Laserfiche WebLink
'r�:��PPLICATION FO�.� ' ���,�„ <br /> '"'E"ro""' CONSTRUCTION O <br /> pfY OF <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259-8745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOlIT10N ❑ COMBINATION ❑ BUILDIN(i ❑ MECHANICAL ❑ PLUMBING ❑SIQN <br /> OWNER M�IIADDRESB CI1V ZiP PNOHE ��(TTAV`. <br /> � � ,4�loNA ozKcarsT's/� �/3/� f� <br /> �I�OP�/� S/UO/'P/N� �i4ZA IN!' ,o✓,se��-7� �.n n��„� <br /> �RGNiiEGt q/HOES�ONE/R MML�O�H 59 CITY 2iP VNONE ��O/ <br /> �i[ l��ar �I � • ��/v a �. r�7,�7 r'o(�X /auc �urrc�� �T�201 e s y-sds6 ^ (p <br /> 6CNER�LCONiN11C10R /� � MMLAODRESS CIfY ZiP PHONE 4CENSE• <br /> � V G9N P V <br /> MEGN�N�L�LGONiRACIOq MAILAODRE55 Cltt � 21P PNONE IIrENSE• <br /> VIUMSiNO CONTRI1CfON M�II AODRE99 CIIY 21P FIIONE IICCHSE• <br /> CU490f WOPN <br /> ❑ NEW �ADDITION ❑ ALTERATION �REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING REIOCATION <br /> v�twn�o}OfWOFItICOSTO�IA�iCPI�LSPWSL�BOPo � <br /> iG-i` <..i '_ _ <br /> JrdO �- <br /> ocscniee woa5, <br /> ,�n i <br /> .y�� ,t.:..t.�. Gra• <br /> use or euno�Na I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS RP• <br /> �— PLICATION AND KNOW THE�AMETO BE TRUEANDCORRECT.ALL <br /> 1E01110E5G��PiIONO�PPOPEPIY�9110WN8ELOWOA�IIACNFOURLOPIE31 PROVISIONSOFLAWSANDOHDINANCESGOVERNINGTHISTYPE <br /> / /-�j? 3 � OFWORKWILLBECOMPLETEDWITHWHETHEHSPECIFIEDHERE- <br /> cdr_Gioc�oF °� INORNOT.THEGRANTINGOFAPERMITDOESNOTPRESUMETO <br /> ' GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PEFFORMANCE OF CONSTRUCTION. <br /> SION�T��UREfQ/FCONTnAi,70 OR�Y��NORIZED EN� UR7E r <br /> X a�l'LQ7'tfL. ���'CO.. l.Y �j��� <br /> / '7 j �S� <br /> � � �j /'-�roadw r� � ��� <br /> PHOliL7A ORE53 �PPLIC� SCIIY9US�NESSUCENSE <br /> KUMSINO MECHIINICAL <br /> Np, TYOE OF FIR7URE FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CIOFET�TOILEI) _ AIR COND.UN�TS-H.P.EA. _ <br /> OAiHTUB PEFRI(iEf7AilON UNITS-M.P.EA <br /> LAVATORV W�SN AASIN� BOILCR9-HP.EA. <br /> SNOWER ah5 FIREU AC.UNITS-TONNAGE EA <br /> NITCHEN SINK 6 DISP. FORCEO AIR SVSTEMS-9.T.U. M EA <br /> DISHWASHER WALL HF�TERS-B.T.U. M <br /> IAUNDRY TRAV UMT HERTERS-B.!.U. M <br /> CLOTHES W�SHER EVAPORATIVECOOLERS <br /> WATER HE�TER ' � ' � � '� '� CLOTNES ORYERS <br /> URIN�L VENTILATION FAN <br /> ORINKINO FOUNTRIN ' RANOE NOOD <br /> FIOOR ORAIN AIR HANDLING UNIT- C.F.M. <br /> V�CUUM BREAKERS STOVE <br /> HOOF DPRINS-tiAINLEADERS � � ' �� � � METAI FIREPLACE 8 CHIMNEV <br /> SINK SERVICE-BAR,EiC. WOODSTOV[/FIREPLACE INSERT _ <br /> S118 TOTAL 9UB T0T6L � <br /> PERMIT ' f ' . � .—, . PEPMIT � <br /> TCTIIL FEE t TOT11L FEE t <br /> — . � � . . , . �i '� . <br /> THIS PORTION TO BE COI�IPLETED BY BUILDING DEPT. PERSONNEL <br /> iRON1SEIB�CN 11[�i15[IO�CK SIOESEf9�GK , PL�NCIIELNNUMpEf1 �I�NCNECNiEE <br /> �� . . • � a L I/U �� FEE RECEIPT YO <br /> USEZON[ LOi���r� • yAC�N�tE V�IV�TION FEE <br /> �v � bYE$ O FEEE <br /> AVEO�Si. OGCUPnNGYGROUP NOAi�WElLIN0UN175 <br /> � � ' BUILDINO . S ' ' �� �� <br /> 92E 01 BIDG NO O!SfORIE9 M�%.OCC LO�D — <br /> N � /�� � �' PLUMBINO <br /> � .. <br /> MECN�NICAL <br /> FIRE SPRINKLfRS REOUIREU ❑YES NO � <br /> OTHER <br /> PEN�LTY <br /> �PPUC�110N�CC.BY PI�NSCHEGNEO BV Af'PR.FON ISSU�NCE BV <br /> T0T11L <br /> J�� <br />