Laserfiche WebLink
�Si �'h. <br /> � APPLICA�ION FOR CONSTR�TION <br /> PERMIT <br /> fM EnryrNn everett <br /> GTY OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 269�BB10 TU BE COMPLETED IN INK— PLEASE PRINT <br /> Ep MAIL�DORE59 P�Y ZIP PIIDNE <br /> ,�I ' �/ Sh.a,✓.✓n.f /!oi 7 ,�u�,�,- n,.� a�,�n' 91�i-�/ �s�9 ti �S�O <br /> ��MT MML�DORE 5 ClV 1P PHONE <br /> MGNITEGTORDESqNEP MUL��DPESS GiY i�P PNONE <br /> �i;o� 'o,/ S .t7 <br /> OtNEML 71111CTON M�ILII0�RE6S C�tY ZIP PNONE 4CENlE• <br /> MECN�NMAICONf0.�GiOR M�I��ODREbe C�tY IIP PNONE ���M�� <br /> rLVMMMOCONTMCTOR MMI�DORE59 CI1Y IIP PNONE IICENBE• , <br /> I <br /> G/�N Oi MO� <br /> �, q(W ❑ �DDITION ❑ :.LTER�TION ❑ �7EPAIR ❑ DF.MOI�TION ❑ WOODSTOVE/FRPL�NSERT ❑ BUILDINOREIOC�TION <br /> �T NM10Vl4�ENT ON INTEPNN REMOUEL ONLY ,,/,, CANt�GT PERBON�HD PHOHE NO. �, <br /> oo�nucrm�awonK S nO.n�� iS'y! ��� (� S'/y! ✓.vO�J �S`I" �^f�y0 ; <br /> pi�Cllll�!W011N�NOlOU/�E fODTWE INVOLVED � <br /> fl- • .� G C�4 F,k�lr SG s r `r ' <br /> NqlMEDYtE0IM1�lDINO INEREBYCEPTIFVTHRTIMAVEREADANDE%AMINEDTMISAPPLICATIONAND i <br /> HNOWTHESRMETOBETR�EANDCORRECT.AILPNOV�8�ON90FlMN8AND I <br /> �jpkpEldllVfpNOFPROPEN1Y13MOWNBELOWOA�TT�GNfOURGORES� OROINANCESOOVERNIN6THISiVPEOFW09KWILLBECOb�PLE7EDWITH <br /> WNETHERSPECIFIEDHEREINORNOT.THEORANTINOOFAPERMITDOEBNOT � <br /> PRESUMETOG�VEAUiMORINTOVIOLATEORCANCEITHEPROVIS�ON50F i <br /> �prr•sio e�peKe�� or �� ANVOTHERSTqTEORLOCAILAWRE6ULATINOCANSTRUCT�ONORIHEPEIF <br /> FORMANCE O�'CANSTRUCiION.7MAT I AM AUTH6RIZED BY THE OWNEH OF <br /> THIS PROPERTV TO PERFORM THE WORK FOR WMICH APPLICATON 18 MADE <br /> �of Y S�=c'I'p "''� ' S ' �� AND I COMPIY WITH TME &TATE CONTR�'ORS LNN 15.27 RCW AND <br /> I / �I 288200 W+1C. f p <br /> ••����/fdI[�f N[ .O A� S��/�'I-�" 'S�'� O W SION�TUREpFLONTR1CiOROP�UTHON12Ep�0ENT D�TE ���/"�� � <br /> X �� !A�_�-� <br /> j�p,���pppQsy �PPLI �HTSGIIY USINES iCEN9EN0.�NDBU91YE6SN�ME <br /> (o / i- ✓ <br /> KUM��NO MECH�NICAL <br /> ►�p, 7Y►EORFlKTUIIEOIIITEM iEE NO. TYPEOFEOUIPMENi �E <br /> WATER CLOSET(T0�LE7) WC-NHNDLO UNITS-H.P. <br /> BATHTUB FORCED AIR SYSTEMS-B.T.U. M EA <br /> UVI�TORY(WASH BASIM UNIT HEATERS-B.T.U. M <br /> BNO�A CLOTHES ORVERS <br /> KITCHEN SINK 6 DISP. VENTILATION FAN <br /> DIBMWA9NEh � R�N6E HOOD <br /> � LAUNDRVTRAV W�TERMEATER <br /> CIOTHES WASHER WO00 STOVE <br /> URINAL MEUL FIREPLACE 6 CHIMNEV <br /> DRINKIN�FOUNTAIN FIREPLACE INSERT _ <br /> FLOORDRAIN _ HEATPUMP <br /> BACKFLOW P(iEVE�TERS GAS PIPIN6 <br /> ROOF DRAINS-MINLEA�ERS E%HAUST FAN <br /> SINK(SERVICE-9�R ET�) <br /> SUBTOIAL S SUBTOTAL s <br /> PERMIT S PERMIT S <br /> ^ TOTAL FEE S TOIAL FEE s <br /> �T�S�K pFApBETBI�CM SiDE9ETB�N /IwNCNECI �UMlER fEE ! S ���F�RM�' <br /> b <br /> , � � �� a �i �� sa — � _ <br /> WE20NE ��T�^ ❑ve9�g�o FEES VALUIITION FEE <br /> Q-Z qDOb BUILDING � _�� <br /> lypEpfCOM9T. OCGUP�NGYORO % NOOfDK�NOUNlTS <br /> K�aw�x�i�cru���,� .A PLUMBING _ <br /> /�r <br /> e�zEpFeioa. Ho.orsroaies asrni. octio•o MECHANICAL <br /> 6t� �� � oY N.4 — — <br /> NEIOHTLIIAITAl10N OTNER <br /> FIHESPF�NMlER5FE0UINED ❑rEs No SiATEBUILCINGSURCHARGE �� <br /> STATE ENERGY SURCHARGE <br /> MPUC�nONeC� P1.ANS�P�� PUBLICWORKS _ ? y <br /> MTOTAL Ji <br />