Laserfiche WebLink
�:�`'PLICATION �OR�:�) � ���,�„� '. <br /> ,".E",°'"" CONSTRUCTION <br /> GIT'OF <br /> everett PERMIT � <br /> BUIIDING DEPARTMENT <br /> 259•8010 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION �COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEA M�ILAOOf1[59 CItY ZIP PIIONE , • <br /> T�r,�a �i�z� ��,�o A-�,� r�� Q�z�r� 3 C'3 4589 <br /> ARCHIIECIO�Ok9�ONE11 MeiL�0ANE59 Clrv ZiP PIIONC <br /> �.�,��a �,.,,�,� /YIAcN/vi_t95er' <br /> (IEHER�L WNiR�G�Ofi Me1L�UOnE99 CIIY LiP OPONE UGENSE• <br /> ?-/'3'J��d Na�n�l�S_ <br /> M CN�viGICONIIULIOR M�IUOO�E99 CI1Y iiP PIIONE UCENSE• <br /> CWMBw0:�N10�C1011 M�R��OIIE59 CrtY ZiP PIIONE IiCENSE• <br /> CUSSOf WORR <br /> �NEW ❑ AODITION ❑ ALTERAiION ❑ REPAIR ❑ D[MOLITION ❑ WOO�STOVE/�RVI.INSERT ❑ BUILOING REIOC�TION <br /> v�LU���DH u�wc��M Ico91 or Mel[mnts rlUs l�llonr <br /> �?-�a ^ �(>� ('Xo� °O _ <br /> oElcA�oE wonK <br /> n� ,� �-r- ��-���--� <br /> use oo euuoina I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT.AlL <br /> l\OALO!lLIUPIIONO�oRO�EIlIY19110wNBElOWOR�tUCHipU11COPIE51 pqOVISION50FlAWSANDORDINANCES00VEFNINGTHISTYPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIEO FIEFE• <br /> ioi�a�oc�—or_ IN OR NOT.1"HE GRANTING OF A P[RMIT OOES NOT PRESUME TO <br /> OIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF <br /> ���' A�T—q��SG'"� �NYOiHERSTATE09LOCALIAWREGULA7INGCONSiRUCTION <br /> — �� OR TNE PERFORMANCE OF CONSTFUCTION. T1 <br /> SI�NAIURE OF CONfR� TOII OIi�UiHORIZED�G� b�iE J/ �� C8� <br /> � <br /> VROJEC��OORE95 �oPl�C�S IfY BUS lE53 UCENSE NO <br /> PLUMBINO MECHANICAL <br /> TYPE OF FI:(TURE OR ITEM FEE NO. TYPE OF EOUIPMEN7 FEE <br /> WIITER CLOSET�TOIIEi) A/C—�/NNOIO UNITS—N.P. <br /> BATMTUB REFRIGERRTION UNITS—H.P.EA. <br /> LAVATORY�WASHHASIN� � BOILERS—B.T.U./H.P. <br /> SHOWER � �AS FIREO A.C.UNITS—B.T.U. <br /> KITCHEN SINK d DISP. FORCEO AIR SVSTEMS—B.T.U. M EA. <br /> DISNW�SHER WA�LHEATERS—GT.U. M <br /> UUNDRY TRAY UNIT HEATERS—�.T.0 M <br /> � CIOTHESW�SHER � EVpPORAiIVECOOLEqS <br /> URINAI. � CLOTHESORYERS <br /> ORINKING FOUNTAIN �ENTILATION FRN �' <br /> FLOOR ORAIN ' �7�NGE HOOD — <br /> BACKFIOW PREVENTERS ' � WATEFi HEAtER <br /> ROOF�RnINS—Rn�NLEADERS WOOD S70VE <br /> SINK�SEFlVICE—BAR.ETC.) METpL FIREPLACE�'l CIiIMNEY � <br /> FIAEPLAGE INSEfIT <br /> FIEAT PUMP <br /> — GAS PIPINO <br /> E%H�USTFAN <br /> SUETOTAL 3 — 9UBTOTAL — � <br /> FERMIi ! FCRMIT � <br /> T0TJILFEE S TOT�LFEE — <br /> tHUNt5E104LM nE��5El0�CK 91DE9El0�CN � �NCHECKNUMBER FEE ^Z RECEIPTNO. . <br /> 20 2c .�5� �IOCv f�`I�'' q7�E$1 <br /> useturg+ wrnnen ��NTSIIE PEES VALUATION FEE � <br /> 1�Z ves oe,o �7 <br /> fYVEO�I/ NST OCCVPA4GYGOOUP N .OFOWFILINOVNIfS BUILOING S �J�"' � <br /> ' ,..r�.'� � —� Z PLUMBING � w <br /> SRE O+��B100 r+o ar sionies M�x.00C LO�U <br /> 2 G�Z S� p Z N/¢ MECHANICAL <br /> ';'8�� SF�l� OTHER <br /> FIiiE SPqINKlEi75 REOU�RED �ES �NO STATE B �LOING SURCHARGE � <br /> STATE ENEROY SUHCIi�fiGE � <br /> •I�PUG4110N�CC D� PL�N7C11EGNEOOY APFII.fOI1135U�NGEBY <br /> PUOLIC WORKS <br /> InII ry�, � �_� TOTAL <br /> �Il �1 .�� <br /> PROPERTYOWNEI75 ARE RESPONSIBLE FOR DETtRMININ6 ALL <br /> PpOPERTY LINE LOCAiIONS AND REIATED EASEMENTS. <br />