Laserfiche WebLink
-_ , <br /> ,�,F�ro,,,� .,PPLICATION FO�. �Y„�„ <br /> ��TM�F CONSTRUCTION 0 <br /> everett PE RM IT <br /> BUILDING DEPARTMENT <br /> 259�8745 TO BE COMPLETED IN INK• PLEASE PRINT <br /> ❑ DEMOLITIUN ❑COMBINATION �BUILDING ❑ MECHANICAI ❑ PLUMBING ❑SIGN <br /> OWNE11 M�II�UDNE59 C�tt •2�P PIIONE <br /> ��.1�i rn 5��.� ��6'o x S92 �/�57���� _JBsz.�,� G.s.;,��o.�,s- <br /> �RC��IFCI ON�ESIONEN M��l ADpAE9S Cltt TIP P��ONI <br /> 6ENE04 CONIN�CIOR IA�iI AODRE53 Ci1Y 21P PI�ON[ IIGENSE� <br /> %t7iv Lt <Z�6-•a�t . <br /> MI.CIIAHIC4 CONTR�LfOfl M�II�pOFE59 Cltt ZIP PIIONE �ICEIISI• <br /> PlUMOiNOGONiP�C10B� M�ILADD11E59 CIIY ZIP P��ONf UCENSL• <br /> �tt-y 9 ///c•`"7 ✓�-C"sY� <br /> C1�55 WOP6 <br /> � NEW ❑ ADDITION ❑ ALTEHATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDINO RELOCATION_ <br /> V�LWIIO OfWOBM�LO5IOf1.lA1CPI�l9P111 I�BOPI �] <br /> /� / <br /> �G'i-)�1 LC ^! u ,Gs/ ,��-'o/ <br /> nf scmm-� � �v 4 � CO .- . `� � <br /> ♦y-3 n i'1����- O i <br /> uscorounoiHa I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.All <br /> l[G�l[1ESCHIPI�ONOfPPOPERIv�SNOWNBfLOWOR�TT�GHFWPWV1¢s� PROVISIbNSOFLAWSANDORDINANCESGOVEHNINGTHISTYPE <br /> ,�,��/ � � OF WORh WILL BE COMPLETED WITH WHETHEfl SPECIFIED HERF.• <br /> iot�eioc�or " "`'�' �'��~ INORNOT.THEGRANTINGOFAPERMITDOFSNOTPRESUMETD <br /> / 61VE AUTHORITY TO VIOLATE OR CANCEL TNE PROVISIONS OF <br /> L.yi � �� ��D � �DDO�ro ANVOTHER STATE OR LOCAL LAW RFOULATINO CONSTFUCTION <br /> OR THE PEe7FORMANCE OF CONSTRUCTION. <br /> SION�TUPEOFCONIq�CTOROR�UT110RKE0�GENf D�TE L��/� <br /> I � <br /> X � <br /> PPOlECU0UPE84 �PPLIC�HTSCITYB 4MEBSLiCEN5EN0 <br /> r� <br /> / / / ('�sr�.;�-: / <br /> PLUMBINO MECN�NICAL __ <br /> NO. TYPE OF FINTURE _ FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�701LEp AIR CONO.UNITS-M P. EA _ <br /> � BATI/TUB __ REFflIOERATION UNITS-11 P.EA. <br /> L�WTOHY WA9M BASIN� BOIlERS-N P.EA. <br /> SIIOWEP ��S FIRED AC.UNITS-TONNl10E EA <br /> 1 NITCHEN u1NK 8 DISP. FORCED AIR SYSTEMS-BI.U. M EA. <br /> DISMWASMER WALLHE�TFRS-B.T.U. M <br /> L�UN�RVTRAY UNITME�iERS-BS.U. M <br /> CIOfMES W�SHEfl EVAPORATWE COOlER9 <br /> WATER HE�TER CLOTHES DRYERS _�_ ^� <br /> UNIN�L VENTII�TIONFAN � �J <br /> D�iINNINO FOUNT�IN R�NOE HOOD � <br /> FLOORORAIN AIRMANDLINOUNIT- LF.M. _ <br /> V�CUUM BAEANERS , STOVE <br /> ROOF 0t7�INS-R�INIEADERS MET�L FIREPLACE!CMIMNEY <br /> SINN�SERVICE-B�R,ETC.) WO 0' OVE/FIR PLAC INSERT <br /> . ..0 DI ! .�- <br /> 8U8 TOTAL BUB TOTAL � . SO <br /> PERMIT � PEPMIT 1 <br /> TOTAL FEE t TOT�L FEE f � J <br /> THIS PORTION TO BE COMPLETED BY �UILDING DEPT. PERSONNEL <br /> eHu�v6��C� AE��i��LK SiDESE�BACM PL�NGnECKNIMBEH � Pi�NCHFCnfEE <br /> C �/ /���� fEk NELEIPIl10 <br /> UfiE lQNE l01 Hik� y ( -��9-- <br /> ` _ VAC�NI SIiE FEE{ V�IU�TION I[! <br /> '' I OYES ONO — � <br /> 1Yi'f Of f.ONSi OCCUPANCY GPOUP NO Oi OWfILIN�UNIIS :"7 <br /> ( �' � ' �+ I BUIIDINO f ` �_ <br /> tiiA U� p1UU NO tl!S101UC5 MAS OGG 10�0 [J <br /> /`�'' r��/ I PLUMBINO �]D <br /> O <br /> MECN�NICAL �� <br /> Flfl[ SPRINKLERS REOUIRED ❑VES fl NO "� /� <br /> OTIIEII (/ (�l/ <br /> PEN�LTV \ ��/,)� ,/_/� /f � �J <br /> �VPUL�IION�CC BY Pl�NSCtlEC1(EDBY �PPP FOfl145O�NCEBY '- - <br /> ioi�� ��O d.1J <br /> �,�-���, �J - <br /> , <br />