Laserfiche WebLink
�. <br /> , �:1�,E,,,,,,, �iPP LICATIO N FO� �,�,�„ <br /> �� CONSTRUCTION <br /> ' everett PERMIT `� <br /> � BUILDING DEPARTMENT <br /> � 259•8745 TO BE COMPLETED IN INK• PLEASE PRINT <br /> O DEMOLITION �COMBINATION ❑ BUILDIN(i ❑ MECHANICAL O PLUMBING O SI(iN <br /> , p1111E11 MML ApD ! G�T' 21P P110NE <br /> � �. . D. � 3�3 �/�/� �Pi��� zmy,� <br /> MCM RC7 ��ER M�IL ADDNES9 CITV ZIV PNpNE <br /> �M �r <br /> OEpE t1111CTOp IL�DDPE39 CITY 21P PNONE uGENBE• <br /> �✓/�I�� �. �16 .3G3 /���,/�•..� 9Pz�i 3rs-y�,� D�r•N�ci�Z.1�.1 <br /> � MECNMIICAL CONTIUCTOq M Il� DRES!/ CiLY 21P PHONE LI�ENSE• <br /> �t+�.�.^, s�s� ��o�i../ �v<r+� �✓1 <br /> ►LUIMINO C N 011 MAIL�pOqEl6 CiTY 21P PIIONE IICENSE• <br /> � ��°����. Ai�,�6:� �t.�,� �� <br /> 1 ClA6!OF NM1711K <br /> 1 �y <br /> .� 1p, NEW C� ADDITION ❑ ALTERATION REPAIR ❑ DEMOLI710N ❑ WOODSTOVE/FRPL.INSEHT ❑ BUILDINO RELOCIITION <br /> �� YKY�TKAIM O'F WOIIk�C09T OF M1ITERULS PLIIB L�BOR1 <br /> ' W � <br /> ! OE�C111�E RR <br /> � F,•M,,� F/ao� - .� �-�. .,� � <br /> } u�w w o�no / D . <br /> �•w �� I HEREBV CERTIFY THAT I HAVE qEAD AND EXAMINED THIS AP- <br /> �� PLICATION AND KNO W TH E SAME TO BE TRUE AND CORRECT.All <br /> � LEO�LLDE�CM OF►BOPERTY�BHOWNlEIOWOR�Ti GNf RCOPIEH� PROVISIONSOFLAWSANDORDINANCESOOVEANIN6TMISTYPE <br /> t I�S � �� OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br /> .; �or_�ioc 7i�'��' or �� i` � IN OR NOT.THE 6RANTINa OFA PENMITDOE9 NOT PHESUME TO <br /> ! OIVE AUTHORITV TO VIOLATE OR CANCEL TME PROVISIONS OF' <br /> ANY OTH ER STATE OR LOCAL LAW REOULATI NO CONSTRUCTION <br /> � OR THE PERFORMANCE OF CONSTRUCTION. � <br /> I <br /> � 1 91ON�TURE OF CONTR�CTOR OR AUTHORIIEO AOENT ��TE <br /> i X �iJ , � 8� <br /> ; <br /> � R/OJECT�DDRE89 !� � �PPLIL�Ni9 CITv 6USIN 5 UCENSE N0. <br /> -I //DO //�'� �L <br /> �'i RYM�INO MECNANICAL <br /> � NO. T7E OF FIKTUIIE FEE NO. TTE OF fOUI►MENT FEE <br /> � WATER CL09ET iOILE AIR COND.UNITS—M.P.EA. <br /> � MTMTUB qEFRIpERATION UNITS—H.P.E�. <br /> j LAVIITORY WA9M B�SIN I � BOILEi79—H.P.E�. <br /> � 6NpWEp ' O�5 FIRED AC.UNITB—TONNAOE EA � <br /> � KITCHEN 81NK�Di6P. FORCEO Aln SV3TEM5—B.T.U. M E�. <br /> � 018MW�6HER WALI NEATERS—B.T.U. M <br /> � LAUNDRYTRIIY UHITMEA7ER5—B.T.U. M <br /> � <br /> '� CIOTHEB WASNEH EVAPOMTIVE COOLEHS <br /> �� WATER HEATER CIOTMEB DHVEHS <br /> UNIN�L VENTIL�TION FAN <br /> ORINKINO FOUNTAIN pAN6E HOOD <br /> FLOOR DRI11N AIR H�N�LINO UNIT— G.F.M. <br /> VACUUM lREI1KER8 STOVE <br /> ROOF�MINB—RMNIEADERB MET�L FIREPLACE 8 CHIMNEV <br /> SINK BEMICE—B�R ETC. - WOODSTOVE/FIREPLACE INSERT <br /> �U�TOTAL � 6U!TOTAL • <br /> OEIIMIT � PEIIMIT { <br /> .y <br /> TOTIIL FEE t TOTAI FEE � <br /> ��' THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> ' FMOMT 6ETBIICN AE�R SETB�CK SIDE 9ETB�CK PL�N CNEGN NUM9ER PL�N GMECN fEE <br /> � P� /V O��j FEE � r RECEIPTNO. A �JC.f/'_ <br /> � U!E 20NE LOT�RE� � /��v � � C/ ���� <br /> V�C�NT SITE FEE! ��LU�TION FEE <br /> � DYES ONO <br /> TYPEOFCONBT. OCCUP�NCYGROUP NO.OFDWELlINOUNItS � <br /> � �12E Oi�LDO. NO.Of STORIEB M�A OCQ IO�D BUI�DINO i�w�. [p SC� <br /> � PLUMBIN� �. --- <br /> MECM�NIC�L <br /> � I R$REOUIfiED ❑ YES ❑ NO <br /> ,j OTHER <br /> 1 <br /> � PENRLTV <br /> A �PPUC�TION�CC.BY PL�NS CNECNEp BY �PPR.FOfi IBBU�NCE BY <br /> � TOT�L <br /> �� /�,, L . G <br /> ��zo7� P� � N/�v <br /> a <br /> ���� PZ�'� <br /> — ,-•. - -�.• �- <br />