Laserfiche WebLink
AljPLICi+�'ION FOR CONSTRI.�+.TION � <br /> PERMIT 'I <br /> fhe Erorpreen everett <br /> II GTY OF <br />� everett O <br /> BUILDING DEPARTMENT <br /> 259•8670 TO BECOMPIETED IN INK— PLEASE PRINT <br /> ITVNER M�IL�DORESS GlY IIC vNONE <br /> /Ho✓��r ��i�e4 '�iur 337 7 Co��, <Ivt fvPvt7� <br /> H�ry{ MAI��DORESS (:I1Y 2�P PMONE <br /> �pCNREROHDEB10NER ��LAppRE&4 GlY ZIF 1'NONE <br /> OEMERnLCONiR�CTOR MAIL�DDlE45 C✓TY I�P PNONE L�CEHSG• <br /> MEUUNiCKCANTMCTOR MAItAD�RE95 C�TY IiP M10>IE I�CENSE• <br /> �PL M&NO COMTRIILTOR MMl�D�RE95 GiY 21P �NONE L�GENSE• <br /> ��� — �..� _�77(7 7 �'��+rs �� uo �.� r1�190 CCd-71fZ3 /IDf�i/%77hE <br /> u�ea or wonR <br /> L] NEW ❑ ADDITION pl.lEh.17�ON ❑ REPAIR ❑ DEMOLITtON ❑ WOODSTOVE/FRPLINSEFT ❑ BUILDINaRELCGATION <br /> TENIIMT MIPRWEMEM OH IXTENqN PEMUGFL OFLY CON1I�Cl PER90H�NO PNONE NO I <br /> CONiPI�GT PR1LE Of WOnK I <br /> pEg p19EWOPK�ND60U�REfO0f�0EINVOLVEO �, <br /> � D SEove aDw IHEREBVCERTIFV'iHATIHAVEPGADAN�E%AMINEDTMISAPPUCATIONR�D I <br /> KNOWTHESAMETOBETRUEANOCORRECT.ALLPFiOVISIONSOFWNSAND I <br /> � ok cei wnu� OPEPTY(9nOWN8ELOWOH�T1I6Mi0URCOPIEB� URDINANCESGOVERNINGTHISTYPEOFWORKWILLBECUMPLETEOY.'ITH i <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF F PERMIT�OES NOT <br /> PflESUME TO GIVE AUTIIOfi�TV TO VIOLATE OR CANGEL THE PROVISIpN$pf <br /> �rn BLotK oi qNYOTHERSTATEORLOCALLAWHEGULATINGCONSTRUCTIONORTHEPER- I <br /> FORMA4CE OF CONSTRUCiION.THAT I AM AUTHOR12ED BV THE OWNER OF �. <br /> THISPHOPERNTOPERFORMTHEWOPNfORWMIGHFPPLICRT10N15MADE � <br /> AND I COMPLY WITH THE STATE CONTPAGT6RS LAW 1827 RCW AND ' <br /> 286.200 WAC. I <br /> SiGNeT EMWHiR�Ci .ON�Uf1�082E0�G[Ni DAtE <br /> / / <br /> PIpJECfl1DDNEbS J ,�� ITy IN IICEN5EN01ND�N�ME I <br /> 3�'�I /�cv� <br /> RUM�INO MECH�NICl1l <br /> NO. T'PE OF FIKTUIIE ON ITEM FEE NO. TY�E OF EOUIPMENT FEE <br /> WATERCLOSET(TO�LEn G� = A/G—NHNDLGUNITS—N.P. <br /> BIRHTUB FORCEDAIFSYSTEMS—B.TU. MEA <br /> UVATORV(W�SHBASIM UNITHEAtERS—BT.U. M <br /> SHOWER CLOTHES DRYEtiS <br /> KITCHEN SINK 6 I�IS7. VENTILATION FAN <br /> DISHWIISHER AANGE NO00 <br /> UUNORV TRA' WATER HEATER <br /> CLOTHES WAShER WOOD 570��E <br /> URINAI METAL FlREPLACE 6 CHIMNEV <br /> pRINKINO FOUNTAIN PIREPLACE INSERT <br /> FLOOF DR�IN HEAT PUMP _ <br /> &1CKFLOW PRNENTEfiS GAS PIPING <br /> ROOF DRAINS—RAINLEADENS E%HAUST FAN <br /> SINK�SERVICE—BAR,EiC� <br /> ' — — <br /> SUBTqTAL f SUBTOTAL S <br /> PERMIT f PERMIT S <br /> TOTAIFEE E TOTAL FEE S <br /> FIIOHI SEfMCM pEAR 9Ef61C[ BIDE BEtB/GN -- P11N GNEC1t NUMlER FEE �ECEIR M0. <br /> u6[zone ioTenee veG�iertE FEES WLUATION FEE <br /> / O YEB ❑NO <br /> BUIIDING <br /> TYPEOFCON51. d:CUPeI1CT0110UP HOOfCWELLINOUNIT9 <br /> uiow�e�c�acru�i rv� <br /> PLUMF!NO _L_p_J <br /> B�ZEOFBLOQ MJOFSTORIES B9Mi. OCGlO�U <br /> u r MECHANiCAL <br /> ❑N <br /> MEIONTLIMIl�T10N OTHER <br /> (IFESPRINNLER9HEOUINEO OYEB �NO STF'iEBUILDIN4SURCHARGE <br /> STATE ENERGY SURCHA iGE <br /> �anw�nor+�ruer PlANS�Pf'R9Y <br /> PUBLIC WORKS <br /> � TOTAL <br />