Laserfiche WebLink
� yl_J � <br />�1 y <br />�HN <br />1C�f] <br />H �1 <br />O�CO <br />'il N �il <br />VJ H <br />OO� <br />H <br />H <br />H�g <br />G7. o <br />t"y� <br />ti y <br />g`� <br />H <br />C1 C❑7 f� <br />t�7�[�+ <br />H fn <br />H O V� <br />'� r�. <br />� �- <br />`h`�`�`�`"`� C �NSTRUCTION <br />C�7Y J-� <br />���@re� PERMIT PERnnirNo. 2�950 <br />259-8?45 <br />❑ DEMOLITION ❑ COMB�NATION 0 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />ONMEF <br />� _ UA�I 4CDwE5i CITY iIP %�ONE <br />Ginger 7rorgaard 5411 Colby Ave. Everett 98203 353-2206 <br />11RCMITECT OR Lk'SIGNCR MAIL /�ODAE55 LITY Zin %1DHE <br />LCN[HLL CONTuwCTOR MAIL �DONE55 CiTY I�P PNON[ LiCEN$C • <br />Ownez <br />NLCM�N�GLCOYtqaUOR A1AllGD�aECS CiTY iiP N1O'ff LIGCNSE♦ <br />RUMBMGGONTA�CTON AUiiAODfi6: CITV ZiP h�ONE I�CEHSE� <br />Q�55 or wpnK <br />❑ NEW ❑ ADDITION <br />YP W �LON (lf NYYiN <br />% 3500.00 <br />D6CRIOE WOR6 <br />heioof <br />��c nr souuc[ <br />❑ ELECTRICITY ❑ GAS <br />Single <br />LOT � OLOLN � <br />5911 Col <br />PLUMBING <br />❑ ALTERATION �REPAIR <br />❑ WOODSTCVE <br />❑ DEMOLITION <br />❑ OTMER <br />❑ BUILUING RELOCATON <br />I HEREBY CER7IFY THAT 1 HAVE READ AND EXAtdINE� THIS <br />Yesidence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />Noweeawonan.nuauacovrts COFRECi. ALL PROVISIONS OF IA.NS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLI[D WITFi <br />WHETHER SPECIFIED FIEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE A'JTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS Or ANY OTHER <br />STATE OR LOCAL LAW REGUI�TING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIpNAiU��O�LO1�1HnCiOF.SU���O�ILCOl.G(NiOR�WNEP � �A1E <br />Ave. <br />TYPE OF FIXTURE OH ITEM <br />WATCR GLOSET (TOILET) <br />pqTHTUB <br />1.AVPTORV 1�"1ASN DASIN) <br />s�+nv�a <br />KI i GN[N S!NK 8 DISP <br />DISHwA91ER <br />LAUND�VTRAY <br />CLOTHES wnSHEH <br />UFINAL <br />DR�NKING FOUNTAIN <br />FIOOF DRAIN <br />OACK6LOW PREVENTEFS <br />FOOF D(iA1N5 — FAINLEADEiiS <br />SINK (SERVICE — BAR ETG � <br />CONST <br />�Cc ar <br />S.H. <br />SUB TOTRL <br />PERMIT <br />TOTALfEE <br />ev <br />FEE <br />CANT S�iE <br />YES ❑NO <br />ur <br />j / TYPE OF EQUIPMENT <br />A�G`- � NNDtG UNIT$ — H P <br />PEfR1GERATION UNITS — H P CA. <br />BOILERS — � T U,N P. <br />GASFlREDAC UNIT$—OTL. <br />FORLEO ���' SYSTEMS — B T.U. M EA <br />Wf.LLMEATERS—OTU M <br />U�ITMCATEfiS—BTU M <br />EVAPORATIVE COO�_ERS <br />GIOTMESDRYERS <br />VENtIIATION FAN <br />RANGEHOOD <br />WPTER 1/LATEP <br />WOODSTUVE <br />METAL �IREPLACE 8 CHIMNEY <br />FIREPlAGE1N5EFT _ <br />HEATFUMP ��� <br />GAS PIPING <br />E%MAUST FAN „_,._,,,,,,,, <br />SU9 <br />PERI <br />TOT <br />VLANCNECKNUMBEF F <br />FEES <br />OUILOING <br />PLUMBING <br />MECHANICAI <br />INVESTI(;ATION FEE <br />STATt BUILDING SURCHARG <br />STATEENERGVSURCHARGE <br />DPIVEWAY PERMIT <br />TOTAL <br />3 <br />Sec. 9W1e1 <br />FEE <br />AECEIPi NO. <br />WNEN PROPEPLV VAl10ATE0 (IN TMIS SPALE� TNIS IS YOUR PEflM1T <br />66150 <br />• + <br />� <br />' `- ;I <br />�. <br />4 ' '�1 � <br />f s /r• <br />I �.� � �� <br />