Laserfiche WebLink
�►�PPl.ICe.�CAiDIf� ��D�i COtMS�i"Rl�.o7Y�)M <br /> �EF�MIT <br /> tho[ccr9rren rv��tcll <br /> CITY OP <br /> everett <br /> BUILDING LEPARTMENT <br /> 259-8810 TO BE COMPL[TED IN INK— PLEASE PRINT <br /> OWNER l MAII.ADDRE55 Ci;Y LI` VIIDNC <br /> �/CQ��aNu�lY_�_/.�CnZ7 �/r�nl�.�n`c-� A ,o F��pJL'.,�__��[�.45 �i �.2-4/-!4A _ . <br /> y f'1 M <br /> IENAN � MAILADDHE55 LIIY ZN �IIONE <br /> �at• m <br /> p � � Aq6�I1ECtOR0E51GNER MAItP��RE55 CI1V Z�P PHONE <br /> y{.� IAI��Iic in7 3���e .Sc�a-f1-I�, ., <br /> • y�r N GB1[RALL NiRACtOR--{�---�AILFO�NES] ..... 21P PHONE LICEM1SE• <br /> H�-7 q � <br /> �C � � SF <br /> O � � 1dCCVANiC��WNiPPLtOR <br /> MAIL�DDRE55 GIi� 21P PP9NE LICENSE• <br /> � v, M �A <br /> ���yyy ��1y 21P FHONC I�LENSE• <br /> � PLUMBINGGO�RAGLOA tiIAILADORES$ <br /> "' � N p <br /> N <br /> CqLA�S$OF WORN <br /> � � � y.� NE\V ❑ ADDITION ❑ ALTERATION ❑ REPAIq ❑ DEMOLITION ❑ WOO�STOVE/FFPL INSERT ❑ BUILDING RELOCATION <br /> z$� N � � __. � �•r LONT�GTPEFSONPNDPMOM1ENO <br /> r y �� CONiRACTPRICEOFWORK �ISiUOO <br /> M OESCRIBE WORe�NO SOIIARE i00iAG[INVOIVE� <br /> ' �'/- •� -�'ra-+L <br /> o ai �� A1nw crAYA�e 9« S� ------ -- -- <br /> C� r 'vao seouseodeuaortua�—��--� � IHEREBVCERTIFYTHATIHAVcREADANDEFAh1WE�TH15APPLICATIONANO <br /> � � 1 l���� iNOWTiESAMETOBET'nUcAN�CORRECT.ALLFFJVI510NSOFLAWSAND <br /> y (p OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH <br /> LEWL�ESGRIPfI OfPPOP[RTYISHOWNBELOWORAiIACNFOUACOPI[S y,�HETH[PSPECIFIEDHEf1EtNORNOTTHEGRANTMGOFAPER�IITDOESNOT <br /> � PRESUAIE 1 O GIVE AUTHOFITY TO VIOLATE OR CANCEL 7HE P R O V I S I O N S OF <br /> ��oi__ BtoLrc oF {.Q AQ A��nle h�lc qNYOTHEPSTATFOALOCHLLA\YREGULATINGCONSTRUCTIONORTHEPER� <br /> �� �'�'��1-��� FORMAIJCE OF CONSTRUCTION.TMAT I AM AUTHORIZED BV iHE OW'JER OF <br /> � � �� � � { � " C �i ��I DPR TX 6'( iHISPROPERtVTOPERFORMTHEWORKFORWHICHAPPLICAilONISMADE <br /> � ' AND I COMPLY \YITH TME STATE CONTflACTORS LAW 1827 i.�W AND <br /> 29620D WAC. <br /> (t7 < ie c r SD?R t�t N <br /> 9LC I� n� SU rR d[7, E� I$y.D swr+A*ur.EoreoHra>c�onounur��oArzeoaccNr onrE <br /> 7ur- �. 1 L.N, so 'f v, �A,S u 5 X 7',�,��_� � <br /> FROJECTADURE55 AfPLI ANiS �DOSINE55 [NS[NOANp 15ME5�� <br /> �� � 1 Ve <br /> PLUMBING MECHANICAL <br /> NO. TYPEOFFI%TUREORITEM FEE NO. Tl'PEOFEOUIPMENT FEE <br /> /��, WATcRCLOSET�TOILEn _ — A/C-NHNDIGUNITS-H.P. _ <br /> I BATHTUB FORCED AIR SYSTEMS-&T.U. M EA _ <br /> LAVATORV(WASH OASIN) UNIT HEATEFS-B T.U_M <br /> � , SHOWER CLOTHESORY4RS <br /> I ' KITCHEN SINKB GISP. VENTILATION FAIJ <br /> _ DISHINASHER RANGE HOOD <br /> ' _�f� LAUND�7�TRAY �YATERHEATER _ <br /> ' � CLOiHES WASHER WOOD StOVE — <br /> I URINFL METAL FIREPLACE 8 CHIMNEV <br /> i '�� FIREPLACEINSERT' _ _ <br /> DRINKING FOUNTAIN HEAT PUMP <br /> � ��' FIOORORAIN _ <br /> � BACKFLOW PREVENTERS GAS PIPING _ — � <br /> ROOF DRAINS-RNINLEADERS E%HAUST FAN <br /> �I ' 1�' SINKISERVICE-BAR,ETC1 — <br /> { ' _ � <br /> 1 SUBTOTAL 5 SUBT07AL 5 <br /> � PERMIT 5 _ PERMIT 5 _ <br /> '�� TOTAL FEE S TOTAL FEE 5 <br /> �-1+1 iRONiSFTB�CK AEAPSEiLiAC` SIOESO�CY. Pl11NCNEC/MUMB/E�N � FEEI�,����� AE���P�o� � <br /> i o ' 53 57 �rs� . <br /> � l_ U���> 4 <br /> � - usezor+e �otnnc� vecnnrsne ' FEES VAIUATION FEE <br /> — � ❑VES ❑NO <br /> BUIL�ING 1 � n� �?1 l �� <br /> 1..-,C�_ 1�:--=—'— <br /> TYPEOF NST. �GUfANGYGROUP '�OOF�WELLINGUNIiS l <br /> AU.OWAOLEi�CTUAL � pLUMBING . <br /> '�. <br /> SREOFBL06. NO.OFSTORIE BSMi OCGLO�D <br /> /'� ) ❑� MECHANICAL _ <br /> `I GjCJ � , H `_ <br /> HEicN*urannnorv OTHER <br /> - - r <br /> nn=_SrAirvKlEe5RE0uipeD ❑vEs ,'�+0 $TATE BUILDING SURCHARGE �1 �.�i� <br /> . STATE ENERGY SURCHARGE <br /> APPiIC4➢ONACGOY PLAI:SAVPP.OY PUBLICWORKS <br /> \%�� �� � I rora� �j <br />