Laserfiche WebLink
tM E•�ryn�n <br />CIfV OF <br />everett <br />BUILDING DEPARTMENT <br />259-8745 <br />',�:PPLICATION FO�� <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK • PLEASE PRINT <br />ev�rrn <br />e <br />O DEMOLI710N ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUhA01NG ❑ SIGN <br />pwr¢n Muuooncss cnr zir vHnri¢ <br />�T�rrr oi� C�. �v. �dX Z�/�l47 s�ir,�c g�zy Zes-zu�o <br />encnnCclonors�oMER M�R�OnNE&s tln 210 pHorv[ <br />ULU�/c�C <br />GCNCR�LCONIPnCIOR M�ILADORESS QIY 21P PIIONE LICCNSC• <br />C%tl�tJC.e <br />MLC�I�NIC�ICOMMCiOq MML��ORESS CITY 21P PIIONC LIC[NS(• <br />OlNN E�"� <br />1'LUMPIN�iCpN1f1�LtOR M�iI�ODNE55 CITY ZIP PIIONk liCl�Rt• <br />(xv a�a•c.. <br />Lj NEW � ADDITION ❑ ALTERATION ❑ REPAIR C DEMOLITIOh: ❑ WUODSiOVE/FRPL.INSERT ❑ BUILDING REIOCnTIO1V <br />v�.u�*�oHorwo�n2os�Orua�[ utSrlUsl�eOn� <br />Q�DOC� �"� <br />ot ScnieE wonr <br />,v�w /7 X// �����TiaN To erJr/S7/N� ��iict�N[: <br />use or emion+c I HEREAY CERTIFY TNAT I HAVE READ AND EXAMINED iH15 AP• <br />�LNVg/V /�Nc:G STUiLfa' PLICAlii:NANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br />ICO�L0E5CRIPIIONO«AOPEHiY�SNOWNBELOWOR�iT11CNFOURCOPIESj PROVISIONSOFLAWSANDOFDINANCESGOVERNINGTHISTVPE <br />OF WORK VJILL BE COMPLETED WITH WIIETHEF SPECIFIED HERE• <br />io�—e�oc�_or — INORNOT,THEGRANTINGOFAPEPMITDOESNOTFliESUMETO <br />GIVE AUTHORIT TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANYOTHE9STA ORLOCALLAWREGULATINGCONSTRUCTION <br />r,J w'I OR TNE PE(iF0 NCE OF CONSTRUCTION. <br />�t� JI /C / G/NV SIG TUFEOFCO RA.T0�4F7�UT�;IZEDA�HT/j^, - D� <br />x X i% <br />���--i,�.y�-99 <br />JMBIN6 <br />'O. tYPE OF fIXT <br />/ WATERCLOSET�TOILET) <br />AATHTUB <br />L�VATORY�WASH B�SIN� <br />SI/OWER <br />�i KITCHEN SINK 6 OISP. <br />OISHWASHER <br />LAUN�RVTPAV <br />CLOTHES WASHEH <br />� WAiER HEATER <br />Uf71NAL <br />DRINKIN6 FOUMTRII7 <br />�PPLIGIIN I'S GIIY 9USINE55 ULENSE NO. <br />MECHANICIIL <br />FEE NO. TYPE OF EOUIPMENT <br />AIR CCND. UNITS—N.R EA. <br />REFRIGERATION UNITS—H.P. EA. <br />L� DOILERS—H.P. EA. <br />GAS FIRED AC. UNITS—TONNAGG E0. <br />UNITNEATERS-9.T.U. M <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />rnorasc�necK Inunse <br />Q <br />�OPLR SIOE SETBACK <br />� � <br />VRGRNT SI1E <br />Q. nMfi CG DYES ;QNO <br />� , NO Of� qll <br />IN � <br />�IRE SFRINKLERS RE�UIRED U YES DGNO <br />0 <br />•VPI IC4�ION �f.f. �IY <br />��V1 �l� , <br />Pl A115 CIIECNED 9Y <br />�E� <br />PO.OF DWElLINO UNIT'. <br />D <br />� <br />APPR. FOR ISSLnNGE BY <br />G�G� <br />PLANLHEGNNUMiEA <br />FEES <br />BUIIDINd' <br />PLUMBING <br />�'-ECHANILAL <br />OTNER <br />PENALTY <br />T0TI1L <br />[CE �/ j3 AECEIPI NO � <br />VALUATION FEE <br />,Q[7�ut2Es �G� �:��a��rc•r�a(. <br />9r'F�57%ZE�'T J�/`�d��nrcr C+T/JLLS. <br />