Laserfiche WebLink
IM Enryn�n <br />CITY OF <br />everett <br />BUILDIN(i DEPARTMENT <br />268�8810 <br />� <br />� ��;� � ��� �1� <br />APPI�ICATION FOR CONSTRU��ION <br />PERMIT ' <br />TO BE COMPLETED IN INK — PLEASE PRINT <br />�4�- 3Co 9�'e <br />everett <br />e <br />� M(711RECTORDEBIONEN MIULIIUDPESS' GTY ZIP PHONE <br />! �g��pry7p�pp AWLADDPESS GTY ZiP PHONE �ICENBE• <br />� yryNNMXCONT 7pp �AW���,/AODRE89 CITY 21P n PIqN�E/�� �'� LIC'E/NBEC• <br />' �V���� C� '���OORE99 �fL[/� CI� [i(/LVI 4J✓�✓�-4.. V��YI (l�l <br />G NEW ❑ ADDITION <br />�m xorK oF <br />- 6fd F(�u <br />• � wurallo . <br />/q, 7YM 0 <br />NNUERCLOBET <br />r►iNTUB <br />. L/11pTOpYryVABH <br />SMOWER <br />KITCHEN 81NK 8 <br />"" 018MWA8HER <br />• • LAUNDRYiRAY <br />CLOTHESWA9H1 <br />' ' UR�NAL <br />' DRINKINa FOUN <br />FLOOR DRAIN <br />� � � � BACKFLOW PRE1 <br />•� pOOFDRAINS— <br />� � HINKI9ERVICE— <br />❑ HEPAIR ❑ OEMOLITION ❑ WOOD9TOVE/FRPL INSERT ❑ BUILDIN� RELOCAiION <br />O YE8 <br />o�at. occuvu�craraur rw.oF <br />��cruK <br />,pp NO.OF BTORIES B9MT. OCC 4 <br />❑r <br />ON <br />HEIGH' <br />INLERlREWIRED O YEB O NO <br />on�ccer PLN/9APPRBY <br />WVY,I <br />I HEREBV CERTIFV TNAT I HAVE READ AND EXAM�NED THI8 APPLICATION ANO <br />KNOW TME 3AMET0 BE TRUE AND CORRECT. ALL PROVI910NB OF LMNB AND <br />OHDINANCE9 60VERNIN4 THI3 TYPE OF WORi( WILL BE COM%.ETED WI?M <br />WHEfHER SPECIflEDHEREINOR NOT.THEOMNTINOOFAPERMITDOEStqT <br />PRESUME TO OIVE AUTHORI7Y TO VIOUITE OR CANCEL TME PROVI&ONB Of <br />ANY OTHER 3TATE OR IOCAL LAW REOUTATINO CONBTRUCTION OR THE PER <br />FORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORRED BV THE OWNEH OF <br />THIS PROPERIY TO PERFORM THE WORK FOR WHICH APPLICATION 19 MADE <br />AND I COMPLY WIiH THE STATE CONTRACTOR9 LNN 1E27 RCW AND <br />298200 WAC. <br />BioN�nlxEaFfdifMCTtlROPM1T110RIiEDAOENT dVE �i <br />MECMANIGL <br />unn nemm�a— <br />CLOTHES DRYERI <br />VENTILATION FAN <br />RANOEHOOD <br />BUILDIN(! <br />PLUMBIN� <br />MECHANICAL <br />OTHER <br />9TATE BUILDINO 9URCH�R�E <br />STATE ENEPQV 9URCHAR�E <br />PUBLIC WOFKS <br />TOTAL <br />FEE <br />