF BUIlDINO I HEREBV CERTIFY THRT I HAVE READ AN D E%AMINED TMIS AGPIILATION AND <br />��_ i ` � NNOWTNESAMETOBETRUEANDCORHECT.ALLPROVISION30PLAWSAND <br /> � ORDINANCES GOVERNING THIS NPE OF WORK WILL BE COMPLETED WITH <br /> LECMLDEBCRIPTIONO�MIOPENIVIBMOWHBEIOWOHIITT�CMfOURG01'IEW WHE7HEPSPECIFIEOHEREINOFNOT.THEGR�NTIN60FAPERMITDOESNOT <br /> PRESUME TO GIVE AU7HORI7V TO VIOLPTE OR CRNCEL THE PROVIStONS OF <br /> � �rn ei.ocK or ANVOTHERSLAtEOfiLOCALLAWREGULA7INOCGNSTRUCTIONOR7HEPER• <br /> ;I ' FORMANCE OF CONSiRUCTION.THAT I AM AUTMOR12ED BV TNE OWNER OF <br /> �. THIS PROPERTV TO PERFORM TNE WORK FOR WHICH APPLICATION IS MADE <br /> p� I� AND I COMPLV WITH THE STATE CONTRACTORS LAW 1827 RCW AND <br /> I� 298.200 WAC. <br /> i1� I 91ON�TUAEO�CONiR�GTO�ORnUiNOR¢EO�OFNT D�TE II <br /> � � ��, �1/re-e� q I <br /> ViqJEGT�DDREBS '/` �� I <br /> APPIIG�NT9CITY8USINE SL�GENSENO.I�NOBO5INESSH�ME <br /> � v II <br /> ►LUM�INO MtCM�NICAL i <br /> NO. T'PE Of FIXTt1RE OR ITEM FEE NO. TYFE OF EOUIPMENT FEE <br /> WATERCLOSEI�TOILEn A/C—A/MNDI.GUNITS—H.P. _ � <br /> B�THTU9 FORCED AIR SVSTEMS—B.T.U. M EA I '. <br /> UW�ORVIWASHBRSIN) UNITHEA7ER5—B.T.U. M �I <br /> SHOWEN CLOTHESOPYERS � <br /> KITCHEN SINKB DISP. VENTILAiION FAN ' <br /> DISMWASNER RANGEHOOD <br /> LAUNDRY TRRV WA1ER HEATEii ' <br /> CLOTMES WASHER WOOD S70VE i <br /> URINAL METAL FIPEPLnCE 8 CHIMNEY _ .'- <br /> DRINKIN�3 FOUNTAIN FIREPLACE INSERT <br /> FLOOF ORAIN HEA7 PUMP ��� <br /> BACKFLOYa PREVENTERS 6A5 PIPINO "� <br /> ROOF DRAINS—PA�NLEADERS EXHAUST fAN <br /> SINK(5ERVICE—BAR ETC) r,j' <br /> ��. <br /> � <br /> SUBTOTAL S SUBTOiAL S - <br /> ' PLRMIT 5 PERMI7 S <br /> TOTAL FEE S TOTAL FEE S <br /> FNON�BEfB��K AEMI8ETB4GN SIUE SETB�GIt PUM CNECN N BER FEE �C 11ECEIPf M0. <br /> - �9 �3a � � ' a60 <br /> �- <br /> UDE20NE �OTAFE� aunisl�e, FEES VAIUATICN FEE � <br /> •�.� ❑v[S �FO , ' <br /> L-3 r � �_ <br /> BUILDINO <br /> TYPEOFCAN6T. OCCUPRICY�ROUP NOOFDWElLINOUNliB l <br /> �LLow�BtEl�crU��� �sj.� �' PLUMBINO � , <br /> 8!z O�'BLDO. NO.UF6TOaiES esMc occio�� MECHANICAL I <br /> G Sf.�i✓NiNG N�,�- ��'N'� ii �' — I :� <br /> uewNtuunnnoe O?HER ■■■ <br /> ' �IHEBPPINKLER9REOUIPED ❑YEB I7N0 ' �� � <br /> �E STATEBUILDINGSURCIIARGE 1 ` <br /> I <br /> STATE ENERGY SURGHARGE , <br /> �PVLICQIOI/�CC.BY PI.�N9�PVR/BY PUBLiCWORNS 2 I <br /> �/'1 /.�C� TOTAL ` `' � <br /> ::St����...V.��...-....... � . .�. . .... . .. . � . . " . i <br />