Laserfiche WebLink
r <br />0 <br />;;... .. <br />M�Ewrpmn `APPLICATION FO'� <br />""°` CONPERMITTION `"`�`�`" <br />everett <br />BUILDING DEPT. TO BE COMPLETED IN BLACK INK - PLEASE PRINT <br />259-8745 ❑ COMBINATION ,Q BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />UWNER MMl "9DBE55 CIiV 714 1`IIpNf <br />Ci�y ur-����'�iT 3a�`U„'e��t�rz.E f:-lf"I;.�� c,o `( )^ l <br />^nG�1�EL10A0E5�GNER - �S •.• I �y '�� 1`1 <br />MAILADORE% p�v z�� �,wnn� <br />F)n <br />1FNEi�nLCONIP�CiOA M�ILnpDRE55 <br />C�Iv IiY I�r�Of![ <br />llf,[NSE • <br />tir�; (-rr1A2Vi INc7aSr. � ��7iza.n��n{ d;�. _ S,� l L,�i,•� <br />�AECH�NIC�ICONiR�CTOq MMLnODRESS drv piP M�ONC LipENSE• <br />�1. <br />"__...,. ___.. ......... <br />�' �, <br />'1�550� W09N <br />� NEW ❑ ADDITION <br />JJ c� �Y-� <br />mnn <br />PHOHE <br />❑ AITERATION ❑ qEPAIR ❑ DEMOLITION ❑ WOODSiOVE/FFiPL INSERT ❑ BUILDING fiELOCATION <br />1J=in��Af(Gu oF 3 MOPa�F- wlOC.tlll�j r�Vti ��ViN•«,tF �_i�-i���l�i <br />SF �� pWLOiNG <br />{('J`�-Y,N Liij('-,!�(�:.Y 1 hIEREBY CFRTIFY THAT I HAVE READ AND EXAMWED THIS AP• <br />FLICATIONAND KNOW THES�IAE TOBETHUEANDCORRECT.ALL <br />rcuine5t��ono� ]�PROPFRIY�SMOIVNBEIUWOBA1fA�HIOUNCOP1E51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />'��_uioc�_or OF WpRK 6VILL BE COMPLE TED WITH WHE (IIER SPECIFIED HERE- <br />IN OR NOf. THEGRANTINGOFA PERMII DOES NOi PR�SUME TO <br />GIVE AU fhIORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTF{ER STATE OR LOCAL LAW REGULATING CONSTRUCTIGV <br />OR THE PERFORMANCE OF CONSiRUCTICN. <br />sic mm�eorcoNrHncro�onnun�orazeoacvrt onre - <br />i / -.1-(�-�i�j <br />X�\' l'.. i (_ � i_ �U�d�(/� <br />�OJ ' �R7 5 ^ ^ RVPI,ILANI'SCfYpU51Nf5511'CNSENO <br />� <br />PLUMBIAO <br />NO. 1 <br />_� WnTER CLOSET <br />BA7MTUB <br />Z LAVATORY�WA$ <br />SHOWEF <br />KITCHEN SINK 8 <br />DIS�iWA51.EN <br />LAUNDFYTRAV <br />CLOTHES Y�ASNI <br />WATER MEATER <br />��ONf SE <br />i5[ iONE <br />r�r o� c <br />ize ov ei <br />7YPE <br />71G[RATIpN UNITS-H P. EA. <br />GAS FIREU AC UNIIS-TOIlN4OE EA __ _ <br />FORCEDAIRSYSIEM_B_TU._MEA_. _ <br />WAILHEAfERS_D.LU Id_ __ <br />Uqli HEAtERS _-F37 U Id_______ _ <br />FAN <br />"- .�.�` _ $UB TOTAI S <br />. —____ _ _-'_" - __'--- . .. <br />PERMIT y <br />'__ ___.._"_....____— pEflM1T S _ <br />TOTAL FEE S -- ' " ' - -'—'"--- -' <br />—.-._ ._. ._' <br />__ ___._'_"'_' S <br />THiS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONN[L <br />ACC 9Y <br />E <br />REANSEIBACN S�DESET3�CN VLANCHFCnNUMHII� VlnYfu(CM1t� <br />S t/ �-J li.E ItLf.�l1`INp <br />I.OIAFE� � 7���"____ <br />VAC�Nf d1E — fEE9_ _V4LO_TIDN_ I_._—pEE � <br />❑v[5 �iNO <br />OCCU��NCY GROUP NO OF pWELLIN4 UNI15 <br />P]] <br />OY <br />N1N <br />41'PR iGR 16L'ANLE OY <br />OUILDING <br />PLUMpING <br />MECHANICA� <br />onien <br />PBNALiV <br />TOTAI <br />s 7Cnnn��'I� <br />Fi� <br />N <br />� <br />s� <br />• <br />a <br />�.' � <br />...c ��r.'.e:r�;•r _ _.. �� '"„v..,ns:».`t%..2..,'�itivr.. ...,� ..R:;:.�ti <br />