Laserfiche WebLink
APPLICAT.ON FOR CONSTRUt.�r10N pERMIT <br /> (, , <br /> �-,�^�i ,�� everett <br /> Me Eerpse^ ���V � <br /> everett <br /> BUILDING DEPARTMi NT Tp BE COMPLETED IN INK�LEASE PRINT <br /> 259�881(1 <br /> u p�pu� ❑ COMBINATION � BUILDING �MECHANICRL �PLUMBING =� �N <br /> p��p MAl ADDRE55 CT' ZIP P:10NE <br /> �.r I.�w �t �• Sea�f tt �— S <br /> ' rltt ZIP PMONE <br /> M�R/�DDFE55 <br /> �RLNITECT OR UESKiqER MAIL MDNESS Crtv ZIP P110NE <br /> R . ._, u_. _.1� 1.... 6.,.�a# 9�2n, M9-1�.es <br /> ��������pp 11Rn/�Wf�ES�S 1 G ZIP PI/ONE LILENSEM <br /> �� � C��1��1 <br /> MECMN11G1L CONTM�TOR M�0.�DDRESS <br /> CRy ZIP FNONE LICENSE� <br /> PLIIMAIWfi CONTM/�CTO� <br /> MAIL ADDRESS GITV ZIP GIIONE LICENSE 1 <br /> CU\780FN9111! �/ <br /> ❑ ►�W ❑ ADDITION P6 �LTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVF✓FRPL INSERT O BUILAIN6 RELOCA 1 <br /> �1MNTMPROVHiENTORMTER �EMODEIONLY CONTAGTP AND 1q. � nJ (�./ <br /> ����: <br /> �'Co �'L��� ��� <br /> oeacnee waxc rum sou��worw� aveo <br /> i <br /> � <br /> �p�� I HEREBV CERTIFY THAT I HAVE REAO ANO EXAMINED 1HI <br /> .- � �� APPUCATION AND KNOW THE SAIAE TO BE TAUE AND CARRECT.ALL <br /> �o p 11TT�CM FWR COPIES) PROVISIONS OF LAWS AND ORDINANCES 60VERNIN(3 THIS TVPE OF <br /> �wi.. escnwrauoFona�^TMi&'�" WORK WILL BE CAMPLETED WITM WHETHER SPECIFIED HEREIN OR <br /> � �� �� . NOT. THE 6RANTIN6 OF A PERMIT DOES HOT PRESUME TO OIVE <br /> �'�, �� AUTHORIIY TO VIOLATE OR CIINCEL TME PROVISIONS OF ANY <br /> C<i}. ,(O ➢L!l*� �� RFORMANCE OF CANSTRUCTEON.TFMT 1�SUTFIORIZ�ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WOHK FOR WHICM <br /> C � APPLICATION IS MADE AND I COMPIY WITH THE STATE <br /> � /� CONTRACTORS UW 18.27 RCW AND'ti6200 WAC. <br /> ' �_I� I�IOfA /Z�� 61GtM /�CTOROR�UTlIORREDM(IENT DATE <br /> \/ V <br /> w <br /> pqpJE�T 110pF APGLIGIlTS CITY N/SINES6 LICEM �. ���N� <br /> R�q � ���1 <br /> . � N0. T/�E OF ECIIIrMEMT � <br /> . �. T��R���� , M�A/HNL`L6 UNITS—M.P. ' <br /> ry�UEp CIpSET(TOIIEn � <br /> �TM� � f-0RCED�,IR SVSIEMS—B.T.U. M E.A. <br /> � UVATORV(WA3H BASIN) � UNIT NFATEHS-9.T.U. M ' <br /> � CLOTHESDRVERS � <br /> &IOYMEp VENTMTION FAN ' <br /> C _ KITCHEN SINK�OISP � FiANOE HOOD � <br /> �����p � WATER NEATER � <br /> ���Y � WOpD STOVE �— <br /> CIOTHEB WASMER ' <br /> � METAL FIREPLACE 6 CMIMNEV i— <br /> �µ FIREPLACE INSER? ' <br /> ppqN(tlq FOUlITAM , HEI1T PUN1P � <br /> FLOOR DRAIN � 6AS PIPINO ' <br /> S1►q(FLOW PREVENTERS � E%HAUST FAN � <br /> AOOF DRAM9-aiA1NLEADF.RS ' <br /> SINK(SERVICE-9AA�ETC.) � ; <br /> i , <br /> � , <br /> SUB TOTAL f i SUB TOTAL S � <br /> PERMIT f � <br /> PERMIT f TOTAL FEE f ' <br /> TOTAL FEE � FEE '1}. RECEIPT W. <br /> F110MT 6ETB��K RE�R SETBACK SIDE SEIBpCK/ PUN CHE N(��1I�FR�,� r` � � , <br /> 7!� U <br /> � Z J � FEE <br /> v�cu+r si� fEE3 VALU� <br /> usE zare �or��� �IµS � e <br /> � 5 a ❑ VES .- iJ0 BU�LDING '�R� <br /> p��py��[y Ip d�pNFll�N411�Irt5 � <br /> rrrc a coxsr uiaw�xE `�a cam�croa e„�„ PLUMBING 1(�✓ r Y� i <br /> V-N Y - I N�AS �ERo, -8� ; <br /> S���IXy NO.Oi STONIES B�E�NT MECH�NIC�L <br /> � 833 sq.r � xves f- r,o ; <br /> OTHER <br /> p�qJp�NC LO�D FIRE SPPNKLEPS PEdD MEIOM LMITA� � <br /> � ❑ YES �NO �S STATE BUILDING SURCHANGE y �sa <br /> ��. i <br /> qE�gpM FOR SPRIM4ER5 STRTE ENERGV SURCHARGE ' <br /> - �PPROVED BY C�TM QF� PUBIIC WORKS � <br /> �PPLICI.T C.BY LM., �• � <br /> /� VM� � <br /> �_ `'�'�� TI1K CODE 1=�105 Tor►�► <br />