Laserfiche WebLink
� b H <br />�v <br />IO A S <br />Cy � y <br />N � <br />°��b <br />N N <br />� H � <br />� � � <br />M � <br />� H <br />�] <br />8 N y <br />fl O N <br />��rtc <br />H O y <br />molh��:9rro�� <br />GTY Of <br />everett <br />APPLIC�+►TION FQR CONS7RUCTION <br />PER1171T <br />,.,,.,,.�� <br />� <br />BUILDING DEPARTMENT <br />259-88�0 TO BE COMPLETED IN INK — PLEASE PRINT <br />�. ,_ ;,,� _ t <br />i�ci�m.rri... <br />rovrvin T� � � \ 1._ / l ; � _ / ,:: �i7f i -o j!' � C%�7 <br />/)� ��/J/�_��/)� V � �:✓ !� ` ✓I.� r\ � V-�(� (�J/_� f �� lii �1— <br />-✓�l_r � `��-� �� L- � ` � .lY - I� ION[ <br />1C44N1� .�,/\ /M�411 ��0liL55 }� {� � //,y1 �'t�/��z � � (, � /„ �(�% <br />�l/�(�/IIIJC (�G4�KLl•Il-W /i.L/� �L�,'(��`� � ' l�Z���VlI I /i��/ VNONL �_/lF U � <br />AnC1ai[CtORDESIG ER <br />vnn m ess cirv <br />Cf�� �7�Cc.�:9c %S.� i trv�u c� c Lyti�,vr.��ira� lc/f� f.Y.�7 �y3— ��� <br />__ ei�noo,a s citt zir r�y'jf' 3..r> n� uce�vs�. <br />cu�ca.icorvmnc on �T '� 0� !,� / <br />.�; ,, ,� r�,,.�,�,f`J ./ 11!. aF �%'L�r�t�iicT /FS�i�rrccu� r i;����a«r��J �.r19�v> 1 T�.JA�cE� __ <br />1`�U1101NGCON�PAQOA M41LA�ORE55 <br />CItY 31P PNONE UCENSE• <br />� <br />:1P55 OF NOPN <br />� NEW ❑ ADDITION ❑ ALIERATION ❑ REPAIR ❑ OEMOUTION ❑�y��• STOVFJFFPL INSERT BOILDINGRELOGATION <br />ONiAC1PER5pN<vOPM9NENO . <br />'ENI.NiIMGROVLMCNiORIHi 10 AEM¢�ELONLY /`1 ,,/� �/��/ •?� i�•�/\S� <br />�4�(J , = ll\�.) L � _I /iC.{-L'-J _ -/ _� <br />:ONiFAGI FPICE OF 1408K � <br />)ESCRIBEWORKA! UFREF if GE �'OLVEO --�—/-�---- __ �p�� j C' <br />/ c% ��`� �L�L� fl- f��G�' _ 1lr�� -' � rccrcrJ�r wu�c �wh t��37--- <br />oaOSEDWE FB i�o G IHEREBYCERTIFVTHAiIHAVE�AN�E%Ah1WEDTH15APPLICATIONANO <br />� KNOW TNE SAfdE TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAW S AND <br />�� pRD W FNCES GOVERNI�:G THIS n'P[ OF WORK \VIIL BE COMP�ETED WITM <br />ieGA�o65Ga�PuONovcaoaearvSNrnbiBE�avonnnnc��rOuaGoriES� WH[THEPSP[C�FlEDHEREINORNOTTHEGRANTINGOFAPEFM�T�OESNOT <br />PRESUh1L TO GIV[ AUTHORITV TO VIOLAIE OR CANCEL THE PROVISIONS OF <br />�ot BLOLrc OF - ANVOTHERSTAT[ORLOCALLAV/REGU'.ATINGCONSTRl1CT10NORTHEPER� <br />FORMANCE OF CONSTPUCTION. THAT I A1d AUTHORIZED �Y THE OWNER OF <br />j ��ZC�. (J{j'�( THISPROPEIiTV10PEt7FORM1ITHEN'ORKFOi7WMICHAPPLIC�TIONISMADE <br />��` � �LUPZ� �U�. Q, � 1 _ pyD I COMPLV WITH THE STATE CONTRAG10F5 LAW 102 RCW AND <br />/ q ��{/�y��¢/ 29fi200 WAC. <br />/��/L��(%A.�(/����ri��.��� 1 �/`�������/ � 5!GN4NPEOFCONiR�G10�����.:an�G�a.'E�nGCNi D�C ��� � 1 <br />! � �- <br />� �/ <br />— ��-���—_ —. �� i�1��2,�� v� <br />�07_ i�:u��L i�1r1�: <br />PLUMBING <br />i�_\„ qp, TVPE OF FIXNR <br />� WATERCLOSET�TOILEn <br />� _,_ <br />I __ <br />, �.� � <br />�� . <br />fi^.E <br />iINKB DISP. <br />fER <br />iRAY <br />w <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />qLN FEARSE1pFL� <br />7�� 7c�'d' y <br />� LOtAPG <br />-1 •v Z9 900 <br />�SJ OCLUPnNGVGROUV <br />�ncrw� <br />� �o oF sM�ES as� <br />�r <br />�J F � �%� <br />uFR5PEO111RE0 ❑YE9 �NO <br />or I rur+sncrn or <br />,��s <br />�5 <br />s u� ei.m<cr <br />I <br />� � { S. <br />yq�ANi SILG <br />L'� YGS /f�0 <br />� <br />Z� <br />TYPE OF EOUIPN <br />- qIHNOIG UNITS - H.P. <br />iCED AIR SVSTEMS - &T.I <br />T HEATERS- B.T.U. M <br />WATER HEPTER <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />M <br />SUBTO�AL S <br />PEFMIT S <br />10T��FEE �S � <br />FEE'/ n AE <br />!�// XD <br />FEES <br />GUILDING _ __ <br />PLUMBING <br />MECNANICAL <br />OTHER �r��/�.�/ <br />STATE BUILDING SUFCHARGE <br />STATE ENERGV SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />_ ZF�SO <br />FEE <br />FEE <br />— — �— OQ <br />