Laserfiche WebLink
APPLICi�,�ION FOR�CONSTRI:i�T10N <br /> PERMIT <br /> fne Eroryreen everett <br /> GTV OF <br /> everett e <br /> BUILDINO DEPARTMENT <br /> 25B•8810 TO BE COMPLETED IN INK— PLEASE PRINT G2b( <br /> .,��fb' - <br /> ��yry[p M�ILApORES9 T Lt1Y !iP PMOHE / <br /> �1avl� l�- F rr�l¢� �al loY=` �'l S,E, E✓�-�'T7' kJa y.8,Zo8 ��- �Z�(o <br /> TEN�HT MMI��ORES9 Crtv S�P PHONE <br /> ♦RCHRECTOFOElIONEN MqLApONE89 Ci1Y SiP PMONE <br /> OENER�LCONTR�CTOR M�II�DDHE89 LRY IIP P��ONE LICEN9E• <br /> MEGN�NIC�ICANTR�CTOF MML��ORESS dIY iIF PNONE LICENBE• <br /> ou�nP�r <br /> PIUM&NOCONTP� TOR M�II�ODRE89 Crtr SIP PNOHE LICEN9E• <br /> C1�9lOf NONK <br /> ❑ NEW ❑ �DDITION ❑ ALTERATION ❑ fiEPAIR ❑ DEMOIITION WOOOSTOVE/FRPLINSERT ❑ 6UILDINONELOCATION <br /> TEN�NT IMPPOVEMEHT OR INTFNIOR PEMO�EL ONIY CONI�LT VEPSON�N�PNONE NO <br /> CqN7R�CT►NICE OF NORIC . <br /> OElCRIBE WORR 1N0lOW RE i007�0E INVOLVE� �' <br /> � .r'K.��-�u a,. ./, a�-r sT��� <br /> PROPOJED Il!!Of EUILDINO I HEREBV CERTIFV THA71 HAVE READ ANO E%AMINED TH19 APPLICATIOII AND <br /> �` �d7rylly WUry p NNOWTHE9RMETOBETRUEANDCORRECi.ALLPPOV1910N90FUW9AND <br /> LEW1L OESCRIiT10H OF PROPERTVIlNOWM BELOW OR�R�GH fOUR LOREl1 ORDIN�NCE9 OOVERNINa THIS 7VPE OF WOHK WILL BE COMPLETED WITH <br /> WMETHERSPFCIFIEDHENEINORNOT.THEOFANTINOOFAPERMITDOE9N0T <br /> PRESUME TOOIVE AUTHORIN TO VIOLATE OR CANGEI THE PNOVI910N8 OF <br /> loT B�oc� or ANYOTNERSTATEOFLOCALLAWREOULATWaCONSTl7UCTIONORTHEPER• <br /> FORM�NCE OF CONSiRUCT10N TMAt I AM AUTHORIZED BV THE OWNER OF <br /> TMIS PROPERTV TO PE(iFORM TNE WORK FOR WIiICH APPLICRTION IS MADE <br /> AND I COMPLY WRH THE STATE CONTRACTOR9 LAW 18.27 PCW AND <br /> 288200 WAC. <br /> &ONAfUREOFCOHIR�C10110NMI111001ZE��OENi D�iF <br /> PNOJECT�OOREl3 � y g i�� X �.Gr.;{I `-"y�r� z 8 �Q�, <br /> � �PPIIC�NI9G 9USME SIICEN9EHO�NABII9MES9H <br /> �KOJ /Of- PI S• C•, �Vt,a1r W7. � <br /> PLUMlINO MECHANICAL <br /> NO. TYPE OF RI1fTURE OR ITEM FEE N0. TYVE OF EOUIPMENT FEE 'i <br /> WATER CL09ET(lOILEI) /VC—A/MNDLO UNITS—HP. i <br /> B�THTUB FORCED AIR SYSTEMS—BSL. M EA <br /> LAVATORY�WA9MBASINI UNITHEAiER3—B.T.U. M <br /> 9HOWER CLOTMESDFVERS <br /> KITCMEN 91NN b DI9P. VENTILATION FAN <br /> DI8HWA9HER R�NOE NOOD <br /> LAUNDRYTRAV WATER HEA�EN <br /> CLOTHE9 WA9HER __� WOOD STOVE _ � <br /> URIN�L METAL FIREPLIICE 6 CMIMNEV � <br /> _ DRINKINQ FOUNTAIN — FIREPLFCEINSER7 � <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENT@R9 O�SPiPINO � <br /> ROOf DRAIN9—RAINLEADER9 E%HAUST FAN ' <br /> 91NK�9EHVICE—BAR,ETC 1 ' <br /> i <br /> i <br /> _ — i <br /> SUBTOTAL S SUBTOTAL 5 , <br /> PERMIT S PERMIi f <br /> TOTAL FEE S TOTAL FEE S � <br /> FRONIBETB�CN PE�RSEIBACN 9i0E5EiB�CY PUNCHELMNUMB[II iFE �EClIP/M0. . <br /> usEione LOT�PEA VACAN1911E FEEB VALURTION FEE � <br /> ❑YE9 ❑HO <br /> BUILDINO <br /> ttPEOFCONBT OLGUP�NGYOIIOUV NOOiDWEILINOUNlt9 — — ; <br /> eurnaeieiecTue� p�UMBINO 6�� <br /> SIZEOilL00 NOOiEfORIEB BLMI OCCLWU i <br /> ❑ ♦ MECHANIG�L i <br /> ❑ N � <br /> NE�OMTLIMIT/.TION OTHER ' <br /> Fli:ElPRMKLER!REWINEO ❑YE! ❑NO STATE BUILOINO SUACHAROE � <br /> _ <br /> STATE ENEFOV SURCHRROE j <br /> \PPLIGATION AGC BY VL�NB�PPR BY ` <br /> PUdLIC WORKS � <br /> TOTAL <br />