Laserfiche WebLink
^.� rT <br /> APPLIC�ION FOR CONSTR TION <br /> PERMIT <br /> fM Ewrprosn everell <br /> CITY OF <br /> everett e <br /> BUILDING DEPARiMENT <br /> 259�ee10 TU BE COMPLETED IN INK— PLEASE PRINT <br /> �Eq M�ueeuness cnr zm r��or+e <br /> EI�• IJ ikLe�� w. G�� �ver�4—�.E�o� �.sz- s4�o <br /> a� i<<t ,� ��–�k i"—M1 a�oonEss — <br /> �H�T ci�r nr PnuN[ <br /> ��rc.� S�y�nn���C�l I�Suc�r��ai�.�.I�I�N3—��le��{ IfJ_o� 3.�z-[„F13 <br /> MCNITEGTOROES�ONEN � M�a�noness cnr zir �'NOHE <br /> OENER4COHTR�CION MSIL��O�PE5y9.� CIIY -- ZI >wpNE /� �+ LICENSE• <br /> �nbrct �,nsa�-«cj,�.� r�J �,!'"''��1� oC`�JJ"� <br /> MECIYMIGICAHIRAGIOR M�II�DDf1ES5 �� ���11�! .1 PNONE LICEHBEI� <br /> 1 <br /> PIVM&NOfAN1RI�G10A M�IU��PE55 CIIY 11❑ >MONE LI ENlE• <br /> C�qL�!!W N'ORR -----_ <br /> �a NEW ❑ ��DITION ❑ ALTERATION ❑ l7EP�IR ❑ DEMOLIIION ❑ WOODSIOVE/fPPLINSEPT ❑ BUILD�NGRE�OCATION <br /> TlN1W T IMPROJEMENi OR INIENIdi REMODEL ON V e COHI�Li�CRSp!1�N�PIIONE NO <br /> CONTMCTPRCEOiWOIIK ��J� / a� J�'�J _ <br /> p[�,�rys(WpRR IJIO BOU�AE FODtAOE ITIdOLVE� <br /> � nL o� �� e • n II d 1t-��- v F F l-=� � // u.� <br /> �[oue[ eui�oi u IHEREBVCERTIFYTMATIf1AVEREADANDE%AM�NEDTHI9APPLICATION11N0 <br /> KNOW iME SAME TO BE TRUE�ND CORRECT.ALL PROVISION9 OF LNNS I1ND <br /> vIt DotL ORDINANCES GOVERNING THIS TYPE OF WOAN WI�L BE COMPLETED WIiH <br /> �pEecnivrioHprvn iY�qHOWNBELOWOA�T1�CNfOURGO�E31 WNEiHERSPECIFIEOMEREINORNOT.THEOR�NTINQOFl1PEpMITDOE3NOT <br /> PRESUME TO GIVE AUTHORITV TO VIOLIITE OR CANCEL TME PROVISIONBOF <br /> �pr e�,pc� oF ANYOTHERSTAiEORLOCALLAWREOULAT�NOCON9TRUCTIONORiMEPE1F <br /> FORMANCE OF CONSTRUCiION.THAT 1 AM AUTHORIZED BV THE OWNER OF <br /> THIS PROPERTV t0 PEHFOfiM THE WORK FOR WHICH APPLICATION IS MADE <br /> ANO I COMPIY WITM TNE STATE CONTPACTORS LMN 78.27 M,'W AND <br /> 296200 WAC. <br /> SION�iURE 0I CONiRAC10p OR�UtNOARE��GEN1 OQE <br /> � � f _�L7�m.Fa� �����e� <br /> ryq,�[Cf�pppE�9 �PPII IJ119 YBU IN SSLICENSFNOMOBUSINE55H�ME <br /> V <br /> ►LIlM�INO MECMANICIIL <br /> Np, T'►t OF Fl1ITt111E 0111TEM FEE NO. TYPE OF EOUIPMENT FEE <br /> �WATER CLOSET(1011E7) A/C—NHNDL�UNITS—H.P. <br /> �TMNB FORCED AIR SYiTEM11S—flT.U. M EA <br /> 1,AyATOpV�WABHBASIM UNI7HEATERS--BT.U. M <br /> gMp�q CLOTHES DRVERS <br /> KITCHEN uINK{DISP. VENTILA7101J FAN <br /> DIBNWASNER _ RANGE HOOD <br /> LAUNDPY TRAY WATER HEAtER __ <br /> CLOTHE9 WASMER W�D STOVE <br /> URINAL METAL FIFlEPLACE 8 CHIMNEV <br /> DRINKINO FOUNTAIN FIREPLACE I.VSEFT <br /> FLOOR DR�IN HEAT PUMP <br /> BACKfLOW PREVENTERS CaAS PIPING <br /> p00f DRAINS—RAINLEADERS EXHAUST FAN <br /> 81NK�SERVICE—811R EiC) <br /> T� <br /> SUBTOTAL S SUBTOTAI S <br /> PERMIT E PERMIi S <br /> TOTRL FEE E 10TAL PEE S <br /> fRJNT6ETMCN A[�RSEiBAGN S�OESEiBAGC PtANCNF MMUMlER F[E 11EC[IP�NO. <br /> � , - g� a�a�� �� <br /> U6LZONE wteaee V�CANi51IE FEES VALUATION FEE <br /> 3 0,�9 �a � <br /> BUILDING t i :��v ' <br /> �ypEpppprygT, OCWP�HGYLVJI� NOOFDWElLIN6UNitS <br /> / B�X S = <br /> I,��pW�e�Eiectw� �_ � — PLUMBING __ <br /> M2EOFlLDO. T'�. NOOFSIORIL: OSMI. OGCLO�O MECNAhICAL <br /> / �''' 4 s — 1 ---- <br /> / �S�t' °" 1 /11�, � . <br /> • NBIpMf IIMIUL10N �THc� � I I I IY_. <br /> ls__r <br /> flRE��INNLERSREOVIREO E9 ❑ NO uTATEB ILOINGSiURCHARGE � r <br /> STATE ENERGV SURCH�l7c3E <br /> 11PPLIG�TIONI�CLBV PUNS�PPA�BY PUBLICWORHS <br /> �j �� TOTAL � � <br /> ,�:��(C ��1 <br /> , . _ . , , -. :::. . . _.. , ..,:,,:- <br />