Laserfiche WebLink
,,:�;, �_ . <br /> - ��PPLIC.+TIOI� FOR COINS'rR�.CT14iN <br /> P�RMIT <br /> I�e E•.�ergreen evrrut� <br /> GTY Of <br /> everett � <br /> BUILDING DEPARTMENT <br /> psg.gg�p TO BE COMPLETED IN INK— PLEASE PRINT <br /> , a pWNE M1INILTODRE55 QiY ZIP PM�YE <br /> . �J���-Q !�¢� �„�� /r9/���e� �s H� `���3�.1 f�G <br /> TENA i I.IRILA�ORE55 CIiY 21 PHOM1E <br /> ARCMITELTOROESIGNER MULP��RE55 GiY 21P PMOYE <br /> H EPRLLONTRAqOP AIARA�OFE£5 WiY yt// ZIP�� � �y �MOHE�j �� liCEt15E• <br /> �CA hd � � �' �l�i( --�L�r �� 02,1.. !t � . <br /> �� T s 1���,�, h� � �?�S�,c �) � / c oJ �'1�a � a� <br /> 9y' IAECHANILAILONi NCTON �. anooaess CITY IP PNO E LICENSE� <br /> C�",�H <br /> 9 H N VlUM91HG WNiF0.CTOR MAILADDR'c55 CIiY 21P PMONE LICENSE• <br /> � C1A550FWORK <br /> FC C� <br /> y� ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ OcMOLITION ❑ WOODSTOVE/FRPLINSERT ❑ BUIl01NGRELOCATION <br /> � y� TENANi IMPPOVEMiNTOP INTEHIOF PEMO�ELONLY CONTACT GERSON FNO PNONE NO. <br /> C� <br /> LONTRnCiFR'CEOFWOflK / (J$f7 /{ft7 <br /> � �� pESCRIBEWORRANO50l1FREF TAG[INVOLVEO <br /> HC �O F"� ppoPosEDuS oFe ort+c IHEREBYCERTIFYTHATINAVEREADANDEXAfdINED1HISAPPLICATIONAND <br /> � �g � {.. / KNOWTMESAIdETOBETRUEANDCORRECT.ALLPR041SIONSOFVWSAND <br /> L � ORDINANCES GOVERNING THIS TYPE OF VlORK WILL BE COMPLETED WITH <br /> H �e ALOESCRiPIiOrv FRiOPERTYISNOWNOELOWORATiACHFOURCOPIES� WHETHERSPECIFIEDHEREINORNOLTHEGFANTINGOFAPERh11T00E5N0T <br /> x H� PRESUME TO GIVE AUTHORIiY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> y 1-3 �oi e�OCK_ oc ANVOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTIONGRTHEPER� <br /> r x FORMANCEOFCONSTRUCTION.Tf1ATIAMAUTHOFIZEDBYTHEOWNEflOF <br /> �"�� � THIS PROPERN TO PERFORM THE WORK FOR YlHICH APPLICATION IS MADE <br /> gN AND ' COMPLV WITH THE STATE CONTRAGTORS LAIY 1827 RCW AND <br /> d� 2962�� �. <br /> � �� SIGNAi E FCON i<GiOR61RUTHOR4E0FGENi DALE <br /> yovi � r /� �� <br /> PROJEGiAD�RE55 ' ppp MjSCILYEt151NE55LICE.SEN NOBUS� ESSNRMC <br /> S � , r/� �ze — <br /> PLUMBING MECHANICAL <br /> NO. 7YPEOFFI%TUREORITEM FEE NO. NAEOFEOUIPMEN7 FEE <br /> j WATERCLOSET�TOILET) � NC—A/HNDlGUN1T5—H.P. <br /> BATHTUB FORCED AIR SVSTEIdS—6T.U. M EA <br /> '� —� LAVATORYIH'ASH6ASIN1 I — UNITHEATERS—B.7.U. M <br /> ' CLOTHES DFYERS <br /> SHOWER — <br /> � KI7CHC-N SINKB DISP. VENiILATION FAN <br /> e ao DISHWASHER RANGE HOOD <br /> !� LAUNDF'/TRAV = WAiERHEATEfl <br /> CLOTHES WASHER WOOD STOVE <br /> . URINAL METAL FIREPLACE 8 CHIMNEY _ <br /> �� FIREPLACEINSERT <br /> DRINKINfi FOUNTAIN <br /> �� FLOOR ORAIN � HEAT PUS�P � <br /> BACKFLOW PREVENTERS GAS PIPING __ <br /> ROOF�RAINS—RAINLEADERS E%HAUST FAN '�, <br /> �r� SIN (SERVICE—BAR,E7C.1 <br /> �� �� <br /> t"9� - ! <br /> .� � SUBTOTAL S SUBTOTAL 5 � <br /> !I � PERMIT S PEf7A11T 5 � � <br /> - TOTAL FEE S TOTAL FEE S <br /> FRONTSEiBM1LK REARSEfBACN SIOESETWCK ^• P�NCNECNNUM6EP FEE HECEIPTNU. <br /> 1 � <br /> USEZorvE toranEn vaCa+rsirE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> BUILDING <br /> iYPEOFCONST. OGCUPANGYGROOP ND.OF�IVElLINOUNIiS , „ — <br /> atLowae�FinctUa� PLUMBING t�y`� <br /> saeove�oa �+ooFsroaiEs osyr. occ�ono MECHANICAL _ � <br /> ❑ N <br /> — NEiGNTUMIiAiION OTHER <br /> f11pESPPINHLERSflEOUtREo ❑YES ❑ NO _ STATEBUILDINGSURCHARGE <br /> STATEENERGYSURCHARGE <br /> APPL�LATIONFCGBY PLANSNPPBBY <br /> PU6LIC WORKS <br /> Tora� <br />