Laserfiche WebLink
1 �r^�, <br /> � � • pppLlC��iON FOR CONSTRIUTION <br /> PERMIT <br /> 1' U�Ewryrosn evcrell <br /> i GTY OF � <br /> � everett <br /> ? BUILDING DEPARTMENT <br /> TO BE ()MP ETED Iy,�NK— PLEAS PRINT e <br /> f s� �e ,o i � l 7% 9Ys-o� �.�y-LoG <br /> � S �via. v�r�taN �e�d f�ofer f'/ E�ere P o E <br /> �l�QY�v ` MIL�DDPCSS crv rr <br /> � QVNER <br /> .� <br /> � TFHANT <br /> M�IL�OOPE54 CIiV Z�P PHONE <br /> µGN/rtEGT OR OES�ONEP <br /> MMLAOORE3S GiV ZIP PNONL <br /> qL_{/.�Y GIIY . I.iP PHONE LILEN9E• <br /> pEMER�LCONiR�Gtt1N IA�iL�00RE5S <br /> Y UCENSE• <br /> MELM�NIGlCON1RA�iOR <br /> MAILAODIICSS GfV 21P PNOHE <br /> ���� Z�p PNONE LICENSE+ <br /> PtUM&NOCONip�GtOR MAIL����C55 <br /> C419D Of YIORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION AO^CWO p�H�ANO�oHE r OSE�T � OUILDING RELOCATION <br /> � IEryI�HTIMPRO'JEMENtO�INfER1011REMO0EL'NLY ' � <br /> � ^COHTR LTVPICEO WORK �� ip���rf7 o-'� �� - <br /> DESCRIlEWOMKANOBOU�P[fOOfAOEINVOlVEO <br /> j �� I r /r — <br /> � pqppoeEousEOF aDwa IHEREB�CERTIFVTNAiIHAVEREADANDE%AMIIJEDTHISAPPL�CATIONAND <br /> � � ' KNOWTNESAMEIOBETRUE�NDCORRECT.ALLPROVISIONSOFLAWSANO <br /> ' OROINANCES GOVERNING THIS lYPE OF WORK WILL BE COMPLETEO WITH <br /> LEMLOE6CH�VTIONUfVR01'EPttI3NOWNBELOWOA�TT�NfOURLP"�E51 yyNETHERSPECIFlEDMEREINORNOt.THEGRANTINOOFAPERMITDOE9N0T <br /> � E/ �� / la ' PRESUME TO GIVE AUT110F7�TY TO VIOLA7E OR CANCEL THE PROVISIONS OF <br /> i ���pZ� BLOLN_� OF � C� � ANYOTHERS7AlE0RLOCALLAWREGULATINGCONSTRUCTIONORTHEPER- <br /> � FORMANCE OF CONSTRUC710N.iHAT I AM AUTHOR2ED BV THE OWNER OF <br /> /�t tl J� �'o �(�G/G.�s1' THISPROPERttTOPERFORMTHEWORKFORWHICHAPPLICATIONI3MADE <br /> ; r/� <br /> �� AND I COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW ANO <br /> 29fi200 WAC. <br /> S16NATUAEO�GONIR4CiO�OPAUIHORIZE�RGEH1 D�TE �'j'3'� <br /> i � <br /> ; X���,�.`�' ,� r�,�-� <br /> ; PIqJECIADDFE55 �/ �PPLIG 19CIIV9USINESSLICENSENO.�NOBUSME59N�ME <br /> . r �s t Vi G,'! <br /> MECHANICl1l <br /> � rLUMeINO FEE <br /> p�p, TYPE OF F�%TUHE OR ITEM FEE NO. !�YPE OF EOUIPMENT _� <br /> WATER CL09ET(TOILEn A/C–NHNOLG UNITS–H.P. — <br /> PORCEO AIR SYSTEMS–97.U. M EA _ <br /> BATHTUB — <br /> , UVATORY(WhSH BASIN) UNIT HEATEFS–�T.U. M <br /> i CLOiMF.SDRVEAS , <br /> SHOWER -- <br /> i KITGMENSIhK60�SP. _ VENTILATIONFAN <br /> � DISMWA9HER FANGE HQOD <br /> LAUNDRVTHAY —— <br /> WATER HEATf� <br /> CLOTHES WFSMER ___ �'�'OOD STOVE <br /> METAL FIREPLACE 8 CHIMNGV — <br /> URINA�. — <br /> FIREPLACEINSERT <br /> DRINI(INO FOUNTAIN — HEAT PUMP <br /> `� FLOOR DRAIN <br /> ; 9RCKFLOW Pi7EVENTERS _ GAS PIPING <br /> qpOFDRAINS–AAINLFJ�DEFS _ EXNAUSTFAN <br /> � SINK�SERVICE–BARETCI — <br /> SUBTOTAI S <br /> � SUBTOTAL S s <br /> i PERMIT S PERMIT _ <br /> TO7Al FEE 5 <br /> -- TOTALFEE S pEGE1PiN0. <br /> FRONTBEtBALK NEARSETB�GN 61DESEiB�CK PUNCNECIt UM9ER FEE � [;t I �S� � <br /> �9 a� sr � �'' <br /> MC�NT61fE FEES �ALUATION FEE <br /> U8E20NE ��T�A� <br /> ❑YE9 ❑NO z (�/'� <br /> BUILDING J � <br /> TYPEOFCOH9T OCGUPANCYOROUP NO.OFOWELlINOUNITS <br /> µ�pW/.g�E/ACTUAL PLUMBING <br /> 1 <br /> 1 <br /> BREOFBIOG. NO.OFSiORlE9 B3ML OGGIO�D MECHANICAL -- <br /> CY <br /> 3p5 r� °" <br /> NE�ONI��MIIAiIOH OTHER <br /> FIRE SPRINIREP9REOUiqEO ❑�ES O NO STATE BUILOING SURCHARGE � <br /> STATE ENEPGV SURCHARGE <br /> � AVPLIGAiION�GG9Y VL�N9�OPR.BY PUBLICWORHS <br /> � <br /> 1 <br /> ; �1'� �w TaTA� 6 S <br /> ; <br /> , <br /> ; <br /> r <br /> -,- - <br />