Laserfiche WebLink
^�1SnT <br /> APNLICwT10N FOR CONSTRvGT10N <br /> PERWIIT �� � � � Il \±1L� <br /> lne.Ereryrri•n D ��vrn'll <br /> everett ' �; �,' '�'�0 � <br /> nu�� <br /> BUIIDING DEPARTMENT <br /> � r �ij 259�set0 TO BE COh1PLETED IN INK- PLEASE PRIl�T�ERETT BUILDING DEP • <br /> t�] Cj1 <br /> H �.�minooaess cuv r��uu=_ <br /> owv[n <br /> i0 � x .�. L�� 25t' -�'S17 <br /> Q H GEnEYGL Hcs?ITAL HEO,.[T!-'• I �1 C�Ol6Y AvE EVE¢ET'� Wa 9$ -_ _ _ _ ______ <br /> -��1 y � iENANi M41LAppPG53 CIi1 21P f1�0'it <br /> H � � / �i 1330 20GKe F�Ll,e2 3 F� EYE26TT ���1(0 <br /> H Z H PUpE T Sound LA V ❑i\ 2�P PIIONE <br /> FC O �RCHIiECiOPpE51GNER MAiIA�DRE55 <br /> � rTi � <br /> � �H GCNERALCONI�ACL09 NAIL��D�L55 CIIY Z�P PMONE LICENSE• <br /> � 7�� MCCHAYIGALWNiRFCIOR MAiIADORC55 GITY ZIP vr�ONE-/(o3-C�L�L'O �I6fN5E• <br /> pl-Id Mo..�DonaLp r4iLl.E2 GC. 771Tpciro�t AvE541 SEn«lE `1B�o�-�`103 M/�G�ON�246J9 <br /> N � �f PLUMBINGCONiF4GTOR IAAIL�D�AE55 ClY LIP P��ONL LIf.fNSE� <br /> 0 <br /> �j]Y n <br /> CL/SS Of WORN <br /> 9y ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLI710N ❑ WOODSTOVE/FPPLINSENT ❑ BUIIDINGFEIOCATION <br /> � CONiPCt PL�S�N AND P��ONE NO <br /> H y 1ENAYi1MPRWEMENiORiNiCRIORRC�GDCLONLV✓ <br /> gy�..� CONiRACiPRIGEOFWOF'�c. �+ 7535��c ALI_KA��1��03- �14-00 _ <br /> Q C5J CA pE5CR18E1YOHNAND50WA<<�iAGEiNVOlVEO <br /> l'1 r <br /> L� oqOPO5E0U5EOFBUILDING IHERE�YCERT�FYTHAiIHAVF �EADANDE�AMIN[DTNISAPPLICFTIONAND � <br /> yOy KNOWTNESAMc10BETRUE �NDCORRECT.ALLPROVISIONSOFLAW3AND �. <br /> L[GAL OESCRIPilONO�PROPERttISNOWNBELOW ORAiTAGHFOl1PGOPIE51 ORDINANCES GOVERNING T'11S TVPE OF WORK\Nlll BE COMP_ETED WIiFI <br /> WHETHERSPECIFlEDHERE��JORNOT.THEGRANTINGOFAPLRMIIDOESNOT <br /> PRESUME i0 GNE AUTHOR'�TV TO VIOLATE OR CANCEL TH[PROVISIONS OF <br /> icT etocK ov — AmypTHERSTATEORLOCA� LAWREGULATINGGONSTRUGTIONORiHEPER� � <br /> FORtdANCE OF CON3TRUCTAN.THAT I AM AUTHORIZED BV THE OWNER OF <br /> THIS PROPERiV TO PERFORN.THE WORK FOR WHICH APPLICATION IS MADE <br /> — ANG I COMPLY WIP� THE STATE CONTRACTORS lAl'! 1827 ACtV AND <br /> 296 200 WAC. c <br /> 5'GtlNtUG[O�GONiRACLiFiT,:,�n�054C[�aGE-Nl DF1EPj-Z �- ID <br /> -_. � 1 <br /> _ --....__ , —_— —_ <br /> PROJWTADDRE55 �� iPCLIG>��TSGIiV�i11651J�4NpBU51NE55N>M.E <br /> � '-�3 �' �o� KeFc� LLc ` .a r ��- <br /> PLUMBING MECHANICAL <br /> . Np, TVPE OF FI%TURE ON ITEM FEE NO. TV�E OF EOUIPMENT FEE <br /> i ' A/C-A/HNDLGUNITS-HP <br /> WATER f,LOSET�TOi��T) <br /> � �� ---' _ ___ _fOPCEDAIR5V5TEM5--BTU._ �dEA,.______ . "'_.'__'_ <br /> BAiHTUB ---- — <br /> ' LAVATORVIWASHBASIN) UNITHEATERS-OS.U. M __ ___ <br /> � � SHOWER _ CLOTHESDRVERS <br /> I '�� _ KITCHEN SWK&OISP. VENTIlAT10N FAN � <br /> _—� DISMWASHER RANGE NOOD <br /> � LAUNDRYTRAV WATERHEATER _ <br /> CLOTHESINASHER WOODSTOVE _ <br /> U(iINAL METALFIREPLFCEACMIMNEV __ _ <br /> I 1 '� DRINKWG FOUNTAW FIPEPLACE MSENT __ __ ._ <br /> �i _ FLOOR DRAIN HEAT PUMP <br /> BACKFLOWPREVENiERS GASPIPING _ . <br /> ROOf ORAINS-RAINLEADERS E%HAUSTFAN _ _ <br /> I .� - — p r�r- add�„�h1 Vn�: _.�x <br /> SINK�SERVICE-BAP.ETC) — - � <br /> �I,�� - - — ��[ LOG�l.fm� � ("'lCVtiVG.� <br /> — _—�d 7����', d i F F, q,,..a t i �C' -- _ <br /> Q.�J �'-e C_oCn7�rr, � 'S.�7�7f _ <br /> � �_I — —. —_—_ <br /> SUBTOTAL 3 -- -- _ _ SUBTOTAL _5 _. _'___L�. < .. � <br /> , PERMIT S . PERMIi __3 _ __��_ � .'_ <br /> I '�� TOTAL FEE 5 — ' TOTAL FEE S - 'L� <br /> �l ��.'' iHONLSLLBAGK �tARSLiBALrc SOLS[iOhCN PIANCNECNHOMBEN FEG RKEIPTNO. <br /> \ usizor�e Cornntn vncnr�r5rte FEES VALUATION FEE <br /> VES :' NO <br /> BUILDING <br /> hfLOFCONST. OCGUP�NCYGROUP NOAFDW[LUNGUNIIS __------ -- - -� - --� -�- -"— <br /> �.0 owno�Er�cru�� P�UMBING <br /> t.iroro�o� Noorsronies esnrt occ�o�o MECHANICAL I � <br /> n r _'__- �'Cr. <br /> ON _ ___ -_ _ <br /> - ��EiG��iuMiT�no�+ OTHER <br /> ____ . ' -__ _ __ <br /> r��.isea�wKiEasaeoWaEo nYes ueo STATEBUILDINGSURCHAV7GF <br /> _. — -_ -I—_ -__-. _ .__ <br /> STATEENERGVSURCHAFG� I <br /> �.�FLLiC�liONnCC FV PLPNSPPPP BY � -- ��� - - �-����. _.. .-- � � � � ��.. <br /> PUBLII;WORKS <br /> � � TOTAL _ � � C�L� <br />