Laserfiche WebLink
I -+. r�� <br /> 1 � <br /> APPLICA�IOI�f FaJR CONSTRU ION <br /> PIERMIT <br /> tM Everprosn everelt <br /> � CITY OF <br /> ; everett e <br /> � BUILDING DEPARTMENT <br /> �.., 269-B910 TO BE COMPLETED IN INK— PLEASE PRINT <br /> ; ��Sti.�.. l �►c.k � � <br /> � NER MMLAOD��E53 Gilv I�P PNONE <br /> � 2�7---��'.,""__ ./��// � <br /> 1EN1NT \ MI111A0U11E55 � ' ����' � Z�� PIIONE <br /> ARCMREGTONDC61pNER MML�DORE55 GIIY 21P PMONE <br /> f OENEIULGONLR�GIOR MMLADDf1E5S CILY LP P110NE UGENBE• <br /> � �- - f�s T ��/�0 13ox� i3a �a�r.�� 9`zTa 7�/3�3 �.�w4., <br /> MECMANILALCOMTR�GT011 MAIL�DORE55 GIIY ZIP PNONE LIGENBE• <br /> 7 KUMMNOGONTRACTOR MAII�ODNF59 CIiY 21P PNONE IIGENBE• <br /> i <br /> � RMlOFWORIc � <br /> ❑ NEW ❑ ADDITION ❑ ALTER�TION EPAIP ❑ DEMOLITION ❑ WOODSIOVE/FRPLINSERT ❑ BUILDINOPELOCATION <br /> i7{NYITMYIqVEMENTORINT IORREMODEIONI,�Y ) � �/ LONI�CTPERSON�NOPMONENp. <br /> I CONilU1CTPRICEOFWJRrI���D�/`a�/q'1 y`�/�l � _ <br /> � p[lCM�EWOaRR�NpeOU f00U0E1HVOL 0 � <br /> ' � r�oross`Y �amH��OD <br /> � . /�f,p I HEREBV CERTIFY TMAT I MaVE READ ANO EXAMINED THIS APPLICATION AND <br /> J7i7/��I_04'T/UN NNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND <br /> LEML OENA��TION pF GROPENTY ISHISWN BELCW OR�TI�CH fOUN GOi'�E51 ORDINANCES OOVERNIN6 iH15 iVPE OF WORK WILL BE COMPLETED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTINOOFA PERMITDOES NOT <br /> PRESUME TO OIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVI&ONR OF <br /> �oi e�otrc or ANYOTHERSTATEORLCCALLAWREGULATINOCONSTRUCTIONORIHEPEFF <br /> FORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE OWNER OF <br /> � iM�S PROPERiV TO PERFORM THE WOPN FOR WHICH APPLICATION 19 MADE <br /> � AND I COMPLV WITH THE STATE CONTqACTOR9 U.N 18.27 RCW AND <br /> � 286.200 WAC. <br /> � siaw�ru ovcontn�c noN��2ED�0er+r—��i ��,/ <br /> � Q b <br /> � ��� � �-+��-�l���P ��e_� X i <br /> { ryqJ(OTADpRE33 AFPUC�NT9CIfYBUS�N(.SSUCENSENO.ANGBUSINE93N�ME <br /> I <br /> � RUMSINO MECMANIC�L <br /> � <br /> ; ►p, TYPEOFfU(TUIIEORITEM FEE N0. TYPEOFEOUIPMENT FEE <br /> � WATERCLOSETITOILETI A/C—NHNDLGUNITS—H.P. <br /> BATHTUB FOPCED AIR SV5IEMS—&T.U. M EA <br /> LAVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SMOWER CLOTHES DRYERS _ <br /> : KITCMENSINK6015P. VENTILATIONFAN <br /> DISMWASHER RANGE HO00 <br /> LAUNDRYTRAY WATERHEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> URINKINO FOUNTAIN FIREPLACE INSERT <br /> FIOOR DMIN HEAT PUMP <br /> BIICKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINB—MINLEADERS EXHAUST FAN <br /> 91NK(SERVICE—BAR ETQ) . <br /> SUBTOTAL E SUBTO1Al S <br /> PERMIT S PERMIT S <br /> TOTAIFEE S TOTALFEE S <br /> FNONTSETBAGK NEAq6ETB�CN SIUESE7B�CY, iUNCMECNNUMlER FEE RECEIPfNO. <br /> U6E20NE LOTAREA vnur+rsrte FEES VALUATION FEE <br /> O vE9 ❑ NO <br /> BUILDING <br /> 7yPEpFCONST. OGCUP�NCYQROUP MOAFDWElLINOUNli9 <br /> i I�LLOW�BLE/�ciU�l pLUMBING <br /> 612EOFBLDU. NO.OFSTORIES esrar. occ�o�o MECHAMCAL <br /> ❑Y <br /> ❑ N <br /> ��eie�auMiuuon OTNER <br /> FIPE BPPINItlERS REW�AED a res a r+o STATE BUILDING SURCHARGE <br /> STATE ENERGV SURCHAiiGE <br /> APV4CATION�CGBV PUNS��Pp�BY PUBLICWORKS <br /> TOTAL <br />