Laserfiche WebLink
,�.Ewro�.� �:�PLICATION f01:��`� ���,�„ <br /> ��TM°� CONSYRUCTION e <br /> everett PERMIT <br /> BUILDING DEFAA i MENT <br /> 259-8810 TO BE C011APLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION J�f BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEN MMl�DORESS Gltt Z�P PIIONE <br /> T� T�:�� � �►� I N u �_.A-kE �QCE�u��e, 5r� �� s+cE�a�,�n �a" �5�35'93 <br /> �RG rtFCiO OFSiONEH M�iLADOPE55 CiTV 2iP PNONE <br /> �v5be i' l�IHLK�TJ,(J4 /N7�,�A74Ti� �L�ill sE Er�G'� �'lAylu�.y F�JF�n,lc� S�Zo� <br /> GfNERALCONiRACTOP �R�DDBESS G�iY 2iP �NONE �./�1 '�'SS�ICENSE• <br /> �r o <br /> ,��(�l[.D /GL/�t-w�5 C'�i,vs�c��;7� 8�9-�`�PGs,i�i. EU�%/�IGH �i92oR �t�,ar�U/rn�tuz�rT <br /> ME N NiGLCONTP�CiOq M�IL�ODNE55 bfY 21P PMONE LICENSE• <br /> ,�Jba�E <br /> PLOMBINGCONiP�GTOP ' 1 / ��G MMl�U0NE55 CiIY 2iP PupNL LIC[NSE• <br /> N�l�/(� <br /> GLASS OF WOPN <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOJDSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> V�L W PON OF WORN iGOST QF MATEN1�lS Pl l<BOfli <br /> �� Lf 7 �_� � <br /> E �'-- <br /> OFSCRiBE W HN <br /> • G�_A-cv 't �GU1�O�D��Gt2�x�i <br /> USE OF BWLUiNG <br /> I HER[BY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> PLICATION AND KNOW THE SAME TO BETRUE ANDCORRFCT.ALL <br /> LEO LO SQCRiP+�ONOFPHOPERtt�SHOWNBELOWON�iteLNFO1IRCOPIE51 ?qOVI^IONSOFLAWSANDORDINANCESGOVERNINCaTHISTYPE <br /> �r��4:ocKL�.ov C� � � OFWORKVIILLBECOMPLETEDWITHWHETHERSPECIFIEDHERE- <br /> IN Ofi NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> � ANYOTHER STATE OR LOCAL LAW PEGULATING CONSTRUCTION <br /> OR THE ERFORMANCE OF CONSTRUCTION. � . <br /> SIGN U "OPCONiR�CTC�ROi�AUiMORIZEUAGENT OATE <br /> X , � z -z3-�d <br /> PROJECT�DDRE55 �� // � LICANTSCIfYDU51NC55LiCE11SEN0 <br /> 5 �, �' � � <br /> PLUMOING MECHANICAL <br /> NO. TYPE OF flXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� A/C-A/HNDLG UNITS-M.P. <br /> BATHTUB NEFR�GERATION UNITS-H.P.EA. <br /> UVATORY�WASM BASIN� BOILERS-O.T.U./H P. <br /> SHOWER GAS FIRED A�C.UNITS-B.T.U. <br /> KITCHEN SINN OISP. FORCEO FIR SYSTEMS-B.T.U. M EA. <br /> DISHWASMER WAILHEATERS-B.T.U. M <br /> UIUNDRV TRAV UNIT MEAT S-9.T.U. M <br /> CLOTHES WASFIER EVAPORATIV "OOLERS <br /> URINAL CLOTHES ORVE9 <br /> DRINNING FOUNTAIN VENTILATION FAN <br /> �FLOOR OR�IN RANGE HOOD <br /> BIICKFLOW PREVENT WATER HEATER <br /> ROOFDRAINS-R LEAOEflS WOODSTOVE <br /> SINK�SERVIC BAR.ETC.� MEfAL FIREPUCE 6 GMIM <br /> FIREPLACEINSERT <br /> NEATPUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL 3 SUBTOTAL <br /> PERMIT f PlRMIT <br /> TOTAL FEE f TOTAL FEE <br /> lRONf5E1B�CM NE�NSETB�CK SIOESETB�GN �.ANC ECK�-N}�UAIBER FEE 4 NECEIPTNO. <br /> � — �� � -l �o�v�J �U � ��Jc��J� <br /> USE t/O�HE LOT�PEA /y yAG�NT SITE FEES VALUATION FEE <br /> L' — / NT �.E5�11� . <br /> ttPEOFCONST OGLUP�AjNGYGROUP NO.OFOWELIINGUNITS BUILDING S <br /> �-fy /�J�2 '�'� PLUMBING <br /> 5¢C Oi BL00 NO OF S10RIE5 MR% OCC t0�0 <br /> /t�� S �N�Lgv�L � MECHAtJICAL <br /> ./ <br /> OTHER <br /> FIRE SPRINKIERS REOUIRED ❑YES DCNO STATE BUILDING SURCHARGE <br /> STATEENERGYSURCNARGE <br /> <I'19iCR110NnCC BY PUNSCMECNCUDY APPR FOBISSUANCEBY <br /> � �� ^ PUBLIC WORNS <br /> /J.. <br /> N v TOTAL <br /> PROPERTY OWNERS ARE RESPONSIBLE FOR�ETERMININCa AI.L <br /> PROPERN LINE LOCATIONSAND RELATED EASEMENTS. <br />