Laserfiche WebLink
F'I'� . . ��? � , �f~ _ . - � . � . , J <br /> � <br /> PPLICATION FOI� ���,�„ <br /> tn�E�+.yrwn CO(dSTRUCTION 0 <br /> Gitt�,v <br /> everett PERMIT <br /> BUILDING D:=PARTMENT <br /> 259•8810 TO BE COMPLETED IN INK• PLEASE PRINT <br /> ❑ DEMOLITION �COMBINATION .�1 BUILDING ❑ MECHANICAL I�PLUMBING ❑ SIGN <br /> eameA unnnooness 3C:7- \ -T�de,C eitt ziv PNONE <br /> Fv6R�f( Pl313K5 � Rftnr=�ricn101'�r t�/�ri�T-r �v�. -��zoi zs'9- o��0� <br /> �RCIIIfLC10ROLSGNEN M1ILADDNE55 Ci1V Ziv PNONE <br /> C /�l�IrLVND 3o 't IVIZi IAofiC �v�f2�Tr ��'N. `)Sz�� �7�-0300 <br /> aNrtR4LCONiRAC10A G . �MUL+[lORE55 CnV !i� o��pNE uCENSE• <br /> �! J �l G �JT11 <br /> ML6IENICnL CONLR�CiOfl M4q�pOR[55 CItV ZIP PIION[ IICCNSC <br /> PWMBiNtiCOviR�GiOR MMLPp�N[55 CiTV LP PUONE tiCLNSE• <br /> CU55O�WOPR <br /> � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INS[Ri ❑ BUILDING RELOCA710N <br /> ��a,oGo�,�oroH.,EA�oFF�c� / rESr r-i����i r� - <br /> orsc���ucwoa�p��� �EsrJ2ooti�_ �c,nC� �a�rN- ��T f ✓NC DOCf�S <br /> i <br /> us[o�a aoiNG <br /> ������T�pn/�}6 — P11P!(.IG �jli,flV/U� pLICATO ANDKNOWTHESAMETO ETRUEANDCO RECT.ALL <br /> �ec��oescaivno�uo�vaovcarrisNowHoe�owoani*ae�rouneoares PROVISIONSOFLAWSANDORDINANCESGOVERN�NGTHISTYPE <br /> OF WOfiK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> ioi—uioc�—or IN OR NOT.THE GRANTING OFA PERMITDUES NOT PRESUME TO <br /> �Q�' I(Df✓ B(% CrDVI�GI�N/�"�E/✓T LOT / GIVE AUTHORITY TO VIOLATE OR CANCEL THE r^ROVISIOPIS OF <br /> ��l �'B �� ANY OTHER STATE OR LOCAL LAW REGULATW G CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. . <br /> �C rld��/ � T�Y/�/ �li � /I!/��� /�C\� SIGNAIURE Of CONiRlGTGR OF AU7NORi2E�PGENi p<iE <br /> C�YINI� �V�Sf,,V�hi�lL�y i'�r?RG-inJ a� - X C l� U ,- <<;� 7 �• a- <br /> " PROIELf�D�RE$$ AP�'UC�N SGLYpU5�NE55LiClN. NO ✓ <br /> � qoo 5Mlrlt lScAND /�o�n, ����YSV�i���rvi+. <br /> � PIUMBING MECHAN�CAL <br /> , NO. TYPE OF FIXTURE OR ITEM FEE NO. TYVE OF EOUIPMENT FEE <br /> - WATEP CLOSET�TOILET� AiC—//MNOLG UNITS—MP. <br /> ' BATMTUB REFRIGERATION UNITS—M P EA. <br /> � I.AVATORY�WASM B�SIN� BOILERS—BS.0/Y P <br /> SHON'ER GAS FIREO A�G UNITS—B.T.U. <br /> K�TCHEN SINK 6 DISP FORCED AIF SYSTEMS—B T U. M EA. <br /> DISMW�SMER WAILMEATERS—BT.U. M <br /> - LAUNDRV TRAV UNIT HEFTERS—O.T.U. M <br /> � CLOTHES WASNEH EVAPORATIVE COOLEHS <br /> 2 URINAL CLOTHE::ORYEH$ <br /> �Z OF�NNING FOUNTAIN '/ENTILATION FAN <br /> FLOOR DRAIN RANGE MOOD <br /> BACKFLOW PAEVENTERS WATER HEATER <br /> ROOF DRnINS—RAINLEA�ERS wOOD STOVE <br /> SINtt�SERVICE—BAR.EiC� METAL fIPEPIACE 8 CHIMNEY <br /> FIREPiACE INSERT <br /> HEAT PUMP <br /> GAS PIPING � <br /> E%MPUSTFAN <br /> SUlTOT�L f SUBTOTAL <br /> PERMIT f PEXMIT <br /> TOTAIFEE f TOT�LFEE <br /> �nOvr SErBe�r AEAR SEIBaCK SiDE SETBACK �AN ' ECK NUMBER FEE RECEIPT NO. <br /> �a2� � �+-w �r�.t.1��AZ <br /> us�mrvc �ot na�a vp,;en.�n= FEES VALUATION �E <br /> o�ES x�a <br /> uui�oiNc 57D,BB0• � <br /> n�-�o�ma r occuv.r�crcaour �ooroweu�N.;ur+rts <br /> �-N �, 1j t� PLUMBING <br /> Si2L O�Bl D6 NO Of StORIES MPP OCC LUD <br /> A, MECHANICAL <br /> �4 � .5� / T�?.._ <br /> OTIIER <br /> FIRE SPRINKLERS REOUIRED ❑ VES NO S7ATE BUILDING SURCHARGE <br /> STATEENEPGYSURCHARGE <br /> crp�ie;.:n�Gv<LCHr v��H50rtcKE00r nrcarORissuANGEBv <br /> PUBLIC WORKS <br /> � A,� � . G TOTAI _ _ <br /> �j PROPERTY OWNERS ARE RESP�NSIEiLE FOR DETERMINI;�G�LL <br /> ��� �Q,f� �PIG� �O rJ� PROPERiI'LINE LOCATIONS AND RELATED EASEMENTS. <br /> f�(it/G� � ��i��?/T <br />