Laserfiche WebLink
L`l�� <br />H5 <br />aH~ <br />y pyG <br />HZ� <br />K n <br />H �1 <br />� H � <br />!/� H <br />[�l O � <br />OH <br />H[jJ0 <br />�r n <br />H <br />t' y <br />H�H <br />g" <br />c� tq7 � <br />C�l� <br />H [��. <br />HO[n <br />I �� <br />� <br />Iha Eve�preen <br />;ITV OF <br />everett <br />BUILOING DEPARTMENT <br />259-8745 <br />r„�PLICA� r"O(�J FOh <br />cor�sT�vcT�o� <br />p��n��� <br />TO BE COPlIPLETED IN INK• PI_EASE PRINT <br />everen <br />� <br />❑ DEMOLITION ❑ C0�781NAT�ON O BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ S1GN <br />MnnnoouEss �� cirv G, ziN rnoH� � <br />owr,cN csT /40 , <br />STAu1u1� 13fAl.k� .�l.lJr A3o0 W %02R>4A/C.E 9�Os"o9�l9sL � 13 2�4 ��l l) <br />ARCMIIECiOR0E51GNER MAILAODPl.55 CITY ZIP PHONE <br />�,�l,A� vAzbeou�-u SA�� .ns ,a Lava. <br />GEN[RAICONIqALiOR maunourw� �•�� ••• •• •,�•.•��- <br />Q.UJ. �j�.VF� CO/.75; V�rnn Po f�b'7�4 S�AJ-10E' C3k�fo(. �-zn4-7445 RwNvFCX 287M 1 <br />11ECHANIGL CONiRACiOq IAaiL 0.00R[SS CIiV 21P PMONE LILENSE • <br />� L kUocVAJ _ <br />�WMOINGC0111BACiOti 1.InILAO�R[55 CRV ZIP OIIDNE LICENSC• <br />v u kuo�,,. <br />CLASS OF IYORK <br />� NEW ❑ ADDITION ❑ ALTERA710N ❑ REPAIR ❑ DEMOLITION ❑ VJOODSTOVE/FriPL.INSERT ❑ BUIIDING FELOCATION <br />VALV/d�O!N—�O�{F WORH�COSi OG IAAiERiALS PWS LA�OPI <br />9 /��I��Q.� <br />woarc <br />OF <br />N <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />SA LFS PLICATION At:D KNOW THE SAME TO BETRUEANDCORRE�CT. ALL <br />PROPF.PiVISNOWNOELOWORAtTACHFOUPLOPIE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIETYPE <br />OF WORK WILL BE CGMPLETED WITH WHETHER SPECIFIED HERE- <br />—oF IN OR NOT. TH[ GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHCRITY TO V�,iLATE OR CANCGL THE PROVISIONS OF <br />ANYOTHER STATE OR LOG,AL LAW REGULATING CONSTRUCTION <br />OR THE PENFORMANCE OF CONSTRUCTION. <br />SISNAtURE OF CONiRACTOR OR AUTHORIZEO AGENT DATE <br />%��5 F_�iera r�-'�� /✓) <br />ano�eeinooaess ,�bE2�Jr'rei!/ L.4 <br />�vEw�'r�,,, tz��� --�C <br />PLUMBING <br />NO. TYPE OF FI%TUHE <br />WnTER CLOSFT �TOILEn <br />BATHTUB <br />LAVATORY (WASN BASIN� <br />SHOWER <br />KITCHEN SINY. E DISP. <br />DISHWASHER <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />WFTER HEATER <br />UHIN4L <br />DRINY.ING FOUNTAIN <br />i� <br />C� <br />X ��.14�L"'iv vv o� <br />AFPLICANTS LIiY BUSINE 55 LICENSE NO. <br />� e� /�i q l -- <br />MECHANICAL <br />FEE NO. TYPE OF EOUI <br />AIR GOND. LINITS—N.P. EA. <br />REFRIGERATION UNITS—H.P <br />�OILEP`.rH.P. EA. <br />GAS FIRED AC. UNITS—TONI <br />FORCED AIR SYSTEMS—B.T.I <br />WAILHEATERS—B.T.IJ. M <br />UNITIiEATERS—B.T.U. M <br />_ EVAPORATNELODLERS <br />CLOTMES�RYEFS <br />r •. <br />THIS PORTION TO BE COMPLETED 8Y BUILDING DEPT. PERSONNEL <br />;.CC DY <br />�� <br />�ornnE� <br />/2 �, �o a <br />OCCUPQPNGYGROUF <br />/J'� <br />NO.Of StOPiES <br />PLNISGH[CREO <br />�� <br />SIOF SEl dACH <br />vacnr�� <br />XYEs or�o <br />NO.OF �WELLING UNI15 <br />n <br />IAP% O/C/G LOA� <br />`i' S� <br />8Y <br />❑RIpEB PLAN CNECK FEE <br />.� �s� FE� � �a �E,�� � <br />FEES VALUATION FEE <br />BUILDING 5(,�.ljvi �`� <br />PWMBING <br />MELMANICAL <br />OTMER <br />PENALTY <br />TOTAL <br />�}=f._1:G <br />•Ti"= t-�P:C.� rG �.�i�L+a- <br />T�� rr�: T�z' r�. <br />� <br />a <br />