Laserfiche WebLink
APPLIG.+TION FOR CONSTR.�CTION <br /> PERMIT <br /> f�s E�s�prenn �wrrctl <br /> CITV OF � <br /> everett <br /> BUILDING DEPARTML=NT <br /> 259•Bd10 TO BE COMPLETED IN INK— PLEASE PRINT <br /> OWH[n Mul�PPnISY C��r zir P��ON[ <br /> L'�?6d ✓cr�i o: ��idva :,a cU�/iiiG'�,L_ ��7J/ _ _ �S!_ .� S�✓� <br /> -�.__-_ L1�L-r- -lui(�nmuss - �� rj -- -- <br /> ier���+r �.nr rir ruorrt <br /> . ___' _'_ __ _ ___.__._ <br /> 1nc�atec5oan[smH[n__ - _. . - M•n.urna>s - - an rm n��or�e <br /> 6ENER�LGONtH�GTOR Mu1�OP�L55 � Li1Y ZiP PI�ONE L�CENSE• <br /> CU IGMCOHTR1G10R <br /> Al�ll AOORC55 - --� _�.. . LIIY ilP PIIONE IICENSE� <br /> PLVMBiNGWNTRACIOP ��IL�ODNC55 -- "-'---�-_—' ��' ��� -f,�lY ZiP --- PIIONE IIGENSE• <br /> CLASSOFVIfrIN _—�_ _--. _ -__ . _._.. _._'____ <br /> ❑ NEW ❑ �DDITION ❑ ALTERATION ❑ REPAIR ��EFtOIITION ❑ WOODSTOVF7FRPL�i:SERi ❑ BUILDINGRELOCATION <br /> iFN�Nt IMPf�OVEMENi OP INTFRIOR REMOD[I.ONIY CON4Q�EPSON�NO PIIONE NO <br /> COHTPI�Cif`qiCEOiWORk "_". _ . . . . - . . . .__ _" —__- _--_."-- <br /> IlEWOPR�NDSOO�R fOOUGEINVOIV <br /> e.����c— - <br /> [ouscore ioiwa � IIIfRtU1'C[R11FV711A7111AVEtiEADRNDEXAMINEUTHISAPPLICATIONANG <br /> V kNOW 111E SAME i0 BE iRUE AND CARRECT.ALL PROVIBIONB OF LAWS AND <br /> ORDINANCES GOVERNING THIS n'PE OF WORK WILL BE COMPLE7ED WITH <br /> i¢ SLq�Pi N PROFERTVI5110WNBCLOW�H�TI�LIlIO1111GOPi[51 yy��=���tpgpt�IFlEDHEHEINOFNOITNEGRAN7INGOFl1PEHMITDOESNOT <br /> � �,�y op _��.W('C(� } �(Cf�'�U��'�-.. �����SUMETOGIVEAlI1110RITV10VIOI.ATEOFCANCELTNEPRWI$ION90F <br /> �oT �p�n ANVO111EHSTAIEORIOCAL�AWREGULATINGCONSTFUCTIONORTHEPER• <br /> � �N��� /� I'ORMANCE OF CON57�UCTION 7HAT I AM�UTHORRED BY THE OWNER OF <br /> �/ � � f � THISPROPER7YTOPEf7FORMTHEWOPNFORWNIGHAPPLICATIONISMADE <br /> �3 ��••-- AND I COMPLY WITn iHE STATE CONTRACTORS LAW 18.27 RCW AND <br /> ' _ ------ 29fi200 WAC. <br /> SIGN�IIIFEOfCON�R�GIUH[)OA11�110B12ED�GLNI D�TE <br /> C �f o9N - aa � - v3 0 -- vvo 8�— X___-_��� ��_����8� <br /> pppJEGT4'IDRE�S APPIIG�MSGLVBU5ME55 ICCNS ANDBUSMESSNAME <br /> � L <br /> PLUM\IN6 MECHIINICAL <br /> � <br /> Np, TYPEOffIXNREORITEM FEE NO. TYPEOFEOUIPMENT fEE i <br /> WATEFCLOSETITOILEI) ___ _ __ �C—A/HNDLGUNITS—HP. _ _ <br /> �TM�B _ _ _ _ FORCED AIR SYS7EM5—BT.LL M EA ; <br /> UNIT HEATERS--B.T.U. M II <br /> LAVATORV(W�SNOASINI ____ _— __-- ---------- <br /> SHOWER __ _ _ CLOTHESORVERS __ __ i <br /> KITCHEN SINK6 DISP. __ __ __ _ _ �ENTILATION FAH___ __ — ' <br /> OISHW�SMER RANGE HOOD . _ j <br /> _ _ _ _ i <br /> '_'_ .. _ . _...__'_'—_ <br /> UUNDRVTRAY .... �� -����-- --� —" ��� � WA7ERNEATER _______.__ _ -- I <br /> CLOTHESWASHER � -�� �� ___ .____ __ _ ___ WOODSiOV[ _. ________— --- — <br /> URINAL _ __ _____ ME7Al FIREPI ACE 8 CI IIMNEY <br /> DRINKING FOUNTAIN _ _ ___ FIREPLACEINSERT _ _ <br /> FL(�RDRAIN _____ _ _____ _HEATPUMP�_'-_ __ ________,__ <br /> BACKFLOW PNEVENTERS GAS PIPING , _______.__.__ -_ —---- -- <br /> _—_'---_—'— __ __"' ' . _ . . ._ . . ._ . <br /> RpOf DRAINS—RAINLEADERS [%IIAl15T FAN — <br /> _—_ _ -_— _ _.-__——_ "_ . . <br /> __ <br /> 51NKISEHVILE—BAq.ETC) — "� --- <br /> �— _..__.._____ ______— <br /> . .___ _________ <br /> SUB�OTAL E � SUBTOiAL s <br /> _"__' _ _ __...._ —_ <br /> ._._ . _ —.____ <br /> PERMIT b PERMIT _ <br /> TOTAL FEE � b � TOTAL FEE S <br /> FRONTSETB�LN BEARSETB�CN SIpES[IOnCN <br /> PI�NCNECRNUM9EN FEE RECEIFTNO. <br /> usezor�e ioreeee— v+c�insrte FEES VALUATION FEE <br /> n ves n rw <br /> BUILDING _ <br /> rypEpiCANST. WLUP�NCYGROUP NOOFDWElUNG11Ni15 -------- -�--- -— <br /> ♦�LpW�BIE/�cTu�l P�UMBING _ — <br /> SizEovBloc HooFSrORieS BSui ocCioeO-- MECHANICAL __ <br /> ['1 Y -- <br /> ❑N <br /> HLIGIRlIM11AlION O�IIER _ _ — <br /> FlPESPRiNnlEP5PE0UIRW ures uno _ _ _____ ___— SIATEBUIIDINGSUFCIIARGE _ __ __ _ <br /> SIAIE ENERGV SURCHARGE _ _._ _. <br /> ♦PplIC�110NAf.0 BV I PIANSAI'1`R tlY PlII3LIG WONNS . . <br /> LTOTAL <br />