Laserfiche WebLink
ti`�'�: <br /> AppLIG'4r�►T10N FOR CONSTR.,CTION <br /> PERMIT � <br /> Ihe Everqreen Cvcretl <br /> CITY OF ' ' � <br /> everett � <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK— �LEASE PRINT <br /> 259-8810 <br /> OWHEfI M�ILApDi1E55 GIIY ZIP �MONE <br /> I�CIL S � PA7R-Iciti Go�sE�L IlzoSel4�t-aw RD CK.SrEUEt�S WA 33y-S4o � <br /> IEH�NI <br /> MAIt�DDf1E55 fllY ZIP P�WNE <br /> N� MnIL��Of1E55 CItY 21P PMONE <br /> AOQ�i�EGi ON�ESiGHER <br /> 0[NER�LGONIP�CiOA MnIlA0DRC55 CItY liv PHONE LILENSE• <br /> 8od84 wo�F�RO �cK'�e weoOi�IV(c.l� WA d•a�-7S3o �33o1-go6BY41T <br /> MEGIUN�C�lGON1RAGiOR IdAIL<pDRESS Ci1Y Zi� PHONE LICENSE• � '� <br /> f'LUMfl�N�CONIR�GiOR MPIL�0011[55 CpY )iP MIONE UGEHSE� <br /> CUSSOF WOPN <br /> ❑ NEW ❑ ADDITION ❑ ALtERATION ❑ F7EPAIR ,�DEMOLITION CoO^CWOR�NOAr+olow�+E oSERT ❑ BUILDINQRELOCAT�ON <br /> iEN�Ni IM�flOVEMENt Of11N1EPiOB REMOOEL ONLY <br /> CONiR�GI PRICE Of WOAK <br /> PRr�c�A Co005ELL w��as'9-o�G� <br /> DESGA�BEWORN�NOSOU�REi001 f.EINWIVE� I <br /> Die»�al��F�aK o� �'�re-d�xa�ed b�s�.��� <br /> vrroro5E=uµ5M1'�uaopo4�*!� �N/INI�W �HEREBYCERTIFVTHAiIHrNEREADANDEXAMINEDTHISAPPLIC�TION�ND <br /> C�, n KNOWTHESAMETOBETRUEANOCOARECT.ALLPROVISIONSOFUWSAND <br /> Q �' ORDIIIANCES GOVERNING THIS NPE OF WOFK WILL BE COMPLETEO W�TN <br /> LEO�LOESCNICilONO(PR EHTYI9�DWNBEIOWOR�TUGNfO acomcsi WHEIHERSPECIFIEOMEREINORNOLTHEGRRNTINOOFAPERMITDOESNOT <br /> �oT8,9�loeiocK �g � oF [VL�E�fT" P�A'r Ur qNY(THERSGEORLGOAL AWREGULRTNOCO STRUCTIONORTHEPE <br /> FORIAANCE OF CONSTRUCi�ON.iHAT I AM AUTHOR12ED BV THE OWNEP UF <br /> 8LK �YI - D -00 - pNID IRCOMA VTWITHnT�HEMSTA EWCONTRAC�ORSHA�LIBZT�ON�W AND <br /> 296200 WAC. <br /> SIGN�IVAEOFCONLR�C10POf1AUt110RREU�GENT D�TE �o/aG/�9 <br /> .�ai9 iE'ucr<c�2 �c'=tfi XC.�u���N.C'*.�rJ ��a�C=GG r'�yvxr-�' <br /> PnOJECT MOPE55 APPLIG�NLS GII Y BUSINE55 UCUISE NO.�Np BUS�NESS N�ME� <br /> PLUMeINO MECNANICAI <br /> NO. TYPE OF FIl(7URE OR ITEM FEE NO. TYPE OF EOUIPMENT <br /> �EE <br /> WATERCLOSETITOIlET) _ _ NC—A/NNDIGUNIIS—H.P. <br /> — FORCED AIR SYSTEMS—B.T.U. M EA <br /> BATHTUB — <br /> LAVATORY�WASH BA^ulNl _ UNIT HEATERS—B.T.U. M <br /> CLOTHESDRVERS — <br /> SHOWER <br /> KITCHEN SINKB DISP. ___ VENTILPTION FAN <br /> DISHWASHER <br /> RANGEHOOD <br /> LAUN�HYTRAY <br /> WATER HEATER <br /> CLOTHES WASHER _ �'�'OOD STOVE <br /> — METAL FIREPLACE 8 CHIMNEY <br /> URINAL — <br /> FIREPLACEINSER� <br /> DRINNING FOUNTAIN — HEAT PUMH <br /> FLOORDRAW _ —— <br /> BACKFIOW PREVENTERS _ C3AS�IPING <br /> ROOFDRAINS—RAINLEADERS _ EXHAUSTFAN <br /> SINK(SERVICE—OAR,ETCJ —— <br /> SUBTOTAL S SUBTOTAL s <br /> PEFMIT E PERMIT 5 _ <br /> TOTALFEE S TOT�LFEE s <br /> f�ONi5E18RCN NE�FSEIBACN SIOESEIO�CK <br /> PLAH CNECM HUMBEN FEE PECE�PT NO. <br /> usezor+e IOT�RE� vnenuisne FEES VALUATION FEE <br /> u res �� N� <br /> BUILOING <br /> iYl'EOFCONSi. OGGUFANGYGOOUP NOAFOWELLIN011NR9 <br /> nuownei�nctun� PLUMBING — <br /> sz[oro�oa no.oFSromEs osMt. oCaia^o MECHANICAL <br /> nv <br /> Ll N <br /> �+eior�rinaiunor+ OTHER _ <br /> rmesrnwKi[asnroWneo ❑res ❑No STATE BUILDING SURCHARGE _ <br /> STATE ENEPGY SURCHARGE <br /> nrvurnnoi�nccor ruuserrnor PUBLICWORKS <br /> `µ � TOTAL <br /> .� <br />