Laserfiche WebLink
,��- <br /> �°�'PLICATION FOi:y� <br /> `"'E"`°`"° CONSTRUCTION �"°"" <br /> un or <br /> everett PE RM IT e <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �,MECHANICAL �PLUMBING ❑SIGN <br /> OWNER M1ILADDRE55 Citt 21p FMONE <br /> T y �oRs���� 3��7 �,���A y �v �� a�- �a�a <br /> �RCMITNCiONDESiGNER MeRepORE55 ' CITY ZIP PHONE <br /> Wl�C�p(It�r// �M1Y� �I77OV�V �oaa/- �� �v xi'� JIR�P,�E ����LICENSE• <br /> V 3 <br /> MECHIINIOIL GOHiR�GiON / Mnfl nGUN[55 / /��� �O�Z� �O� p E �,��ll�5� <br /> 1. �� y�J <br /> PLUMBINGGONTR�GiON M�IUD�RESS CiiY 21P nHONE IICENSE• <br /> CU53Oi WORN �,�( <br /> ❑ NEW ❑ AO�ITION flx,ALTERATION ❑ REPAIR ❑ D[MOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> V111U�T10N OF W011N 1COSi OF M�tERI�LS VlUS L�90Pi <br /> DESCRIBE WORN <br /> /x/sT��L �AS �uR,t/�)c.£ �x1a Lv�T�. 1-�E,�'T�i�2 <br /> USE BUILO�NG <br /> �D��� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS Ap• <br /> PLICATION AND KNOW THE SAMETO BETRUEANDCORRECT.ALL <br /> LEO�lDESCNIPtIONOFPPOPERIYISNOWNBELOWON1TiACHFOUPCOPiE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BE COMPLETED W�TH WHETHER SPECIFIED HERE- <br /> �oi_eioc�—or IN OR NOT.THE GRANTING OFA PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. . <br /> SIGNATURE O CONTRA�TOR OIl AUTHOF EO AGENi pq7E <br /> � <br /> x S_c�_ g�, <br /> PROJECT�ODflE55 � � � �PPLIG�DCI1Y9p51NE5$�ICEN NO <br /> 3�/ ��D# �Y6 <br /> PLUMSIN6 MECMANICAL <br /> NO. T'PE OF FIfRURE OR ITEM FEE NO. TYPE Of EOUIPMENT PEE <br /> WATEP CLOSET�TOIIET) NC—A/MNOIG UNITS—H.P. <br /> BATMTUB REFflIGERATION UNITS—H.P.EA. <br /> LAVATORY�WASN BASIN� BOILERS—B.T.UM.P. <br /> s��A OAS FIRED A.C.UNITS—B.T.U. <br /> IfITp/EN SINK i DISP. FORCED AIR SVSTEMS—B.T.U. M EA. <br /> dSMW�SMER WIILLHE�TERS—B.T.U. M <br /> LAUNDRVTRAY UNITHEATERS—B.T.U. M <br /> CLOTHES WASMER EVAPORATIVE COOLERS <br /> ���� CLO7NE5 ORVERS <br /> ORINKIN6 FOUNTAIN VENTIUTION FAN <br /> FLOOR DRAIN - RAN6E MOOO <br /> BACKROW PREVENTERS WATER MEATER <br /> ROOF ORAINS—FAINLEAO[RS WOOD STOVE � <br /> SINI(�SERVICE—BAR.ETCJ METAL FIREPUCE 8 CHIMNEV <br /> FIREPUCE INSERT <br /> HEATPUMP <br /> GAS PIPING <br /> � E%MAUSTFAN <br /> SU/TOTAL ! SUlTOTAL <br /> PERMR ! KRMNT <br /> TOTAIFlE { TOTALFlE <br /> iRONTSET&1C1t RE�NSEiB�CR SIOESETB�CK �ANCHECKNUMBER FEE REGEIPTNO. � <br /> USE tONE �OT MER. <br /> wcu�tsre FEES VAWATION FEE <br /> OYES ONO <br /> �YPEOFCONST. p��UP1NLYGROUP NO.OFDWELlINOUNIIS BUILDING S <br /> PLUMBING <br /> S12E OF BLDQ NO.OF SfORIES MAL OCC.IO�C <br /> MECHANICAL <br /> OTHER <br /> FIRE SPRINKLERS REOUIRED ❑YES ❑NO STATE BUILDING SURCMAiiGE <br /> STATEENERGVSURCHAHGE <br /> •VV4GAlION�CG BY P�ANS CMEGNEO BY APPq.FOR I55U�NCE BY <br /> PUBLIC WORKS <br /> TOTAI <br />�, PROPERiY OWNERS ARE RESPONSIBLE FOR DETERMININO ALL <br />, � PROPERTV LINE LOCATIONS AND REUTED EASEMENTS <br />