Laserfiche WebLink
tns Eveig�nan <br />CIT Y OF <br />everett <br />BUILDING DEP�RTMENT <br />259�Bd10 <br />i <br />,--� �� <br />APPLIC�+i ION FOR CONSTRI.�:TION ` <br />PERMIT <br />TO BE COMPLETED IN INK — PLEASE PRINT <br />�� <br />mvrv[a m.�,_�.,......., - �:� /,. �., � <br />� 7 ,1, ,C ti ��' �L <br />ILN�('lf _�/�('LiCI�� ,��)-/�)�=,.�','��ilt_I�r�(.11) 1������i r�f ��_t.� '`> n.i" j <br />ilN�Hi IA�II API�111`Li .• . IA�Y !II' 1'IIONI. <br />•uc�rteaoaocsmNcn _-"_"-_-u��iennaiss <br />GENCR�LCONTR�LIOR MUI �OflPI55 <br />citr tm ��nor+c <br />-r.nr �- rm rnniii�-�----- �ia-Hs[: <br />___- __ _ ' _ ' __ _ . _ "_ <br />ME/}'�N�NIULfANiR�CTO /. ( ,MI'q�l�Of1R155 ` )CI1V /p4 IIP) PIIONC �/; -- - �/�IICCN�SC/• <br />RUM&HOCONf CTI\ LC� �`.' C. 1:-\. /�LLRLS�_ / I.l �� ill��� 1 C(';Y�I C C..r �! r)11�1��I i/ j)(l i 0/'/ (C_.�_ VI �LL`C I M1. �/i <br />—_ ._ .. . ... _. . ...._.__._ . __ . _ .. <br />Q�55 Of NOPK <br />❑ NEW ❑ ADDITION �Al7ER4TION ❑ R[PAIR ❑ DFJdOlI710N ❑ WOOOS7UVHFl�II. IWSIiRi �_I dI111DINGNELOCATION ___ <br />RH�NT IM�ROVEMENI OR IMERIOR RfMODEL ONLY f.ON1ALf Pl IISpN iN014�DYC NO <br />CAMTMCTPP�CEOfWORK ___._. __.__. -._..- __.._.___._" _ . ".__-_-_._-_ --- <br />p[y�q10E WORI( �NO SOU�RE i(bT�OE INVOIVCU <br />ll1��ICL(�.C., l.L2eiL�e(,,`� Lc.'liZt'1 �l�L L�' _-- -- <br />� — -- — —�— =- ----------- <br />vaoroaeouscoreum m� UIEREBVCERTIFYt1/A71MAV[READANDExAMINEDTN15APPLICAT104AND <br />�� KNOw THE SAIdE 70 BE f RUE AND CORREGT. nll PNOVISIONS OF LAWS AND <br />�-1--� - ______. <br />LEO�L IlESLNIPTION Uf PROCfHTY15110WNBElOW OR �i1�C11 fOUliCO%l51 aR01NA1JCES GOVERNING T111S 1VPE OF WORK WIIL BF. COMPLETED WITH <br />W I IEIHEN SPECIRED I IEHEIN OR NOT. THE GRANTING Of A PERMIT DOE9 NOT <br />PNESl1ME TO GWE AU�I IORIN 70 VIOI.ATE OR CFNCEI THE PROVISIONS OF <br />ipi e�ocn or — -�. ---- ANVOIHEHS1AlEONI.OGn1.I.AWREGULATINGCON9IRUGTIONOHTHEPER� <br />FORMANC6 Of CONSI HUCtION. 7HAT I AM AUTHORI2ED B" TME OWNER OF <br />11115 PNOPEFI Y TO PERFORM THE W OpK FOR WHICH APPLICATION IS MAUE <br />_ . -��- AND I COMPIV W17H IRE 57ATE CONTRAC70RS LAW 1827 RLW AND <br />2B6 200 WAC <br />SiGNMI�NLOIGUN�H�I,lu1lWi-till�UllltAndt111 D�ik <br />d <br />PWM�IN6 <br />— __ <br />� )� !1 (/,�1 <br />. . _ . __._.. __._'_ �_1 .L`1��7�.�-�l�%.�`1�1 � . —v ��/� <9-1—_—._ <br />.I �PPI�C�N15 IIYOIISIN SSIIC N�CNO�NOOIISINlSSNAAIE <br />�I��C�rL� 1il/1L' - <br />i� <br />MECH�NICAL <br />�YPE OF F�%TURE OR ITEM FEE NO. TYPE OF EOUIPMln� <br />WATER CLOSET�TOIIEp A.�C �- A/HNDLG UNITS �- H P. <br />__ _ -_ -_-._ _...___ -__ _ <br />- '_-'-__.__' __.' ' __' _ ____ � <br />BATNTUB I FOHC[DAIRSVSTEMS-F7T .� EA <br />__'__..' _' ____._- _ <br />'_.. .' . ' _____ _ . . _ ____ . __ <br />UVATORV�WASNBASIN) _ uNITMEAlERS�-BTU Id <br />SHOWER —_ _ __ . _ CI.OTHESDRYERS_ ._. ___---_ <br />_ .. .-_ .___. .._ <br />NITCNEN SINK 8 DISP VENTILATION FAN <br />OISNWASHER --- --- . . .RANGEHOOD_ ...._ ._. '___ _ <br />UUNDRVTRAV __.r WA�ERNE4TEfi.___ _ _____.___ <br />CLOTHESWASHER _ _ _ _ �'�'OODSTOVE _ ___, __ <br />UR�NAL METAL FlR[PLACE 8 CHIMNEY <br />__'___"_'_ ___ .._.._ .._.._-..'___ — __..._'_'_'__'-__.. <br />DRINKING FOUNTAIN _ FIREPLACEINSERT _ _ ___ <br />-'—_- <br />_ __ _._ <br />_ ._' _" <br />FLOOR DPAIN _._ .____ HhAT PUtdP _ <br />. ..� - _ ._ ___. _ <br />BACHFLOW PREVENTERS ' GAS PIPING <br />—_ __"-_"_—_-_ _ � ___ _ ' . ._ _ _ . -A _. _ - _ <br />ROOFDRAINS--RAINLEADERS . CxIlAU571AN .. _. . _____ <br />—_ __-_'_—"'_._ <br />SINY.�SEFVICE-B�R,E1C� . . -. --� � - - -� ------"- - <br />_._-_ ._ _..._..-_. <br />_____. -_--" <br />___ _-__ ___'_ -._ <br />SUB iOTAI 5 SUG TOTAL S <br />_—_— _ _ _ - <br />.____. _ . _ _ _- _.__ <br />PERMIT $ _ _ _________ PEHMIi __ 5 _ <br />IOTAL FEE E--- —_ - TO7AL FEE e fe � Yn <br />❑Y <br />❑ N <br />❑YES II110 <br />Il YES I1 NU <br />uuu.niNc <br />PLUMBING <br />MECNANICAL <br />OTHER <br />STATE BUII.DING Sul±C11AI7G[ <br />S7ATE ENERGY Sl1RCHAHiiE <br />PUBLIC WORKS <br />TOTAL <br />