Laserfiche WebLink
ii►PPLICATION FOI.'=' <br /> CONSTRUCTIOfV ��"`" <br /> �n.Ew.prMn � <br /> ��ry oF e <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IM INK- PLEASE PRINT <br /> ❑ DEMOLITIO� O COMBINATION ❑ BUILDING O MECHANICAL J�(PLUMBING ❑ Si;N <br /> ��w����� uni�eonacss cnr zir ciwse — <br /> �VE�7k tf' /�/�RKS � X�ECR�A ttati v,e/% 7Eb2. cv,cTNv�,�r � EV�X�F7f�ecer zs�-o�eu <br /> n�ll'111�LC�U110F511iNFN M>Il0.DI1111:5: P1V ZII' FIIONC <br /> �t�10�/�A/rLdao 1��nc �s r�a�v£. <br /> .lNCfULCU��<<��LIOB M�R nllfl�lESS C�1V ZIP c1�ONC UpENSE• <br /> w/6t'Ei�f �a�^sneGtr 2mo� w. SrArv sr, f3�u,r+�#�+N 9azs3' ?33-2aco <br /> �Ihf.IUNiU:CON�BPCtOq IAnIIA[f0�E55 CIIV Z�P 1'110NE LICENSf.• <br /> PLUMB�N.CONIN�UOII ���A�I.�U��VESS GIY ZIP PIIONE�� �� ��ENSI��� <br /> � -1 /'ui�+4diaG� /4�9 suNs�r A�vE. r3Cu�.vlr��i€rf 9tzz6 '73�4-��0� <br /> f,t455O�WO�K <br /> � NEW ❑ �DDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLI710N ❑ WOODSTOVE/FPPL.INSERT ❑ BUILDING RELOC�110N <br /> �.+wnnnn ar won.��cos�or mn�rnuis rius i�oon� <br /> 2o poo <br /> � UtSCfiiB WOPR <br /> 2 Attrflao�tls, + Z snws Z s/foc��Ks <br /> us�_or naion�r, . <br /> � IJ64r/Ni FAG6rx� Fa L�`'��H I HER[BY CERTIFV THAT I HAVE READ AND EXAMINED THIS AR <br /> ��� � PLICATION AND KNOW THE SAMETO BE TNUE ANDCORRECT.ALL <br /> i.rcn�orscnirnonorraov�nt isrwwr�neiowonanacnrow�r,ori[s PROVISIONSOFLAWSANOORDINANCESGOVERNINGTHISTYPE <br /> I OW 0 D(/ N � CO OFWORKWILLBECOMPIETEDWITHWHETHERSPECIFIEDHERE• <br /> i o�—e�oc�—or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> � GIVE �UTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> �,�.3,�B � N hC� 1fTi'►vN Z9N��N_G'n_l_ ANVOTHERSTATEORLOCALIAWREGULATINGCONSTRUCTIUN <br /> OR THE PEFFORMANCE OF CONSTRUCTION. . <br /> ILwo/ `y��/� WES�IERIi�+�yL�� SIGN4IUREOFGONiRACTORORAUTNOR12E0AGENT �A7E <br /> X � gg <br /> ��POJFC1epONE55 RPPLIGNf IIY�USINES. ICkIliENO <br /> qeo yMi7'N ND lla . <br /> PIUMBING MECHANICAL <br /> ' NO. TYPE CIF FIIITURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> W�TEH ClOSET'TOI�Ei) A/C—A/HNOLC UNITS—H.P. <br /> B�TMTUB f7EFRIGERATION UNITS—MP.EA. <br /> UVATORY IWASN BASIN� BOILERS—B.T.0/H P. <br /> SHOW ER CAS FIREO A C.UNITS—B.T.U. <br /> � KITCHEN SINK 6 71SP FORCEO AIR SPSTEMS—B.T.U. M EA <br /> , Oi5FwA5NER WALLNEATERS—B.T.U. M <br /> IAUNDRYTRAY C UNITHEATERS—B.T.U. �0 M <br /> CLOTNES wASHER EVAPOA�TIVE COOLERS <br /> 'L URINAI CLOTMESOHVERS <br /> OA�NNING FOUNTAIN VENTILATION FAN <br /> FLOOR OPAIN RANGE HOOD <br /> BACKFLOW PNEVENTERS N/ATER MEATEN e Y • (. <br /> fi00F OR�INS—R/11NLEADE(75 WOOD STOVE <br /> SINK�SERVICE—O�R,ETC 1 METAL PIREPLACE 8 CHIMNEY <br /> FIPEPLAGEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%NAUSTFAN <br /> SUB TOTAL f SIIB TOTAL <br /> PERMIT f P[FMIT � <br /> TOT�LFEE f TOTALFEE <br /> n�nrrtsE�oncr nEnOSEtBnCn SIOESE10nCK � �'I�NGHECKNUMBER FEE RECEIPTNO. <br /> ��si. :ows iorenca vncer�tsrtE FEES VNLVATION FEE <br /> ❑vE5 ONO <br /> BUILDING S <br /> r.rc or covs occurwGr cnoun NO Of p'HfIUNG UNI15 <br /> PLUMBING <br /> •:ur o� mna �+o o�s�enies Mn. ocr, ionn <br /> MECHANICAL <br /> 0T11ER <br /> fINE SPRINHl.ERS(7EOUIRED ❑ YES ❑ NO STATE BUILDING SURCHAHGE <br /> STATEENERG�SURCHARIiE <br /> .v�•ucauoH•rcAv ruNsa¢cneoar nrrnron�sswNc[5r <br /> _'� aueuc woaKs <br /> c <br /> �ll� TOTAL <br /> PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING ALL <br /> PROPEF7TY LINE LOCATIONS AND RELAiED EASEMENTS. <br />