Laserfiche WebLink
aPPLIC�.f10N FOR CONSTRVCTION Z�3�S <br /> PERN!!T <br /> ,.�,����� <br /> me F�nroreen � <br /> CITY OF <br /> everett <br /> BUILDING DEPARTMENT � <br /> 259-Beto TO BE COMPLETED IN INK— PLEASE PRINT <br /> �HEq M�il�DDR�55 n �y 9 ! <br /> w,. — z�r� r��urvE <br /> �� )Yl�%r'l" VCJ, ��� �C.� 1l�ekU l�;L+?� �%rl�i ar. °y�� ' zia i,roHcr'�—`,I -- <br /> u.a�o�a[ss <br /> iEN�Ni <br /> ♦hCN11EC1 OA U'S�GNiA MAII�O�R[55 <br /> CIIY ZIP PIIONE <br /> GCNCP�LCONTR�GIOR MAIL��DRE55 <br /> GiY ZIP 1'NONE I�CENSE• <br /> MAIL�OORE55 �CIIV Z///I���P^ /f �/�PNO/NE/ (�� jLICENSE• <br /> ���NI�PAC � �` ' ��ICL� �q 1/��L�I �.1/W I L'�/�/� l 1� L�_�iL��-'�� <br /> �� MAILA�ORCS���C`V� <br /> Giv IiP P��ONE I�GEt+SF• <br /> JMPINOGO � �GfOA <br /> GL�SS OF NORK <br /> � ryEyy ❑ ADDITION ALTERATION ❑ REPAIR ❑ DEMOLITION �OACWOOD�5N0No/FRonEqN�SEHT DUILDINGRE�OCA7ION _ <br /> tEN�Ni�MP A� AEMOOEIONLYi./7t <br /> ) � 1 �'C <br /> CANiR�GT MICE O�M�ORK �_( -- <br /> pESCAiBE NOHR�ND 50 WAE f OOT�GE�NVOWEO <br /> � ^r i � �,'�L ��'�f� ' L4:C���✓ �7�t`�1�� - <br /> ono SEous�UlLol�+� IHEREBVCERTIFVTHATIHAVEREP9ANDE%AMINEDT�i15APPUCATIONAND <br /> �/ Ji KNOWTHESAMETOBETRUEAtJDCORPECT.ALLPROVISIONSOFLAW5AN0 <br /> � 1�J ORDiNANCES GOVEFNING THIS TYPE OF WORK\YILL BE COMPLETEO�'dITH <br /> LEG�LDESLFiFT�OHOlFROOEAT�'ISNUVNOELOWOA Tt �H�OURCOPiE51 WHETHERSPEGFIEDHEFEINORNOLTHEGRANTINGOFAPERMITDOESNOT { <br /> PRESUME 70 GNE AUTNOR�TV TO VIOLATE OR CANCEL TNE PPOVISIONS OF . <br /> LOT Bt�K Op ANYOTHERSTATEORLOCALLAWREGULATINGCONSiRUCTIONORTHEPER� <br /> FORMANGE OF CONSTRUC710N.THAT I AM AUTHORIZED BV THE OWNER OF <br /> AN'D PR OMP VTWITHRTOEMS A EWCOONTRACTO SHLAWL102t7 RCW AND <br /> 296.200 WAC. � � <br /> 9G AVAEOfCOv1n�CTOROHi, rORI D�GENi DALE � <br /> APP I �NTSCIIYOU I [5 LILEN O�N�BUS�NESSN��� � <br /> ppp� �T�OOAE55 � �� <br /> � 1�i'i <br /> MECMANICAI <br /> PLUM8ING FEE <br /> NO. TYPE OF FI%TUNE OR ITEM <br /> FEE NO. TYPE OF EOUIPMENT <br /> A/C—W HNDLG UNITS—HP. <br /> WATER ClOSET(TOILEn <br /> FORCED AIR SYSTEMS—Bi.U. M EA <br /> BATHTU_��— UNI7 HEATERS—B.T.U. M — <br /> �pypTppy(WASH BASIN) CIOTNES DRVERS <br /> SNOWER yENTILAT10N FAN <br /> KITCHEN SINK 8 DISP. RANGE HO00 - <br /> DISNWASHER <br /> WAi[R HEATER — <br /> LAUNORY TRAY WOOD STOVE <br /> CLOTNES WASHER _ <br /> METAL FIPEPLACE 8 CHIMNEY <br /> URINAL FIFEPLACEINSERT <br /> DRINKING FOUNTAiN HEAT PUMP <br /> FLOOR�RAIN GAS PIPING — <br /> BACKFLOW PREVENTERS - E%HAUSTFAN �J� —— <br /> ROOFORAINS—NAIhLEADERS � � r7 LI� — <br /> SINKISERVICE—BAF7.ETC) <br /> SUBTOTAI. S <br /> SUBTOTAL S PERMIT 5 — <br /> PEfiM1T S — 7pTAL FEE g <br /> TOTALFEE S FEE NECEIFTNO. <br /> FRONTSEiB�GN <br /> REARSETBACN SIDESEIB�CK VLwFCIiCtC9UMBEN <br /> �ot�p� v�c��isrtE FEES <br /> VALUATION FEE <br /> USE 20NE ❑y[5 ❑NO <br /> BUILDING — <br /> iVPEOfCONST. OGGUPANGYGPOUP NOAf�WELUNUU11T5 <br /> ���pW�BLE/AGTUAL PLUMOING — <br /> sizEore�oc NO-GFSTORIES esMr. a���o�o MECHANICAL _ <br /> ❑Y <br /> ❑N <br /> NEIGMTLIIAIUTION OTHER -- <br /> F�RE SFRIHKLERSREOWPEO o vE5 ❑�+0 STATE BUILDING SURCMARGE <br /> STATEENERGYSU.7CHARGE — <br /> �PFLIG�UOM�CGBY PL�NS�PPABY PUBLICWORKS <br /> TOTAL �_ <br />