Laserfiche WebLink
i -� <br /> ! APPLIC�ri ION FOR CONSTRG�TION <br /> PERMIT <br /> tM Er��pr�en everell <br /> GTY OF <br /> everett e <br /> BUILDING DEP.4RTMENT <br /> ; 259�eB10 TO BE COMPLETED IN INK— PLEASE PRINT <br /> SWNER M�IL�UD41E55 CIIY ZI� PHOHE <br /> A(�/ �C'D 1.�811 Sa��f��c wcsr �r�r�c �o•� �✓�,�iT �18�� 3�17-��93 ' <br /> N�Nr ' Mu�•ouAcss cnr no aHOHc <br /> AqOMRECTOADE9�ONER MUL�UDR[55 CiIY ZiP PnONE <br /> SRacen1arJ DN N.ieuc BuX�x°e�cc. t�EE;IDN 10 AURu�e�J `1�c�'L <br /> OENEMLCONTP6CTOR M�R�OpRE55 GILY ZiP PNONE LICENSE• <br /> UI(aKl$'Ls(�. �28118�hnu�vJ�r �uur.�-�c�� Eve���r �)820�1 3N7-1143 BRc�lGaC.� 15Z►L� <br /> MECM�NIGLCDNIRIGTOG M�IL�0�11E55 pLY 21P PNONf- UCENSE• <br /> RUMNNOCONiMG10P M�IL�DU11E55 CRV IIP �'HONE LICENSE• <br /> ClAbSOF MORF <br /> ❑ NEIN ❑ ADDITION �ALTERATION ❑ REPAIR ❑ OEMOLITION ❑ WOOOSTOVE�FPPlINSERT CI BUILOINORELOCATION <br /> RWIMTIMPROVEMENiOA ANNNEMO�ELOtlLY. CANMQPERSONANDPMONENO <br /> . CpNTMGTP111GE0iW01111 <br /> �' ' Wt�KR�L�Ll3 ;B�'LJkAK� <br /> pl�G1119EMOPRANDBOUME OOiM INYVIVE� <br /> ; 1/25 o' �a B� Aa�rrnvn/�o �vf� ��� _ 3�'1-I l 93 <br /> Fl1p10DEU U!E OF lUILDiNO I HERI-0Y CBR7IFY THAT I HAVE REAO AND E7UMINED THIS APPLICATION AND <br /> .Ar�I/� KNOW THE SAME TO BE TRUE ANO COFRECT.ALL PROV1910NS OF lAW$AND <br /> CX �• ORDINANCES GOVERNINO THIS TYPE OF WORK WILL BE COMPLE7ED WITM <br /> tEMLDElGIIIVTIOMOiVROPERTYISNONNBELOWORQT�CNlOUAGOPIES� WHETHERSPECIFIEDHEREiNORNOT.THEGPFNTINOOFAPERMRDOE6N0T <br /> PRESUME 70 GIVE AUTIIORITV TO VIOLATE OR CANCEL THE PROVI&ON8 OF <br /> LOT e�o�K oF ANYOiHEHSTAtEORLOCAILAWPE6ULATINGCONSTRUCTIONORTMEPEIF <br /> FORMRNCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE OWNER OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR WMICH APPLICATION IS MAOE <br /> AND I COMPLV WI7H THE STATE CONTRACTORS LAW 1827 RCW AND <br /> 286.Y00 WAC. <br /> � SION�IUREOFCONfP�C10ROHAUtNpRI1ED�OENT O�TE <br /> F xGl,hCceu_��r,c� � 9/iz/� <br /> CT MORE55 APP4CANT5 GITY OUS�NE55 LIGENSE NO.�N�BUSINESS N�ME <br /> D 1,1� � <br /> � MAM�INO MECHANICAL <br /> Np, TYPE OF fl1I7URE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—NHNDLG UNITS—M.P. <br /> �TMng FORCED AIR SVSTEMS—9T.U. M EA <br /> LAVATORVryYASMBASiN� UNITHEATERS—flT.U. M <br /> gMpyyEq CLOTHES DRVERS <br /> KITCMEN SINKB DISP. VENTILATION FAN <br /> DISHWA9MEF RANGE HOOD <br /> UIUNDRY TRAY WATER HEATER <br /> CLOTMES WASHER WOOD STOVE <br /> URINAL i,IETAL PIREPLACEd CHIMNEY <br /> DRINKINQ FOUNTIUN FIREPLACE INSERT <br /> FIOORDMIN HEATPUMP _ <br /> BACNFLOW PREVENTERS pA5 PIPINQ <br /> pOOF UMINS—RAI�LEADERS EXHAUST FAN <br /> SINK�9ERVICE—BAF,ETGI <br /> SUB TOTAL S SUB TOTAI 5 <br /> PERMIT S PERMIT S <br /> TOTAL FEE S TOTAL FEE S <br /> FppIT8E7BACR RE�RSETB�CN Si0E5ETB�CY, iLANCNCMMIIMlER � F[EI „ C� pE�l��.[/��O <br /> iY' �Y���'� S <br /> ~V v ��� � <br /> uae2oNe �or�nu WG�NISItE FEEB VALUATION FEE <br /> C_ ' ❑YES Z��iO <br /> BUILDING <br /> ttPEOFCQN9i. OGCIIP�NCY0P0UP NOOFDWElLIN0UN115 <br /> µ�����'�u^ �N �•2 �� PLUMBING <br /> NZEOF sv�C� NOAFSLOPiES BSMt. OGGLOA� <br /> � �YN/r I I MECHANICAL _ <br /> IO 3 � � <br /> ��eiarrturniution OTHER <br /> iIRESPRINNlEHSHEWIREO res 'o rvo __ STATE BUILDING SURCHARGE `/�O <br /> STATE ENERGY SU(iCHARGE <br /> M{'LIUTION4C BY PLAN5�1'VN.BV PUBLICWORh$ <br /> �`�— TOTAL <br /> i <br />