Laserfiche WebLink
APPLI+CATION FOR ���,�„ <br />'°'E"ro"'° �ONSTRlJCTION <br />�,noF e <br />everett PE RM IT <br />�EPT OF COMn1UNITY DfVEIOPMENT SERVICES <br />UTY HALL 259-8745 <br />eveeerT.wnvezoi COMBINATION ❑ BUILUING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />nNwv . M.0 nuuxiu cm zm vHo�+[ <br />�/PM� <br />��If�N`ilM1l(1410.�CtOq nUII�DUNI15 ❑11 /IY PHOS! lIC[NSEI <br />Pll\1111\CUR1R\CfOR �InIlAO0P155 CIIV ZIP VHON[ lICWS[� <br />t l ��� UV AA'O0.K <br />I�J'JE\Y ❑ADDITION ❑ALTER�TION ❑REP�IR ❑DEAtOLITION ❑FENCE ❑$ICN ❑GARAGE ❑BUILDING RELOCI.fION <br />\M1L4110fy� O�f �NORI. <br />�f /�/ 1 //�/ �� <br />UISINIp NON� <br />u ini ni rcnni,c <br />11'l�l DISCNIPLOi OI PqpPIAIY Ii110NN Hf�ON' ON Al1A111101IR (DYIHI <br />��, � <br />ior.)-_31 xioc.C.��or �Ltc,ici�:�� �'yT <br />inu vnc��� <br />zls�-- � ��.� <br />PLUMBING <br />NO. TYPC OF F <br />(}� N'n11HCIO5lT�i011F71 <br />fl�1nLU11 <br />5�10N4 N <br />AI7CHf `1 SINR d 0�51' <br />DISN'�SMf N <br />���itipH\ iRA\ <br />ClO1H(5 N'ASMFH <br />URINAI <br />DRINKItiG fOUtilAll: <br />Hook oen�N <br />YACUU.�1 FlFf AAf RS <br />0.00f DH�INS-HAINLUOfRS <br />SItiA 15f N�9C[ -ltAR f iC 1 <br />; i. �. .. . - /.' . <br />11N� <br />USE 7.0�[ Z <br />�- =J <br />*1PE Of CON51 <br />-y'- �=. ; <br />y4_I O: dtDG <br />:.I,..��.� >.r. <br />IBf ZO'�[ <br />SUB TOTAL <br />TDTAL (EE � <br />IlfiSCiH�CK RUN <br />I HEf.E6Y CERTIFY THAT I HAVE QEAD AND EX�M�NED THIS AP- <br />PLICATION AND KNOW THE SAME Tli Ci TRUE AND CORRECT ALL <br />PROVISIONS OF LA�YS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK \YILL DE COMPLIEO WITH WHETHER SPECIFIED HEREIN <br />OR NOT THE GRANTING OF A PEHMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />V(;N�tTGRF'QI CUNIHAC70R OR AUTMORIZCD AGENT OATE <br />x <br />FEE �NO. TYPE OF EQUIPMENT FEE <br />�j�J �B(OtiD U�IiS-MP FA <br />NEfRIG[NA710NUNITS-HP CA <br />.( , f!OItlHS-HP EA <br />GASFIREDAC UNI75-IONNAGE U <br />G%U <<�RCtI) AIN StSIbNS-H T U M E� <br />1vAtl Mf Atf NS-N f U ,\1 <br />�tiI1111A1IN5-fllU M <br />I����UeAfI�Y COOLFRS <br />(IOiHfS OH�INS <br />�:�J al'+IILe�IONi-AN 1 <br />NAnGI M(�.7 <br />iE> �'Y; ,ie runounc uvit— c r n� <br />❑Ol'k <br />U! Nl IIN[PUQ 6 CHIMNEY <br />lOi ABkA VAUN1 Slll <br />i,1f-L�.L� . .-,:v+s cno <br />OCN�ArvCY rROUP NO OF DWfLIIN( <br />n0 Of S70RIF5 n1A% OCC LOA� <br />i. ., <br />`1 � <br />HASlMEN7 IIIUkUUMS IIRI SPHINKIIHS <br />XFOUINID <br />APPROVAIS <br />1 !!�\'INONM(NTAI CMlCK U57 <br />7 9U�L61NG PUNS <br />J fIY,[ MYDPAN7 <br />� FIR[PROifC710N5Y5Tf�� <br />5 GRAUINCI%U\'AtIONb(:IUNINQGRUHHMC <br />b ou+i�:ncE <br />7 [NVIRONMFNTAL IMPACi S7Al[MFNT <br />e ��[nn�� oisrRicr <br />APPlIU710N ACC BY PUNS QILCKFD fll <br />7 <br />P[RMIT 3 <br />TOUL fFE f <br />PUN CHtCI: �U.+�flCN �lnN CH(CK FFE <br />fft ) RCCFIPT NO <br />C��_7 � �L- z ��I � � �7 � <br />FFES VAlUA710N fEE <br />uUlli)ING � 1 ���SL� G��L�� <br />ri u..n, i r+c <br />Al!( MAvil'11 <br />!� DATE 011�ltRY � J71a1 <br />UIIC <br />APPR IOV ISSU�HU HY <br />TOTAL <br />�EIIMIT VALIOATION <br />\VHtN PRUPlRLY VnIIDAfkD11N TMIS SPAC[1 THIS IS YOUR PFRMIt <br />/�!G-"t_✓,�.dNiG,�DG %.oNS 7c.� f?,L." <br />lJ('.I/6�-�'t!J/T/G'%� F�"�'�' /vfC�iCf'.d/i//lrlt.. <br />C. �P�v7J?QG717�' - <br />NiLZ%f•/G�%!`•c�T '�'c:J F'.� �f3i-•��n-��L"r-� <br />/'�; Nrc_-c�.. Gck.7.� �c . <br />