Laserfiche WebLink
� <br />�.�� <br />. :'f pTY OR •.. .. <br />� � ��everett <br />' ' BUILDING DEPARTMENT <br />�,269•8810 <br />`�' PLICATION FO '" <br />, ' �CONSTRUCTION � <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />���rcn <br />e� <br />��❑ DEMOUTION ❑ COMBINATION O'bUILDING ❑ MECHANICAL ❑ PLUMBING �' � SIGN <br />'� OWNER M�IL��OHESS Cltt 21P FNONE i;' : <br />P_�1-�_ a-1 12�,.1r._ __ 3�an n/ «.,,. ��o..off 4aui �sv-�rrc� �, <br />�nc�G /�cC�wc�Ceh �q5'00 i�rtc ���'C �"i����-rtys� Feclk'n�! 4C_�o�R'37-6If( 1 Nw"C4AIGl70L <br />OENEPALCONTRIIGTOF M�IL�OpRE55 � CItY ' ZIP UCENSE� <br />N w C la rsr� .��� ��. ».e�7 <br />II �� �i 1� �1 �J,1' <br />MEGM�NiG�ICONTR�CTOq MALA�ORE94 C17Y LIP PNONE �. LIGENSE• <br />PIUMBINOCONTP�GTOR MAIL�ODRE55 Cltt ZIP ' PIIONE � UCENSE• <br />CL�6S OF WONN <br />❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BU�LDING FELOCATION <br />WLU�TiON OF WORR ICO51 Of M�TENi�L9 FW 5 L�BONI <br />�'���0 00 <br />oeer.nieE vronK <br />heC � <br />�or ��' W � <br />,'�M10JECTADDFE89 <br />3 9 30 <br />PLUMSIN6 <br />�'`r <br />WIITER CLOSET <br />BATIITUB <br />� LAVATORYIWAS <br />31/OWER <br />� KITCNEN $INK • <br />� DISNWASHER <br />� � ' UUNDRV TRAV <br />' �� � CLOTHES WASMI <br />�� }" � ' URINAI. � <br />,3„ . DRINKINO FOUN <br />�'rJLu��-°..•.' ROORORAIN' <br />fRONTSETB�L1t <br />1 G F+ Zo � <br />�,- N <br />s�oa <br />S <br />OR <br />�Oqn�C1Y.1 <br />�usror�� <br />rERMR <br />TOTIIL f!E <br />RE�R9ET8�'.n <br />Za <br />COT�REA <br />ZS <br />OCGUPANCYGROI <br />.tl — � <br />NO OF 9TORIE9 <br />� <br />P <br />tr', <br />v <br />� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br />COPIE51 PROVISIONSOFLAWSANOORDINANCESC,OVERNIN6THISTYPE � <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTINCa OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL'THE PqOVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTqUCT10N <br />- OR THE PERFORMANCE OF CONSTRUCTION. ���:• i <br />SION�TUNE OFCONTR�CTOR OR AUtNORIZED �GENT O�TE <br />SIOE SEiBACK � <br />6of( � <br />WC�NT SITE <br />OYES �NO <br />N0. OI DWELIINp UN <br />�— <br />M�%. OCC. IO�D <br />�!A <br />LIGFTIONACC.BV IPL�NSCHECNEDBY IAPPF.FOR195U�NCEBY <br />� /� ��' .c. <br />C� <br />♦PPLICANTS GIiY <br />M[CHANICAL <br />IVC — NMNOLG UNITS — M.P. <br />REFRIGER�TION UNITS — H.P. EA. <br />BOILENS — B.T.0 M.P. <br />OAS FIFED A.C. UNITS — B.T.U. <br />FORCED AIR 9VSTEM3 — B.T.U. M EA. <br />WAILMEATERS—B.T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CIOTHE50RYEH5 <br />VENTILATION FAN <br />RANQENOOD <br />WATER HEATER <br />MEfAL <br />sus rorw <br />0[RWi <br />K NUMBER <br />193� <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHARG <br />STATEENERGVSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />FEE�� <br />�a—iti-87 <br />RECEIPT NO. <br />q 3g� <br />PROPERTY OW NERS ARE RESPONSIBLE FOR DEiERMINING ALL <br />PROPERTY LINE LOCATIONS AND RELATED EASEMENTS. ., <br />