Laserfiche WebLink
(+ �,^ <br /> �,�11� Yl�•V , • <br /> rcPPLICATION FOi'i� everetl <br />� ���'°'�" � � :� � : : , �CONSTRUCTI��N � � <br /> .everett PERMIT <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK- PLEASE PRINT <br /> 259•8810 <br /> :O DEMOUTION ❑COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> pWMER � MMI�DD 5^T'l"l CO, CIfY ZI� . PMOHE ' � . � 1 <br /> �LI�aL <br /> ,,�,PrPf-j ����s�nY9— '�D �'�r ii-, �'i�[�1 �A�-?s-41 I <br /> MICNItECIOROESiON M�ILADORL55 Cn' Z � ONE <br /> C�r-.� � rn�;;��� .� �-,�� Q�Ih� FrFP�H� a�.C�� �=��s3 � <br /> OEMER�LGONI �G10A M�iVO�R[SS Cn' ZP � ONE LCENSE <br />' MECHIINIC�LCONiR1GTON M�IL�DORE54,� ' Q�1Y ' 2�P . ���ONE � i, UGENSE• <br />� 1 MML�DORE55 GrtY 21P PNONE L�CENSE• <br /> �PLUM91N0 CONiP�GfOP . <br /> CL�BS Of WOPN <br />' ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR �DEMOLIiION ❑ WUODSIOVE/FRPL.INSERT � ❑ OUILDI4G RELOCATION <br /> V1l W 1�ON O�M'ORv.:COSi Of M�1EAI�LS PW9 LABOAI <br /> � � "'1/�� <br /> �,-+E� "�"rbT�iTi " _�`�� b - <br />� OEECHIBE WOPK 1 <br /> 1 ^ _ .r . � ' .� � � i <br /> useoc euaoi��a� �'` !, , I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS AP- <br />' " �'`�t= 1C� ��A�M1 1 � - PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> I LEO�LOESCNiP110NO�PAOP FTYISMOWNBELOWOAR�T��NFOUNWPIE51 pROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BE COMPLETEp WITH WHETHER SPECIFIED HERF• <br />� �o�_B�a�_oF IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PiiESUME TO <br /> G�VE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />' � ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> � OR TH[ PERFORMANCE OF CONSTRUCTION. � . <br />�' <br /> SICN�TURE OF CONTR�QGR OR AUT��ORI2ED�GENI ORTE <br />�� � X �, ' �� - T <br /> APVUG�N . GTYBUSiNESS�iCENS NO <br />'� FPOJECT�DDFE55 <br />+, a�d� coib AJy <br /> � ,. PLUMeIN6 MECHANICAL — <br />� NO. TfPE Of fl7RURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WIITER CIOSET�TOILET� A/C—A/HNDL6 UNITS—M P <br /> � PEFRIGENATION UNITS—N P.EA. <br /> � BATNTUB <br /> �� UV�TORVIM�ASNBASIN� BOILERS—B.T.U.MP. <br /> GAS FIREO AA.UNITS—B.T.U. <br /> � ' SHON�ER PORCED AIR SVSTEMS—8 T.U. M F�. <br /> 1 <br /> � • KITCMEN SINN 6 OISP. <br /> OISMWASMEA WALLHEATERS—B.T.U. M <br /> UUNORYTRAY UNITMEAiERS—B.T.U. M <br /> � CIOMESWASNEF EVAPORATIVEGOOLERS <br /> 1 . UN�N�L " ' CLOTHE50NVEPS <br /> � VENTIUTION FAN <br /> ��� ORINKINGFOUNT�IN <br /> 1.. � FLOOR ORAIN H�NGE MOOD <br /> BACNFLOWfl7EVENTERS WATEAHEATER � <br /> i � FOOF DNAINS—R�INLEADERS wOOD STOVE � <br /> . SINN�SERVICE—BPR.ETC.) METAL FIFEPLACE 8 CNIMNEV <br /> . FIi1EPlACE INSEAT <br /> NEATPUMP <br /> I , _ , . . OASPIPING <br /> 1 EXMAUSTFAN <br /> Isusror�� s sueror�� ' ' <br /> 1 VEPMIT t O[11MIT <br /> TOT11L FEE f TOT�L FFE <br /> 1 , P�AN CMECK NUMBEA FEE HEGEIPT NO. <br /> iPONi5Ei8�LK HE�P SEiBACY SOE9ETB�GN <br /> 1 � <br /> � �u5ezoae 4 ioteae�. vetu+rs�re , . FEES VALUATION FEE <br /> orEs o�+0 5 <br /> � . . . . BUILDING . . <br /> ttPEOFCONSi, OCWP�NC1'GFOUP NOAF�WELLINUONIiS <br /> ` PL'JMBING <br /> I 5¢E or e�oa � � � No or 9toaiEs M�%.OG4 LOAD MECNANICAL <br /> � <br /> � OTHER <br /> I <br /> I .FIRE SPRINKLERS REOUIRED ❑YES O NO STATE BUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> •PCULRl10N�CG8� �LANSCMEGMEOOY �PPRFONISSU�NGEBY pUBLICWORKS <br /> i <br /> � TOTAL <br /> ' PROPERTY OWN ER3 ARE RESPONSIBL[FOR DETERMINING ALL <br /> I PROPERiY LINE LOCATIONS AND RELATE�FJ�SEMENTS. <br />