Laserfiche WebLink
. . . . .�...� <br /> � <br /> APPLIC�,,�ION FOa CONSTRI,CTION <br /> PERMIT <br /> I�s Evaryreen evereft <br /> GTV OF <br /> everett e <br /> BUILDING DEPAFTMENT <br /> 259•eB10 TO BE COMPLETED IN INK— PLEASE PRINT <br /> OWNER M�R�DDRE55 Cirv IiP PNONE <br /> �'1P�CY� 17�1$-l��'/�� 4� �tE���_�l�S ��-l`�31l0 <br /> iENANj� MAIL�OflRE55 G1Y IIP PHON[ <br /> 1RCHREGtON0E9i0NER M�II�ODPE55 Cilv � � !iP PNONE <br /> OENERALCONTR�C'iO/R MMl�00RE55 GI1Y 2�P PNONE LICENSE• <br /> �� 1 V <br /> MECN�NICALLONTRACTOR M�IIe00NE55 GIfY ZIP PIIONE IItENSE� <br /> PI.UMBINOfANTP�CtOR Meil�OOP[55 CIIY TIP PIIONC LILEN9E• <br /> Cl�lB OF YqRk <br /> � NEW ❑ AODITION ❑ ALTERATION ❑ REPAIR ❑ OEMOLITION ❑ WOODSTOVE/FRPL INSERT_ ❑ BUILDIN6 REIOCATION <br /> TENANT IMYROVEMENt OR MTERiON REMOOEI ONIY LONI�GI�ERSON�N�P��ONE NO <br /> CONiR�Ct%iIGE Oi WORK <br /> DEOCRiBE WORI(�ND BOU�RE i00f�0E IN WIVEU <br /> voeEoue o n iao IHEREBVCERTIFVTMATINaVEREADANDE%AMINEDTH19APPLICMIONAND <br /> �� �� NNOWTHE9AMETOBETRUEANDCORRECi.ALLPROVIS10N90FUW9AND <br /> LEO�L OElCRIPfION Oi PROiERTY�BHOWN BEIOW OH ATT�CH fOUR COPIE81 ORDINANCES dOVEPNINd THIS TVPE OF WORK W ILL BE COM PLETED WITM <br /> �I ,_ � ��� N'HE111ERSPECIFIEDHEREINOFNOTTHEORANTINOOfAPERMITDOESNOT <br /> � PRESUMETOGWEAUTHORITVTOVIOLATEORCANCELTMEPFOVISION90F <br /> �ot BlocK Oi ANVO7HERSTATEORLOCALLAWRE6ULATINOCONSTRUCTIONORTHEPER• <br /> � , �^ ,1 � FOfIMPNCE OF CONSiRUCTION.TMAT I AM�UTHOR12ED BY TNE OWNEN OF <br /> �I��7�r�?j��}- �� y fNlS PROPERTY TO PERFORM THE WOPK FOF WHICM APPLICATION IS MADE <br /> 14-1 T Xt +'�y--! AND 1 COMPLY Wlill THE ETATE CONTRACTORS lAW IB.47 RCW AND <br /> ����E �rn� �r�� vl SON�IpR oA coe�nec�onrn�emr�on¢EoeoEm �ATE <br /> A1. [�' Si 1�3�1�C�.L� - - <br /> X <br /> PPOJECT�pORE99 � IPPIICeM5Ci1vBU5�N[SSIiCCNSENO�Hb9115iNE55N�ME <br /> � <br /> PLUMBINQ MECNANICIIL <br /> N0. TYPEOF FI%TURE OR ITEM fEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILEp NC—NHNDLG UNITS— H P_ <br /> ._ —____ .— __—_____._--_ _..___ _ — <br /> BATHTUB PORCEDAIRSVSTEMS—BTU _MEA <br /> LAVATORV(WASH BASINI UNIT NEATERS—BT U__M <br /> 9HOWER CLOTHEB ORYEPS <br /> KITCMEN SINK 6 bISP. VENTIIATION FAN <br /> DISHW�9HER RANGE HOOD <br /> LAUNDRYTRAY WATER MEATEN <br /> CLOTHE9 WA9HER WOOD STOVE <br /> URINAL METAL FIREPLACE d CHIMNEV <br /> DHINKINO FOUNThIN FIREPLACE INSERi _ <br /> FLOOR�RAIN NEFT PUMP <br /> BACKFLOW PREVENTERS QAS PIPING <br /> ROOF DHAIN9—RAINLEADERB E%HAUST FAN <br /> SINK(SERVICE—BAR.ETC I — <br /> SUBTOTAI f SUBTOTAL S __ <br /> PERMIT f _ _PERMIT S _ _ <br /> TOTALF[E f TOTALFEL f <br /> FRONTBElp�1CN RE�98ElB�CK SipE9E1fl�GM P4NLNE ItNUMBEII FEE �7� RFCFIPfNO. � <br /> � C � / �1/ <br /> �� �S <br /> usezoN[ IOiAPE• Y�ceHrarte FEEB VALUATION FEE <br /> /"��^ , �LYES ❑NO . I^ <br /> �� �J} BUILDINO /�j�(�C�Q_ _�t y� <br /> rvPE OF CAN9i OCCIIP� V 011011P NO Of OM/Ell WO UNi1S �-��+� <br /> �� ���T °� PlUM81N6 <br /> Si1E0 L NOOf6IORlE9 B9M1 OCCI �U <br /> AO 'INC, ��� � MECHANICAL _ <br /> N � <br /> NE�ONiLIM �IION OTHER <br /> fIPEBPRINNIEPSHEWINED ❑VE9 O STATEBUILDIN49U�7CN�ROE _ � <br /> STATE ENEROV 9URCH�RGE <br /> •GPIIL�TION�CC BY Pl�NS�PPN BY <br /> � �� „ PUBLIC WORKS <br /> v <br /> TOTAL <br />