Laserfiche WebLink
,�.E,.�,,,M `�-,.PPLICATION FO�.' ���,�n <br /> °�^� CONSTRUCTION <br /> everett PERMIT � <br /> BUILDING DEPARTMENT <br /> 259•e745 TO BE COMPLETED IN INK• PLEASE pRINT <br /> O'6EMOLITION O COMBINATION ❑ BUILDINO ❑ MECHANICHL ❑ PLUMBINO ❑316N <br /> OWNEN MML�DpREB! CITV IIP VHONE <br /> 7.7n�.f SPnNr/I ��/(� k tF. .aF'� Lct'.z.! � T �> i'.?O�/ 35'� ' 7YY1 <br /> •RCNItECTORDE510NER M11L11DDNE!! CIIY =IP PHOHE <br /> OENFMICOHTRl1CTOR MM�ADDIlE99 C�1Y 2�P pNONE <br /> i � L . UC[HSF• <br /> /.�'�r:s.,r'. r C.. �l/.-.. y��/L'�FIGi_•f�i �c..P.i �F.�ti G'y °c<I SS�E 77t- "C ' v.v(Y �31Y <br /> MEGM�H�L�LCONiR.1CTOq MML�DDREB! CIfY 21P PNOHE IiCENSE• <br /> j �1UM01MOCONTIUGI011 M�Il11DOREDD CIIY ZIP PIIONE lKFN9E• <br /> I <br /> I LUSlOFWOqN �� <br /> I ❑ NEW ❑ ADDITION ❑ ALTEF�TION ❑ REPAIR I�UEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDINO RELOCATIOH <br /> V�LWfIOMOF WORN iC09T OF MqEHUlS PlU9 Ul01ry <br /> UtlCRIBE WORR <br /> .�F.'..1.� • E J�;n Y�a..y� /c�E4 <br /> use or eunoiNa . /-- <br /> �� ?�,.• 1.�.�, . —' S�.G 4Crls 1�X��.•.�f w- � HEREBY CERTIFY THAT I HAVE READ AND E%PMINED THIS AP• <br /> � PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.A L L <br /> IEO�LDE3CRIPtIONOFPPOPERiY�SHOWNBELOWOR�iT�GNFO11RC01'IE9� PqOVISIONSOFLAWSANDOqDINANCESOOVEFNINOTHISTVPE <br /> �or�'L'Lnoc '&�or 7 ' i t ` ��: OFWORKWIILBECOMPLETEDWITHWHETHERSPECIFIEDHERE• <br /> IN OR NOT.THE ORANTIN6 OI�A PERMIT DOES NOT PRE8UME TO <br /> QIVE AUiHORITY TO VIOLATEi OR CANCEL THE PROVI310NS OK <br /> ANV OTHER STATE OR LOCAL LAW REOULATIN6 CONSiRUCTION <br /> OR THE PERFORMANCE OF CONBTRUCTION. <br /> .SIO NREOFCONTP�CTORORAUtHORIiED�OENT O�TE�D�'a� <br /> X �.Cl,,/ <br /> ��� � 'k.....-c__ <br /> VROJEGf11DUAE3! �PPLIC�NTOCItYlU.INE lI�CENSENO. <br /> r� L.G " C UC N�'•�-- <br /> RUMSINO M[CNANI�AL <br /> NO. T'P[OF FI%TUIIE FEE NO. TYPE OF lOUI►M[NT fEE <br /> W47Eq CLOSET 101LED AIR COND.UNIT9—H.P.EA. <br /> B�TMTUB REFRIOERATION UNITS—N.P.f:A. <br /> LAV�TORY WASH B�SIN) BOI�EHS—H.P.E�. <br /> 9HOWER OAS FIREO AC.UNIT9—TONNAGE EA <br /> NITCNEN SINK{013P. FORCED AIR 9VSTEM3—B.T.U. M EA. <br /> OISHW�SMEq W�LLHEATENS—B.T.U. M <br /> L�UNDRVTR�V UNITHE�TER9—B.T.U. M <br /> CLOTMES WASHER EVAVORATIVE COOLERS <br /> WATER HE�TEN CLOTMES DRYERS <br /> URINAL yENTILATION FAN <br /> ORINKINO FOUNTAIN RANOE HOOD <br /> FLOOR OFAIN �IR HANDLINO UNIT— GF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF ORAINS—qAINLEADENS METAL FlREPUCE 8 CHIMNEV <br /> SINK�SENVICE—B�A,ETC. WOODSIOVE/FIREPUCE INSERi <br /> HUe TOTAL SUBTOTNL � <br /> PEFMIT { PEHMIT � <br /> � TOT11L FEE t TOT11l FEIi / <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> �AONIgETB�CN RE�RSEiB�CN SIDE9E18�CK PUNCNECRNUMBER PL�NC��ECKIEE <br /> iEE BECEIPINO. <br /> USE IONE Lpf AOG y�C�NT SIfE <br /> OrES ONO fEE! V�LU�TION fEE <br /> 1VPEOILObSf. OCCUFANCYGAOUP NOAFOWEILINpUNlf9 <br /> � BUILDINO ! � <br /> SRE OF BlpO NO Ot SiORIES M�[OCC.LOAD <br /> PLUMBIN� <br /> MECM�NICnL <br /> FIRE SPRINKIEPS REOUIREO ❑VES ❑NO — � <br /> OTIIER <br /> PEN�LTY <br /> �PC�IL�IIONACC 9Y PL�NSCNECkEOBY APPN.fOpISSU�NCEBY __ � <br /> ror�� <br /> L . C. . - <br /> � <br />