Laserfiche WebLink
pppLlk�rAT10N FOR CONSTFttlCTION <br /> PERMfT <br /> Ins Erorymn everett <br /> GTY OF � <br /> everett <br /> BUILDING DEPARTMENT <br /> 259•8870 TO BE COMPLETED IN INK— PLEASE PRI�IT <br /> HEP / MAil�DU11L55 S' /'r� (�f(d� GIIY 21P PMUNE <br /> �UM v f Y� /YSSOCIR76'S ��$�A�Li' WI �'�S*�z/OZv / PNON?S / '— Z�-L�� . <br /> TEM�NT <br /> u•�ooness ��^' <br /> ��NoHuw�s�� C� C, f}�cC�....,� cc��LZ��s�ss'' }vUu u�Ka'l��tolt <br /> /JtCNITEGTORDE916NER uML�DDPCS—5�—_ C��xJ AP GIIONE <br /> OENEMLGONTR�CIQA M�II�DORESS G11Y LP PIIONE ���EH�• <br /> MECNA4iGL WNiP�QOR <br /> M�IL�OOAE55 CIiY 2�P FnONE LICENSE• <br /> VLUMNNUCOHIP�CIOA MML�D�11[55 p1Y 2i1' PNONF LIGENSE• <br /> EARr�s � PL..�.,��H�- f3�loC, Su�`Sr. S��f-.� No,.�,s�� ,�'b29'�TS'�83577 �0p`''sH�u <br /> C1A660i VNRR <br /> � Hfly ❑ ADDIiION ALiERATION ❑ AEPAIR ❑ DEMOUTION co��LWOO�NON01910NC USERT � BUILOIN6RELOCAiION <br /> �[ry�NT IMFNOJEMENT OR IN1EH10f1 PEMODEI ONLv <br /> GONTq�CTPRiCEOf WORK <br /> pE�p�RN AHD 90UME fO0i�0E IHVOLVEO --- <br /> " 1 <br /> T�i <br /> o ¢ovevaoina IHEREBYCER7IFYTNATINAVEF7EADANDEXAMINEDTHI9APPLICIITIONAND <br /> � ?� G�MtC KNOW?HES�METOBETRUEANDCORREq-.FLIPROVI510NSOFLAW9AND <br /> ORDINANCES GOVERNING 1HI5 iVPE OF WORK WILL BE CAMPLETED W�1M <br /> ie pEBGNIViIONOfPROPEHlY1SMONNBEIOWOPQT�JNfOURCOPI[51 ydMETNERSPECIFIEUNEREINORNOT.THEORANTIN00FAPERMIT00ESN0T <br /> PRESUMC TO GIVE AUTIIORITY TO VIOIATE OR CANCEL TNE PROVISIONS OF <br /> ��T �aK ap ANVOTHERS7AiEORLOCALUWREOULATINOCUNSTRUCT�ONORTHEPEN• <br /> FORMANCE OF CONSTRUCTION.THAT I AM AUTHORRED BV THE OWNER OF <br /> ANID PROOMPLYTWTHRTHEMSTATE CONT ACT+ORSHLMNL1B.27�RCW AND <br /> 2B6.200 WAC. ��lp,�q <br /> &GN�LUr�EOfCONIOAGtOROR�UII:OR12E0�0ENt D�TE `�o � <br /> � <br /> Cv J//�-'�-� ^ (,SARN.S^T A-uvr/5+.,.t M <br /> MqJECi MDRE55 �P ULANISOGII Y 9USINFS�S L�CE1,SE NO AND BUSINE53 N�ME <br /> �C. Z� R�� ,a✓� �a/cfnc,=-� � o �i sY� <br /> MECHANICAL <br /> ry,UM�INO <br /> Np. TYP!OF FIIfTU11E OR ITEM <br /> FEE NO. TYPE OF E�UIPMENT F[E <br /> W�TER CLOSET(TOILEn NC—NHNDLQ UNITS—H.P. <br /> BATHNB F'ORCEO A�A SVSTEMS—B.T.U. M EA . <br /> UVATORVIWASM BASIM _ UNIT NEATERS—B.T.U. M <br /> CLOTHESORYERS — <br /> 9HOWEF -- <br /> KITCHEN SINKB D19P. VENTILATION FAN <br /> DISMWASNER _ RANOEHOOD <br /> LAUNURVTRAY <br /> WATER MEA7ER <br /> CLOTMES WASHER WOOD STOVE <br /> METAL FIpEPLACE 8 C�iIMNEY � <br /> URINAL — — <br /> FIREPLACEINSERi <br /> DAINKINO FOUNTAIN HEAT PUMP <br /> FLOOR ORAIN _— -- <br /> B�CKFLOW PREVENTERS __ _ GAS PIPING <br /> ROOF URAINS—RMNLEf�DERS E%NAUSt FAN — <br /> SINK(SERVICE—BAR,ETC.1 f <br /> SU�TOTAL 5 SUBiOTAL E <br /> PERMIT 5 � <br /> PERMIT s — TOTAL FEE s <br /> TOTAL FEE s � <br /> fEE RFCEIRNO. <br /> FPONTSEIBAGN RE�RSEiB/.GN S�OESEiePGN PLANCNECItNUMBEP <br /> usEzone LOi�R[� WCANTSIIE FEES VALUATION FEE <br /> ❑YES ❑ NO <br /> BUILDING <br /> 7YPEOFGONST. OGCUP�HCYGROUP NOOIOWELL�NOUNIiS <br /> µ,�pW�BIFJACiU�I PLUMBING <br /> BREOFBLD6. NO.DFS10RtE5 Bsut Occloeo MECHANICAL � <br /> ❑V <br /> Cl N <br /> — r�eimrtuMneuo�+ OTHER — <br /> iIRESPRINnLERS REOUipE� ❑�E5 ❑�o STATE BUILDING SURCHnRGE <br /> STATE ENERGY SURCHARGE <br /> MpIIG ONP CBY PUN9AFP0.9V PUBLICWORKS <br /> TOTAL <br />