Laserfiche WebLink
i <br /> ; � ;-,-PPLICA1�40N FO1�' ���,�„ <br /> fMEwryn�n CONSTRUCTION � <br /> CITY OF <br /> ev�rett PE RM IT <br /> BUILI:iNG DEPARTMENT <br /> ' 259•8810 TO BE COMPLETED IN INK- PLEASE PRINT <br /> � ❑ DEMOLITION ❑ COMBINATION O BUILDING ❑ MECHANICAL ❑ PLUMBING �IGN <br /> � <br /> . � OWNEN 1 M�RADORE55 Litt 21P PNONE <br /> ' 1����n n,n r��i ��n^c� ;�l 3b [")C��C; UI% �\�1__(2� �1� �� <br /> �RCHiTEGTORDkS�aNER MeiL�00RE53 Ci1V l�� R�ONE <br /> GfNER�lf.OYin .IOR MMl�0�NE5S Cirv IiP PUONE <br /> ' o n � f�_ ) n�� �!'�(�ek Zl�� '�"��_cu o��o._ �18�1 o I (�,.2-1=lv����he��?�►v� <br /> MECNI1NiU�CONTNf. !OH M�IL�OUNE55 C�tv 2iP PNONE LICENS • �I� <br /> pIUMBINOCONTR�GIOR M�IL��ON°55 Cirv I�P P��ONE 4CENSE� <br /> GL�SS Oi WOPK <br /> �NEW ❑ AODITION ❑ ALTERATION ❑ FlE?AIp ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> �WW�T�ONOiW RNICOS10fM�iERul5PLl15L�90A� <br /> 4 2n <br /> DElGRiBE WORN <br /> ' K � � I (U <br /> . <br /> use a ew�ou+a <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS AP- <br /> � ' PLICATION AND KNOW THE SAME TO BE TRUEAIJDCORRECT.ALL <br /> �eo �o � IONOFP QPERTY� NOWNBELOWORA1t�GIi�OURCOPIE51 pROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPE <br /> I ,�' ��S o __/SYj �jJ��r( Q�p -� �,1%7/ � OF WORK WILL BE COMPLETED IYITH WHETHER SPECIFIED HERE- <br /> '�d�— �a��...or_�G<��(t IN OR NOT.THE GRANTING OFA PERMIT DOES NOT PRESUME TO <br /> I , , / �,9 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> � .Y, ANYOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTION <br /> '� OR THE PERFORMANCE OF CONSTRUCTION. . <br /> 'I LI _ �7 / _ .�1 � SICN�TUREOFCONiH��TORORAUTHORIZEDAGENT ��TE <br /> I �(Y!' ARJTI / <br /> : �7� 65'1 00 3 p�o x _ r' �v-��7—� <br /> 1 iROJEGT�DDRES3 ���Uf.�NI'SG BUS�NESSLiCEN5EN0 <br /> 1 C <br /> PLUMlING MECHANICAI <br /> N0. TYr[Of FIXTURE OR ITEM fEE NO. TYPE OF EOUIPMENT fEE <br /> � WATEP CLOSET�TOILET� A/C-AiHNDLO UNITS-H P. <br /> � <br /> BATMTUB NEFRIGERIITIUN UNITS-H P.EA. <br /> UVATORY(WASM BASIN� BOILERS-B.T.0/H P. <br /> I $110WER GASFIREDAC.UNITS-B.T.U. <br /> jIfITCMEN SINN�OISP. FQRCED AIR SVSTEMS-B.T.U. M EA. <br /> ipl$MWA$NER WALLMEATERS-B.T.U. M <br /> LAUNORV TMY UNIT MEATERS-B.T.U. M <br /> CIOTML"i WASMER EVAPORATIVE COOLERS <br /> � URIWIL CLOTHE50iiYEFS <br /> 'I OHINKINC FOUNTAIN VENTIUTION FAN <br /> fLOOR DAAIN RANGE HOOD <br /> �' BACKFLOWPNEVENTERS W�TERMEAiER <br /> � ROOFq1111NS-RAINLEAOERS WOODSTOVE <br /> SINK(SERVICE-BAR.ETCJ MEfAL FIREPUCE 8 CMIMNE" <br /> FIREPLACEINSERT <br /> MEATFUMP <br /> OAS PIPINO <br /> E%HAUST FAN <br /> fUeTOTAI f fUlTOTAL <br /> P[RMIT f P[11MIT <br /> TO7ALF[E f T07111FEE <br /> f RONT SEtBACa REeN SEtB�CN SIDE SE1BSCR �'LAN I:HECK NUMBER FEE REGEIPT NO. <br /> 1 <br /> � USEZONE LO1�RE� VACANISItE <br /> � FEES VALUATION FEE <br /> OVES OHO <br /> BUILDING S <br /> n'�EOiCON9f OCCUV�NGYGNOUC NOOFOWEILINGUNIiS <br /> I � PLUMBING <br /> SKE O�BLDO NO O�S10RIES M�k OCG IOAO <br /> � MECHANICAL <br /> � OTHER <br /> � FIRE SPRINKLERS REOUIRED ❑ YES O NO <br /> � STATE BUILDING SURCHIIRGE <br /> 1, STATEENERGYSURCHARGE <br /> � �PPIIC�lION1CC Bv PLu15CIIELNEDBV �PPR FOBi55U� B <br /> PU9LIC WORKS <br /> TOTAL <br /> i <br /> i — <br /> � PROPERN OWNEFS ARE HESPONSIBLE FOR DETERMININO ALL <br /> PROPERTV LINE LOCATIONS AND RELA'i ED EASEMENTS <br /> ; lo.3t?� <br /> . ; ....._... _..,._,..._. _..,__. .. . . _.._. . __. . . .. . <br /> , �z.-•.- --y :� <br /> . . . .. .� .... . . _,.... ��.... .._ •.__ . .. . <br />