Laserfiche WebLink
1 uo?t} :fj'. <br /> I . ,�.Ew,,,,,� ►��PPLICATION FO`�r� ���,�„ <br /> � ��TM�f CONSTRUCTIO�1 <br /> everett PERMIT e <br /> 1 BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK• PLEASE PRINT <br /> i O DEMOLITION ❑ COMBINATION ❑ BUILDING O MECHANICAL � PLUMBING ❑ SIGN <br /> � OWNER M/.�1�P011E53o CiiY Ii� PIIONE <br /> � Ia�a��oN� �•rs?�: y�ol ��,�d/�Pf CVlfe � QSxn� ?N7-ISx� <br /> � �RCIIIRCiOnU[SIpNtN M�ILI1UU11FSS CILY 21P FHONE <br /> � <br /> 1 <br /> � OENEN�IGONiR�G10P MULAD�RESS Ciiv 2iP VNOIIE uGENSE• <br /> 1 <br /> - MELN�NIGLGONIReGtOq M�ILAO�PE55 p11V ZIP PNONE lICE115E• <br /> 1 <br /> � iLUM91NOCONIp�C�O� M�IL�OORE59 C�IY Zu PIIONE LICENSE• <br /> � N��r«� �i.v Es��b. Cr. /d25 G Mni;ne V;tw Dr, �i�n <br /> CL�SSOfWORN � � � `�zvi asr•�wv) /,y•�, �cG-,� zik4 <br /> ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODS70VE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> �� v�twn�O�WOnviL0910�M�IE�uL5PW9LAB001 <br /> � .S�OO D <br /> OESCRIBE WO N <br /> t� P; R �! ,. A � �ef <br /> ' use or ewiowc <br /> [ I HERE3Y CERTIFY THAT I HAVE READ AND EXAMINED TNIS AP• <br /> ' �`��, P�� � PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> lEO�LDESCN�P110NO�PROPERfY�SNOWHBEIOWOP�I1�LNi0URCOf'iC51 pR(�VISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> O( /UFiKWILLBECOMPLETEDWITHWHETHEHSPECIFIEDHERE• <br /> . �o�—e�oc�_or INORNOT.THEGRANTINGOFAPERMITDOESNOiPRESUMETO <br /> ' � GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> . OR THE PERFORMANCE OF CONSTRUCTION. . <br /> � $IGN�IUPE Of GONiR�GTGR OR AUi110f11ZED AGENT OAIE <br /> . X y �.t..�,�.�` 1/-3�8? <br /> PROJEC111DORE5! . �PP�I( iSGIfYBUS�NESSUCE�� �i0 <br /> ; 4�a G���P�.� k��,tt� <br /> � ' PLUNISIN6 MECHANICAL <br /> 1 NO. T1'P!OF FlIfTURE OR ITEM FEE NO. T'PE OF EOUIPMENT FE! <br /> : <br /> WATER CLOSET�TOILET� � A/C—AMNOIG UNITS—H P <br /> � BATHTUB REFRIGER�TION UNITS—N P.EA. <br /> 1 U��TORY(WASM BASIN� 901LER5—8.T U M P <br /> f SMO�MER 6A5 FIRED A C.UNITS—8 T.U. <br /> I KITCMEN S�NK{OISP. FORCED AIP SVSTEMS—B TA. M EA. <br /> i D15/1WASNER WA�(,HEATERS-01.0 M <br /> � UUNpqV TMV UNIT HEATERS—B T U. M <br /> � • CLOiHE5W�5NER EVAPORATIVECOOlERS <br /> Y�• Uf71N�L � CLOTMES DRVERS <br /> � DAINNIN6 FOUNTAIN VENTIUTION FAN <br /> FLOOA DA��N qANGE HO00 <br /> BACNFLOW MIEVENTER$ WATEA HFaTER <br /> � ROOF DaAINS—R�INLEAOFAS WOOD STOVE � <br /> J S�NK ISERVICE—BAR,ETC� METAL fIFEPUCE d LNIMNEY <br /> 1 <br /> FIREPUCE INSE1iT <br /> HEAT PUMP <br /> � GAS PIPINO <br /> � ErNAU$iFAN <br /> � <br /> I fUs TOiAL ! EUlTOTAL <br /> KIIYIT ! G[IIYIT <br /> J TOi�lfcE f TOiALiEE <br /> � �AON�SEIl4R a[�n5[tOKe E�D[DOB�CK �NCM[CKNUMBER �EE RECEIPTNO. <br /> � UiCl04C �OfI�G <br /> �wtu�rr.n[ FEES VALUATON fEE <br /> OYE/ ONO <br /> ' nvcortoN�r pttvru�cron0ue rq O�OwEluNOUNO! BWLDIN6 S <br /> I � PI.UA�BINd <br /> I f�![Of B100 1q pI STpM[/ M�l OCC lW0 <br /> � � MECMAHICAL <br /> a <br /> ! <br /> OTHfN <br /> � INE$PqIHKLERB AEO IRE N <br /> l STATE BUILOINO SUf1CNAR0 <br /> ; . . <br /> ; STATEENEH6YSURCHAP6E <br /> � FIII�CwIqNIGCE• ryA/1�p1[EK[0/T 1V/11�0��/WUKEBr <br /> RIBLIC WORK9 <br /> I � TOTAL <br /> � P(70PEAtY OWNEii9 ARE pESPO1J5101E FOP OEIERIdRIINb ALL <br /> � PHOPEpTV LINE LOCATIONS�H017ELA7ED EAS[1dEHT5. <br /> I <br /> � <br />�._..::�� . �. . '^_ .' '" . _. . . <br /> .' . . .__ _ ._.�.... . ,. . ' <br /> �iw�vw•r..-..�.-....- ,.....__, ......, . .... . . .. ..._ .. �r...tiw <br /> .. vq <br /> _ ..".1� . . . . : . " .. . .. . . . . . . .. �. .. .. � � Y�� SIZP.Fi :-:�Y� <br />