Laserfiche WebLink
k=PPLICATION fOf�-'' ����„ <br /> G`a�'" CONSTRUCTION O <br /> everett PERMIT <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK - PLEASE PRINT <br /> 259•8810 <br /> ❑ DEMOLITION COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑SI(iN <br /> Mul �DD�I55 filv ]�n �ONE <br /> QWHEP � t A IEv�f A E11E <br /> �RGMIfFClORO{9�ONE M��11P�111fS$� C�1V IIP PII N! <br /> 1�tE.ss�o��►� �h�A �SA� �IEQEt[ �i���-a2oo <br /> M�4 �OURL55 f.��v I�P M�pry[ tIGENSE• <br /> OENEe4CON1O�C10� '� �� [IG��AI�`Z I <br /> '�1� �(".l lJLt1 <br /> MfCN�N�UL LON�A�CIOR M�I��ODRL$$ ���Y IIp �' PIIONF UGENSE• <br /> (�t 2�51 <br /> Cl W+PiH�CON�R�G�D11 <br /> M�il DO C �� Z 0 F l CE SE <br /> LL�uSOf WOAK <br /> ❑ NEW � ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLI110N ❑ WOODSTOVE/FRPL.INSERT BUILDING RELOCRTION <br /> �l W1�oM or wOnr.iro5*Or M�ttae�5 r�us 1�nOn� <br /> / <br /> OESCR� E WOA� \ <br /> �� <br /> usc o�eu��o�rya I HEREBY CERTIFY THAT I 11AVE READ AND E%AMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT.ALl <br /> LEO�LDESCMiPLOMO��PO�EA1YiSNOWN9EI.OWON�i1�L��fpUACO��f51 PROVISIONSOFLAWSANDORDINANCESGOVERNINOTHISTYPE <br /> h p��.p-N � M � FTAT OF WORK WILL BE COMPLETED WITH WHETHEN SPECIFIED HERE• <br /> totJL�B�O[�—Or IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> G�VE AUTNORITY TO VIOLATE OR CANCEL THE PHOVISIONS OF <br /> I� Ml N� � sD OR T�E PE FORMA�N E�OF CON TRUCTIONNGCONSTRUCTION <br /> SIGNRIUREOICONffi� O OAAU1110��ZED40EN7 �ATE <br /> X <br /> � M10JELt�DDAE95 •����f. N 'SU�fBU5�NE55U .N9EN0 <br /> A' <br /> �V��NQ MECMANICAL <br /> � �! NO. TrVE OF EOUIPMENT � <br /> � Np, T/K OF fl1[TUII[011 ITEM <br /> W�TEN CLOSET�TOILET� MC—��MNDLO UNITS—M P <br /> HEFRIGERIIT�ON UNITS—N P.E11. <br /> 911TMTUB � 1 <br /> LAVATOAYIWASM BASIN� <br /> BOIlEPS—0S U/M P. <br /> OA$FIRED 11 C.UNITS—B T.U. <br /> SMOM/EP <br /> FORCEO AIR SYSTEMS—0 TL. M EA. <br /> If1�CMEN SINN\DISP M <br /> WI1l�MEATERS—BSL. <br /> OISHW�SMER M <br /> UNIT MEATERS—B.T.U. <br /> UUNDRY iN�� <br /> EVAPOAATII'E COOLERS <br /> CIOTHES wASMER <br /> CLOTHESOR�EPS <br /> UAINAL <br /> VENTIUTION F�N <br /> DRINNING FOUNTAIN q�NGE HOOD <br /> FIOOR DAAIN <br /> W�TER MEATER <br /> B�CKFLOW PREVENTERS <br /> ROOF DHAINS—F��NLEADERS WO00 STOVE <br /> SINK�SERVICE—B�R.ETC 1 MET�L FlREPLACE 8 CNiMNEY <br /> FIREPLACEINSERT — <br /> HE�TPUMP <br /> GAS PIPINO <br /> E%HAUSTFAN <br /> � SUS TOTAL <br /> 4UlTOT�L 1 <br /> V[II W T <br /> PERMIT f <br /> TOT�LfEE <br /> �OTAL FEE � qECEIPT NO. <br /> � PI.nN CME R NUMBEii FEE ^J <br /> fRONT5E18�CM AE�RSE1B�Ln SIO[SEIB�CN � I���� I /��oC �-yc <br /> ZJ� �/ �" / `/' <br /> J <br /> use zor+E �o'^AE v�e�N srte FEES VAIUATION �E <br /> �-5 Z� 'I� 5•�• o.cshi+o ew�oir+c s ;7 i.`DU 7105 � <br /> rypE�i OCCUP�NCYGROOP NOOfDWELUNOUNItS <br /> �•N ��'•3 � PLUMBING <br /> SRE Of BLOG/+Da NO O�S10PIE5 M�K OCC 10�0 MECNANICA� <br /> 2 sFr i3 a T / t-SMr N.4 <br /> OTMER <br /> FIRE SPRINKlERS REOUIRED O VES � SiALE BUILDING SURCMARGE <br /> STATEENERGvSURCHnRGE <br /> �vvi�CR+�Or�"Cer r��HSCr�ELnEDer errntoni55ur.qcEBr pUBLICWORKS <br /> � � � TOTAL � <br /> PPOPERN LOINE LOCATONe AND RELATED E SEMENTIgING ALL <br /> �.�,rrc• ;.. . .._ . . � <br />