Laserfiche WebLink
� � � <br /> `".E"'°"'° r�CONSTRUCTION� ! "°"" <br /> cm or <br /> everett PERMIT � <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK- PLEASE PRINT <br /> O DEMOLITION ❑COMAINATION ❑ BUILDING ❑ MECHANiCAL ❑ PLUMBING ❑SIGN <br /> OWNER ZL�JS' .d�q11DOPE55 Citt ZiP PMONE <br /> S�G T T/1N /'irE' Oq�er �� �¢v, ' Cve2cT,- /2%J 9b1C'/ zs i --pz6 r <br /> �RCMIIECIOADFS�ONER MSIL�0URF55 Cltt ZIP vl�-0NC � <br /> GFNEI��LCOHIR�CIOR M11l�DOtlE55 Cm (II' VupNE LIf.fFsf • <br /> RRCHAfE E•�rf..iPiriJEf Cazo, /�p.Iv�9¢7 /�/urr2 rcc , 6z'.4 9�17s 3s 1-S/47 VU/.'U1Ec�f7JG <br /> MFf.N�NiL�ICONIR�CfOq MMI�DORE55 Cltt ZiP PNOHE �ICENS[• <br /> PLUMBiNOCONIH�CiOR M�II�DDFE55 Crtv Z�P PUONE �iCENtiE • <br /> CL�550�WOAM <br /> ❑ NEW ❑ ADOITION ❑ ALTERATION �REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSEFT ❑ BUILDING AELOCATION <br /> V�IWI NO�WORMILOSIOfM1�CO11lAPLWL�BOR1 <br /> �`'/6.ab-� <br /> ocscn�ee�von. <br /> ReQ!//�o C24GKEo H�9'JU,v/tY H//�'LG S <br /> usr or ew�mr�a <br /> F?/1TE/l�fi�1� �'2 OEi2 I HERHBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AR <br /> PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECt.ALL <br /> IEG�LUFSCRiPLONO�PROPERfvbHOWNBELOWON�1i�GHfOURCOPIE51 PROVISIONSOFLAWSANDORGINANCESGOVERNINGTHISTVPE <br /> S-9 S ,�,� E✓G?/16';� L�Ai/O �O , OF WORK WILL BECOMPLETED WITH WHETHEHSPECIFIED NERE� <br /> io�—e�oc ov INORNOT.THEGRANTINGOFAPERMITDOESNOTPRESUME70 <br /> / ,s �' AODN' GIVE AUTHORITY TO VIOLATE OR GANCEL THE PROVISIONS OF <br /> SOU�`/�/ /r ANYOTHERSTATEORLOCALIAWREGULATINGCONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. . <br /> SIGN�IUNE Oi CONTR�GiOR OR�UTHORI2ED AGEN7 II�fE <br /> X �GL!' `j�„�� 7-.��b7 <br /> PPOJECi�ODRE95 Zy S �'KES APPLIGANtS YB iHE55liLL �ENO <br /> �� CL'RNt2 <br /> PLUMBIN6 MECHANICAL <br /> INO. TYPE OF FIXTURE OR ITEM FEE NO. TYFE OF EOUIPMENT FEE <br /> IWII7ERCl0$ET�TOILET� NC—A/MNOLGUNITS—HP <br /> � BAIHTUB REFRIGERATIONUNITS—MP EA. <br /> � UV�TORY�WASH BASIN� BOILEFS—B.T.0/M.P. <br /> � <br /> ) $HOWER GASFIREDAC.UNITS—B.T.U. <br /> � KITCNEN SINN 6 DISP. FORCED AIR SYSTEMS—B1.U. M EA. <br /> E OISHWIISHEH WI1I,LHEATERS—B.TU. M <br /> � UUNDRV TRAY UNIT MEATERS—B.T.U. M <br /> CIOTHES WASHEP EVAPORAtIVE COOLERS <br /> f URINAI CLOTMES DRYEFiS <br /> i DRINKING FOUNTAIN VENTILATION FAN <br /> FIOOR DH�IN qqNGE HOOD <br /> BACNFIOW PREVENTERS WATEF MEATER <br /> POOF ORAINS—RIIINLEADERS WOOD STOVE <br /> SINK�SERVICE—BAR.ETC� METAL FIREPLACE 6 CHIMNEY <br /> FIREPLACE iNSERT <br /> HEATPUMP <br /> GAS PIPING <br /> EXMAUSTFAN <br /> SUSTOTAL = SUOTOT�L <br /> iERMIi { P[pMIT <br /> TOTAI FEE ' f TOTAL FEE <br /> �FOHiSEfB�CN RE�ASEtB�CK SIOESEIBA�N %.ANCHECKNUMBER FEE HECEIPTNO. <br /> U$ftONE ioren�� y�CANt9fE FEES VALUATION FEE <br /> OYES ONO <br /> �y�;0�CON41 OCCU��NCYGHOUP NO OF UWEILIN�UNIiS BU�LO�NG S <br /> PIUMBING <br /> SIZE O�O1�0 NO UI510PoE5 M�R OCC LOAD <br /> MECHANICAL <br /> OTHER <br /> FIRE SPRINNLERS f7EOUIRED ❑VES ❑ NO STATE BUILDING SURCHARGE <br /> $TATEENERGYSURCNARGE <br /> •Vpl�C4110N�CC Bv 1'UNSCNEG1tE08Y APPp.FORI55WNCEBV <br /> PUBUCWORKS <br /> TOTAI <br /> PROPERTY OWNERS ARE f_SPONSIBLE FOR OETERMINING ALL <br /> PROPERTY LINE LOCATIONS AND PELATEII EASEMENTS. <br />