Laserfiche WebLink
���APPLICATION F��R <br /> `"'E"ro'"° CONSTRUCTION °°`�`�`" <br /> an or <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259-8745 TO BE CflMPLETED IN INK- PLEASE PRINT <br /> O OEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL �PLUMBING ❑ SIGM <br /> IWNJcy /— �� IdAIIFDONE55 �� (,�_ LITY jIP pMOHE <br /> �i\1 � C l ► l;c �.�r.:.-� ?�lG, C1� S'% Y. <�-IC ��JA �-t�/ ��� 9�� <br /> 'RLNIIEGTORD6 IONER MeILAD09E55 CItY ?IP pNONE <br /> .-�F <br /> '�EMEPAILONIPeCiOR MRIIADOF[Sd CI1Y 2iP PNONE I,ICENSE• <br /> L "��— 'f �.� L.1� <br /> -!ECIUNiGICONiR1Gt0 M�i1.ADORE55 CITY 21P pqONE L�CENSC <br /> IUMBM.CONIR�GION MMLAOORESS CITY 21P PIIONE UCENSE• <br /> .1�55 OF WOAM <br /> ❑ NEW ❑ A�DITION ❑ ALTERATION � REPAIR ❑ DEMOLI'f10N ❑ WODDSTOVE/FRPL.INSERi ❑ BUILDING hELOCATION <br /> • �IIONOFWORN�COStOFM�iCRUL9FlU9L�80R1 <br /> ���r��� <br /> , ��d� ���K .-� <br /> � L� n� ��7.-, r Y� 4�- l��C' w/ • 1 X_f7G <br /> RiN Nriq — <br /> '�� -) I HEREBY CERTIFV THAT I HAVE RE.4D AND E%AMINED TIIIS AR <br /> '� �� '- '- PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> '011LDESCAi�tIONOFPqOPEP1Y�3110WN9ELOWORATTACNFOUNCOPIES) pROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED I�ERE- <br /> �t_BlOG1c—OF IN OR NOT.THE GRANTING OF A PERM�T DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANYOTHER STATE OR LOCAL LAW REGULAT�NG CONSTRUCTION <br /> , OR THE PERFORMANCE OF CONSTRUCTION. <br /> dtc ,or+iAncrononnun+on¢�onn�Nr onre <br /> v7�/,�rL�ff �o%h� � .r- - c. <br /> �91[C1�D00[99 � �PptlGM!l6CI YBUSINE55LICENSENO. <br /> � L <br /> LUMSINO ME('�{pNICAL <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EOUIFMENT FEE <br /> WATER CLOSET iO�LET) � AIR Cf1ND.UNITS-H.P.EA. <br /> BATNTUB S HEFRI�ERAiION UNI7S-H.P.EA. <br /> LAVATORY(WASH BASIN� BOILERS-H.P.EA. <br /> _Q SHOWER GAS FIRED AC.UNIiS-TONNAOE EA <br /> KITCNEN SINN 6 DISP. FORCED AIR SVSTEMS�-B.T.U. M EA. <br /> DISHWIISHER WALLHEATERS-B.i.U. M <br /> LAUNDRVTRAV UNITHEAlERS-B.T.U. M <br /> / ClO1HES WASNER EVAPORAiIVE COOLEpS <br /> / iRkE#TEA-.. J_ CIOtHES DRVERS <br /> URINAI VENTILO.iION FAN <br /> DRINKINC FOUNTAIN qpNGE HOOU <br /> FLOOR GNAIN qIR HANDLINQ UNIT- QEM. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAIMS-RAINLEAUEl75 METAL FIREP�ACE 8 CNIMNEY <br /> SINK�SEFVICE-BAR,ETC. WOCOSTOVE/FIR PLACE�NSERT <br /> � <br /> SIIB TOTAL SUB TOTAL f <br /> PENMIT t PEqMIT s <br /> _ TOTAL FEE f ' TOTIIL FEE S <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> Yf5E1BAGN RE�RSEtBACN SIDESEiBhCK PLRIIGNECKNUMBEB PLpNb�ECFfC[ <br /> f[E RECEIP'NO <br /> IONE IOfARE� ypppNiSlTE — <br /> �YES ONO FEES VALU�TION FEE <br /> O[CONSi pCCUP�NCYGIIOUP NO.OfOWELLINO11NI1S <br /> BUIL�IN6 f <br /> OIOt00 NOOFSiORIES M�%.00L.IO�D — <br /> PLUMBIN� <br /> MEGNANICAL <br /> �:SPRINKLERS REOUIFED ❑VES ❑ NO <br /> OTHER <br /> PENALTY <br /> �C�IIONACGpY PLANSGIIELMEDBY APPRFORI3SU�HGEBY � — <br /> L G To.., <br />