Laserfiche WebLink
__.�._, <br /> � . � <br /> APPLICATION FOR CONSTRUt�:T10N <br /> ' PEP.MIT <br /> :nr t ve.prran rvrirll <br /> C�T V C�F � <br /> everett . � <br /> BUILDING DEPARTMENT � <br /> y� �[+� 2��.ggip TO BE COMPLETED IN INK= PLEASE PR�NT <br /> [�7� nuunooive;s ' cnv z,P �,�urii <br /> /� 1.r� nWNf P ♦ � ��j � , <br /> N W <br /> C'r .J�"1 IIi..L+l:v N hlV�l�f'. 2"• ��_ LJUh ��.4 LV(;`reYiV yClpyi.Ll�o�-- <br /> a r!cyi� r11•il.Nl M�IL�UOFC55 <br /> y. c � _ _ Yl:.CFiBti CIiY Up VHONE <br /> Z��� FHLnR[CIOPOESIOMEN MMt��DFE95 <br /> �y'� t„t�.th�i H�P12r,&L¢ GpC�4 'S'_ LOWulAK aV8 1'UCGU11� I Z b5%iib bl1Z,-�?r��J�J <br /> �H � OCNERALGON{RI.CfOA M�IL�DORE55 CRY Ziv �10NE ������� <br /> V7 H <br /> y �r.ner M�II�DORE59 GffV 21P PHONE UGENS[• <br /> r�i�Qi� MEb_M�NILJ.L CONiP�GlOR <br /> tT, y d �NONE LIGENSE• <br /> �~ PLUMBINOCONiRPpO� MAILN�UAE55 �'�TY Z�P <br /> �" "�'g Lu� uut been t n <br /> �. o <br /> GL�93Of WDHN <br /> �y� ❑ NEW ❑ A�OITION �A�TERATION ❑ PEPA�R ❑ DEMOLITION ❑ WOODBTOVE/fRPL INSERT ❑ BUILDINO REIOCATION <br /> CONTIILT PEQSON�NO PMONE NO <br /> H y iENAN11MPAdJEMENiORINiLF10RFEMODELONIV -- <br /> �VJ fANTPAGiPRILEOFWOAK ebt• J��7�UV• �{� •�p9Y`e_ i�l�Cl,�1'.(��/.__ <br /> ~ OEeCNIeFWOPK�ND50U�AEi001eGEINVOLVEU <br /> n�� __ <br /> � Yt �±t 11 :, .PLC�. � <br /> TC�ul�SSL1Sl�'���`"-_ p+ II <br /> �PnOc09E0115[O�BU�lOiNG I HEREBY CERTIFV.THAT I IIAVE READ AND EXAMINED THIS LPPLIG�T�ON AND <br /> KNOW iNE SAME TO BE TRUE AND CORRECT.P.LL PROV�SIONS OF LAWS AND <br /> �� � • � OR�INANCES GOVERNING THIS NVE OF WORY,WILL BE CO�dPLETED WITH � <br /> LEMLOESCNiPTI NtifPROOENh'ISHOVIN9ELOWOR�TT�CHFOURCOPIES� WHETHERSPLCff�[OHEFEMOflNOTTMEGRANTINGOFAPERMITDOE5N0T <br /> PRESUtdETOGIVE�UTHOHITYTO'JIOLATEORGANCELTHEPROJISIONSOF I <br /> ��t��' ��ppc1)_ OF1'T�� � � 6 ��1 •TFt �OS11tilA1+ ANVOTH6FSTATEORLOChLLAW17EGUlATINGG01rSTRULTIONORTHEPER� <br /> r.0 Lveretit, o.CCOI'(11Lrj t.0 rille f71'ctt. t�18r�% 1 TH�ISPF'O[RiYTOJ�'ERfORM HEWORKrFORWliICHAPPLIC TEONISMADE i <br /> recoZflGR � n V(]�L.k'P � [)} - jyi.R- " pND I LOtd WIiH TNE SiATE CONTRAGTORS LAV! 1827 RCW D <br /> 29G.200 . / >//'/��Cj" <br /> lII. .rIIOLLOWlb❑ 4UlaII1.� �w3SIIlII�tiOII� c,nGa.�'1' amr+er �wcow +ne.orc:�ou,��g- aee� ome ! -7 O � <br /> �' , � 1 <br /> �,�:,t ij tee� couv.e�en to tne rU�iic lur �( � �_ <br /> �_yi� tr � ivnt r - • � � <br /> baoi��'"tT io-oae� �yryQeT l'CCUTUlII ^"�'�ci�.eJs�r+cs�i�cer+scvo•voousrtitssru�nc <br /> �un. [�e 'Iby� <br /> MECMANICAL <br /> CLUMBING I <br /> NO. TVPEOFFI%NREORITEM <br /> FEE -� NO. TYPEOFEOUIPMENT FEE I <br /> i� ' WATERCLOSET�TOILE7) � NC—A/HNDLGUNITS—HP _ <br /> I �� BATHTUB '— FORCEOAIRSYSTEIAS—B.TU. MEA _ � <br /> � LAVA?OR�1�'dASHBASIN) � "' UNITHEAiEFS—B?.U. M <br /> SHOWER CLOTMESDRYERS <br /> ' KITCNENSINKBDISP. VENTILATIONFAN _ . � . <br /> ' DISMWASHER � � AA��GEHOOD _ � _ <br /> `rI � WATER HEATER <br /> IAUNDRYTRAY <br /> � CIOiNE5WA5MER � WOOOSTOVE ' <br /> M[TAL FIREPLACE 8 CHIMNEV ,.. <br /> UPINAL FIREPLAC[INSEflT ' <br /> '1� DRINKING FOUNTAIN — <br /> � �� FLOOR DRAIN MEAT PUMP � <br /> BACKFLOW PREVENTERS GAS PIPING — �: <br /> qppFORAINS—AAINLEAOERS EXHAUSTFAN — � <br /> '�� _ SINKISERVICE—BAa,ETC) <br /> '_' — � <br /> I. <br /> '/ <br /> s�' — <br /> SUBiOTAL S SUBTOTAL � _ <br /> � PERMIT S PERMIT g _ � <br /> TOTALFEE S � <br /> i '...� TOTAL FEE s � neccivr H0. <br /> FFE <br /> � FRONISE�BNCN PEPRGEIWCM SIDESEiOPLK � P1ANf, ECNNUMBER I L� G�_ I`I��j 9 <br /> �".d ' ' s�- �p �"� ��4 3C,n 1 � � <br /> - usEZONE �m�.�+EO vnGa�+*Sne FEES VALUATION FEE I <br /> �� ❑res �i e�o /� �� . <br /> BWLDING c7Cc �A_1 <br /> TYPEOFCONSL OGCU�ANCYGROUP NOAFDWLL�6UNIL5 ) � <br /> r,uowee:e �� 'f� PWMBING <br /> SIZEOfBLW. NO.OFSfOA�ES 85Mi. OCG�ow MECHANICAL � <br /> O !7 Z �N � ���T°`� I� <br /> nEroHruMir�noN OTHER — �� <br /> I� <br /> imF.5P0iNKlERSREOI1�aE0 ❑rE5 q'1+o STATEBUILDINGSURCHARGE . <br /> STITEENERGVSURCHAPGE I� ', <br /> A{`PCCI➢OHPf.C9Y RAN9�PP0.8Y PUBLICWORKS , � <br /> ��� TOTAL �� � �� . <br />