Laserfiche WebLink
1�� EvvprNn <br />LITY OF <br />everett <br />BUILDING DE�ARTMENT <br />259•BB 10 <br />� <br />NPPLICATION FO�: <br />CONSTRUCT�ON <br />PERMIT �j�5 <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION F3"BUILDING C3'INECHANICAL 0'PCUMBING ❑ SIGN <br />pµry�q MSIL�00RC99 ��T�' t�P PMONE <br />�i-��'4��u u� CON7( 2721-114ST5� �vr2CT 95rZa� 337-'%/�3 <br />•�iGNlllC�C'�UtY1pNCR M�IL��OIIE55 CItV IIP OMQNC <br />5��%'r "�- <br />flNCMLCONiRAC10R M�ILAOUP[59 ���Y z�� ���ONE LICENSE• <br />•�DRE55 <br />PWMBiN�iCONIR�C10�1 MAIL�D��E55 CIIV <br />i�110NE <br />c����/ss or won� <br />� ryEW ❑ A�7ITION ❑ nLiERATION ❑ �EPAIR ❑ DEMO..ITION ❑ WOODSTOVE/FRPL.INSFRT ❑ BUILDING RELOC�TION <br />v��wnor� or wonv ico5t o� u��cnuis r�us ��non� �S. <br />SI�✓��� F/�.vl/�-`/ hFOn�C ���,Go �.... ��A,,rI. <br />oEScnref wqRK <br />io�— <br />eonaess <br />PLUMBING <br />TYPE OF FO(7l, <br />W�TEf1 CLOSET �TOILET� <br />BATNTUB <br />LAVATORYIWASHOnSIN� <br />SHOWER <br />NIiCHEN SINN 8 OISP <br />LAUNOFYfRAY <br />CLOTNES WASMER <br />URINAL <br />ORINI(ING FOUNTAIN <br />' DRAINS — RAINLEA�ERS <br />�SERVICE — BAR. ETC � <br />� i+Uq� SF�O�C� �— <br />� <br />IISC IUr�[ <br />�-1 <br />IYPC O� CO!I51 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. AL i <br />pR�If�ClllOURLOOIE51 pqOVISIONSOFIAWSANDORDINANCESGOVERNINGTHISTVC <br />OF WORK WILL BE COMPLETED WITH WHETHERSPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />� L GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />7 ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />' OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAfULE O� CONiR�CTOR OR FIITHORRED RGENi OATE y�o -9r <br />x /�' _ /�/a/�,. _ _ ,,, � <br />SUB TOTAI <br />PERMIT <br />TOTAIFEE <br />HE�R SCIB�LN <br />20' <br />l0� AAE_ • QyCi <br />o . _w <br />–f'�'�� �– <br />OCC��AYGYGf10UP <br />�� � � <br />s��[ or mnc ��qp Sf r+o or swm�s <br />�-F1�4�5P 2 <br />nr <br />��7� <br />FEE <br />5' <br />V�C�Ht SItE <br />u�rts nr+o <br />NO OF DWFLUNG UNItS <br />�� <br />O 2. 2 <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A/C — A/HNOLC UNIT$ — N P. <br />f1EFFIGERATION UNITS — H P. EA. <br />BOILERS — B.T.U./H P. <br />GAS FIREO A C. UNIT$ — B.T.U. <br />FORCED AIR SYSTEMS — B T U M <br />WALL HEATEfiS — B.T.U. M <br />V`�ITMEATERS—B.T.U. M <br />EVAPORATIVE COOlEHS <br />CLOTHESORYERS <br />VENTILATION FAN <br />RnNOEHOOD <br />W�TER HEATER <br />WOODSTOVE <br />METAL FIREPUICE 8 CNIMNEY <br />FIAEPUCE INSERT <br />GAS PIPING <br />ExHnUSiFnN <br />SU! TO <br />PCRMIf <br />PIAN CNECK NUMUEN <br />�( Z� 7�C <br />FEES <br />BUILOING <br />PLUMBING <br />MECMANICAL _ <br />OiHER 7InN �'���Ic <br />SiATE BUILDING SURCHARG' <br />$TATEENERGYSUACHARGE <br />PU6LIC WORKS <br />TOTAL <br />FEE u � RECEIPT NO. <br />3K5 — �( qs.�� <br />% � <br />� <br />PROPFRTY OWNERS ARE RESPONSIBLE fOR DETERMINING ALL ; <br />PROPEf1TV LINE LOCATIONS AN� PELATED EASEMENTS. Lj <br />