Laserfiche WebLink
ApPLICAi"IOPi �dR C�WS'�FtU.o"TIO1�! <br /> PERMIT <br /> f�o Evorgrcon <br /> pTYOF �w�rn91 <br /> everett � <br /> BUILDING DEPARTMENT <br /> 259�BBi0 TO BE COMPLETED IN INK— PLEASE PRINT <br /> OWNER l AIAILApOflE55 C�IV _. q•(iFL <br /> _� „�J���, �s-� �_—�r�-�=-- �,.,,,._-�_ � _���:51�- <br /> r C niai�P oA[<_° ..�. - � na �ae <br /> A��CIIrtECTORDE51GrvEP I.I.a40�FE55 Crtv 21P PNOI�c <br /> ��� !'�0�_[L__W_�Ql� <br /> GENERALGONiFAGiOR/ A�AiLA00FE5.5/ � ,p/�CILYL} � ZiP/ �'MONE UCEi�Sf.• <br /> .O�5 i rt �n i n�a--�T/`�f /__—J.�-1-_J.e t n/. .S_?'y��-�? <br /> 4y H M GNANICALCOliRPCTOR IdAIL40�FE55 CIiY 21P PII@lE IICRISE� <br /> a�5-3 cn <br /> p.r.� y� vw,(e��wccor�inncron/ �+ n�n��nooaess CRY - ZIP ���oue uwr+se— <br /> H x H __!�-2GLL— .�/ ( I �� (�y—�— � � - _ — <br /> FG C] t r�, n.�_ �. � • <br /> H Ctl aass oF vroav�y� <br /> �3] H�+] ❑ NEW Lld ADDRION ❑ ALTERALON ❑ REPAIR ❑ �E1dOLITION ❑ WOODSTOVE/FflPL WSERT ❑ BUILDINGRELOCATION <br /> y y� iPIF!!illAPFOVEMENTORINTEFIORFEh10�ElON�Y COHIACLPEPSO4?NDPIIONENO `� <br /> � z� COtITti:CiVRICEOFWOFK� � '_L7�__ ___�_t- --33�-3� � / _ <br /> yd OESC�16EM'ORNANOSOUAaEF SaGEluVO'.ED q � � <br /> � cHi t7 S�ra s�� � 2 nc�_.$� /1 i <br /> H LTJO �;:OPOSEDuS OFBU�LDING � <br /> �� � IHEREBYCERTIFYTHATIHAVEFEA�ANDE%AMIk�OTHISAPPLICATIONAND <br /> ]�L l���� �Cp KNOVJ T.HE SAPdE TO BE TRUE AND CORflECT.ALL PROVISIONS OF LAW S AND <br /> a y� �eaa���Cnioriop'or rr,oa�ervi!r7.v oaor�o Rn¢Cn�ou�eo�Es� -" - OFDINaNCES GOVERNING 7HIS TVPE OF WORK WILL BE COMPLETED WI7H <br /> [a7 LVH�THERSPECiFIE�HEREINORNOLTHEGRANTINGOFAPERMITDOESNOi <br /> r Z PRESUIdE10G�VEAUTHOFIT'lTOVIOLATEORCANCFI.THFPROVISIONSOF <br /> �-.�i-] �cr.._ e�ocK c� --- qNYOiH[RSTATEORLOCALLAWREGULATINGCONSTRUC110NORTHEPER� <br /> �1 f/1 H / FOFfdANCE OF CONSTRUCTION THAT I FM AUTNORIZED BV THE OWNER OP <br /> � �N -���'� „�Q __ _ THISPROPERTViOP[flFORI•�THEWORKfORV✓HICHAPPLICATIONISAIADE <br /> �+ ���r� �ND I COh1PLV 4JITH THE STaTE CONTRACTOFS LF'fJ 1827 RCW AND <br /> � �� 00 1VAC. ,f . , . <br /> r� ���rr �i � : � rr Fnr t � <br /> H O Cn X n <br /> Ff Q[Cl ADO�E55 ( ' ��� - —��-� <br /> __ _- _--_._ __ -_. _. . ��J ` �� - . Q <br /> 5s r � - �5�„ s f. ���.- , , ����.,�_5 , .. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATEFiCLOSET�TOILEn �VC-0.'HNDLGUNITS-H.P. <br /> - .-.. -_ _. ._.-.. ___ _ _'-- <br /> � �"� BATH'!UB °ORCED AIR SYSTEMS B.TU M17 EA <br /> - ___— '-___.. _.. _ . . . __ _ .. ._'- . ___- . __' --_ <br />. '! � LAVATOflV�WA5H0A5�N� __ __ _ UNITHE4TER� BT.0 H __ <br /> SHOWER CLOTFiES DRVERS <br />� � ` KITCHEN SINY.B DISP. � � VENTILATION FAN __ <br /> � � DISHwASHER ___ _ _ _ RANGE HOOD _ <br /> � <br /> LAUNDRVTRAV WATER HEATEF <br /> CLOTHES WASMER YlOOD STOVE <br /> URINAL METHf.FIR[PLACE 8 CHItdNEY <br /> ��. DRINKING FOUNTAIN FIFIEFLACE INSERT <br /> _ '--' _-_ ____"__ _.._-- ___ <br /> FLOOR ORAIN HEAT PUMP <br /> BACKFLOW PREVENTERS � GAS PIPING <br /> I ` ' ROOFDRAINS-RAINLEADERS _.__ ____ E%HAUSTFAN __ __ _ <br /> � <br /> SINK(SERVICE-BAR,ETC 1 <br />. � � ' -_——_— — <br />' r ' _ SUBTOTAL 5 _ __ _ SUBTOTAL_ 5 _ _ __ <br /> � _ __ <br /> PERMIT 5 PEii\1R 5 <br />� 'iOTAL FEE S TOTAL FLE 5 <br /> FHONt5E1�TGe HEARSET�ACH SiVC5Ci13PCe PIANCHECe iUMBEP FEE NECEIVTNO. <br />' - � � � ' �s ' ��9 a�s�N �.3y55 .3os� <br />'�, usE[oNE ��orr,nen � vnCnursn FEES VALUATION FEE <br /> �-Z 3�x7s � �E5 ��o <br /> , <br /> iYPEOFCONSt OCCOPANCTGROU� MOOFOWELUryGUN115 - BUILDWG Z7 � - .,l I� ���1� <br /> _ ._"_-__ _ ' _ . `-- -- _-. � 1� <br /> ALLOWPB�JACiLLA'� � � , <br /> �/ _ PLUMBING <br /> _ _ - __-__- __-__'_- _'__.--- _- —_ <br /> sizeorn�oc �iooFsionies esnn occi.ono <br /> u v MECHANICAL <br /> —�b�o S./= Z " `-- - —'--- --- -- -- <br /> ��e�cHrumiraria� O7HER�_It�� I �� �, �� � <br /> 11� n - _ �L_� <br /> PNESPRINK(.ERSRE�UIREp �]YES A�NO �� <br /> — - - STATE BGILDING SURCHA9GE <br /> STATE ENERGY SURr;!qqGE <br /> APPUCAiICN ACC�Y PLAHS PPPR QY <br /> _- _____. . __-___ - —_ <br /> }� PUBLIC WORKS <br /> �� -.�C J �` <br /> TOTAL <br />