Laserfiche WebLink
� ft <br /> , a E«�, �P LI CAT10 N FO "�`�" ���,�„ <br /> CONSTRUCTION 0 <br /> ���everett PE RMIT <br /> BUILDING DEPARTMENT <br /> � <br /> 258-8810 TO BE COMPLETED IN INK• PLEASE: VRINT <br /> ; ❑ DEMOLITION O COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING ❑'810N <br /> QMN[R M�IL�DOP[SS LIIY ZIP PNONE . ' I i <br /> ��,�,_,� A,.,,, oa,:�r,�y. -�Y 3�u, - Ru�u� av�crr 9��a ,7s�-3�s/ , <br /> �CT 11DE6�ONER M��L�ODPf54 CiTV Iio HONC <br /> O[NfMICONiR�CiOP M�� �DONE55 ��(r `�� �N � Zi� OHE 4CENlE• <br /> f}�$p,� g�,�n�r4.PQ+l� -2tr41G LeIYAUEN� Sblfi'PL6`� ,� �f$ISS 2�Pf' 6E <br /> ECM�M�GLCOMTR�GIOF M�IL�DDRE59 CIN Z�P P ONE ' L�GEN{E• <br /> � ILYMHNOCOHiN�GtOR M��I�DOAE55 Lirv 2iP PUGHE L�CEN6E• <br /> u.0 or wo�. <br /> ❑ HEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDINQ RELOC�TION <br /> V�IW"O�•OfW KICOlTOiM�tfRI�lSPLUlUlORI <br /> �u��� �a <br /> �i W�CM�E WOPK � � ' .. . <br /> ',';' I <br /> '�t�" Of NlIlDINO �/ <br /> � :�B�yy_�7 CL PAIAI�I r I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> iTY1 � PLICATION AND KNOW THE SAME TO BETRUEANDCORRECT.ALL <br /> 'l;1(W1LD[K�tlRiONO�PP00ERTY�lNOWNBEIOWONIqI�GNfOUPLOO�E51 PROVISIONSOFLAWSANDORDINANCE360VERNINGTNISTYPE� <br /> • OF WORK WILL BE CUMPIETED WITH WHETHERSPE�IFIED MERE• <br /> �'���Q ��a�o� �lI1SlON N GI E AUOTHOR TVRO VIO A�TE OR C NICELOTME PROVISIONS OF` <br /> - � ANVOTHER STATEOR LOCALLAW REGULATIN6CONSTRUCTION <br /> � OR THE PERFORMANCE OF CONSTRUCTION. ,�- <br /> 516NATUPEOF ONiP� RAUTNORI2ED�GENT D�TE � <br /> d! , <br /> '�����T���� • Li 9CrtYlUSIHE 9 ENSEHO <br /> � <br /> �LUM�ING MECNANICAL <br /> Np. TYr!OF Fl%TU11!OII ITEM FEE NO. TY�E OF EOUI�MENT �[ <br /> ' W�tE�CLOSET ITOaETI MC—AMNOLI3 UNIT$—MP <br /> ,'� .,.. �TM� REFRIGEF�TICN UNITS—M P.Fi�. <br /> ' � UVATONY�WIISNB�S�N1 8^IlEFS• BT.UMP. ' � <br /> - „ .��R O�S FIREO�.f:.UNITS—B.T.U. <br /> •~•t;" KITCMEN SINK L DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> ' p�w�HEp WALLMEATERS—BT.U. M <br /> �{�� UNITHE�TERF—B.LU. M <br /> uu+o�r rn�r <br /> ��j�pyh� ' CIOTMESW�SHER EVAVORIITIVECOOLERS <br /> ;J� " ' "" '1/111NA1-� CLOTME5DNYERS <br /> � OMNRINO FO'JNTAIN VENTILAT70N FAN <br /> „ ��p pR���� R�N6E HOOD <br /> '.�..- .. BACKFLOWPREVENTERS W�TERNEATER <br /> ROOF DPAINS—N�INLEAOERS WOOD STOVE <br /> ���^ MEf�I FIREPLACE 6 CMIMNEY <br /> SINN�SERVIGE—B�N.E7'CJ <br /> FIREPUCE INSERT <br /> MEAT PUMP <br /> _ .. GAS RPIN6 _ <br /> E%N�USTFAN <br /> i <br /> fU!TOTAL i W!TOTAI <br /> rE11MIT i KIIYIT <br /> TOTAL fE[ f TOT11L fL[ <br /> MONTt[iB�CK � Af�RSEiB�GK si�ESEiB�Cn � PIANGMEC NUMBER FEE NECEIPTNO. <br /> � � ' � /973� `�G� 9s�ly <br /> uee tor�e �Of�RE� v.c. r �re FEES VALUATION FEE <br /> �/ OYES NO <br /> BUILOING S � <br /> iYPEOFCONS OCGUP�NGYGHO OOFOWELLIN NITS <br /> • � � .�� PLUM8ING <br /> {�2EOFBlOa � MOOfSioRiES / HAIIOG=tOeO � MECMANICAL <br /> �� � <br /> OTMER <br /> FIRE SPRINHLERS REOUIRED YES O NO STATE EUILDING SURCMARGE 3 S <br /> � STATEENERGYSURCHARGE <br /> I�YC�ICAIION�CC B� PLANSINEGkEO BY �PPR fOR ISSUANLE BV PUBLIC WORKS <br /> '(�nl�-n �/� � TOTAL <br /> ��VlyYl <br /> PROPERN OW NERS ARE RESPONSIBLE FOR DETERMININO ALL <br /> PROPERiY LINE LOCATIONSAND RELATED EASEMENTS <br />