Laserfiche WebLink
���� <br />�,T, n� <br />everett <br />259-8745 <br />^ rONSTRUCTION " <br />PERMIT <br />� <br />PERMIT NO. ZO75O <br />� DEMOLITION O COMBINATION ❑ BUILDING ❑ MECMANICAL ❑ PLUMBING ❑ SiGN <br />ow*+cn un�ianonrss cirv zin n�oNc <br />Evergreer Manor Inc. 2617 Summit Ave. Evrrett 98201 258-2407 <br />AnCHrtEGi On p6�GNUi rnni� pDfNiE55 C�rv 2�r I+MONE <br />GCNCRQCONiR�CTOfI IA�it�OD0C5$ CITY ZIP VIIONE LICENSEI <br />Owner <br />AIECN�NIGICONiP�CTp11 MAllnpDqC55 CIiY ZIP IMIONE LICENSE� <br />%VMPMGCO�ITReCTOR M��LAU�RC55 CITY IiP 1'NONE UCENSE• <br />❑ NEW ❑ ADOITION ❑ ALTEpATION ❑ REPAIR <br />�.w�noru oF wonK <br />f <br />�SCRiPE WORn <br />Demolish house and garage. <br />IE�T SOURCC <br />CI ELECTRICITY ❑ 6AS ❑ WOODSTOVE <br />Sinqle Eamily residence <br />11 594 <br />ior _ e�oc� _ or <br />10\Y pl.O W OR RTTRCN �OUR COPIES� <br />Mitchell Iand imp. Oo <br />2617 Sim¢nit Ave. <br />PLUMlIN6 <br />TYPE OF FI%TURE G 71TEM <br />W�TER CIOSET �TOILET� <br />B�TMTUB <br />LAVATORY(W�SMUASIN� <br />SHOWER <br />KITCHEN SINK 6 DISP <br />DISHWASMER <br />UUNDPYTRAV <br />CLOTHESWASMER <br />URINAL <br />DRINKING POUNTAIN <br />FLOOR DRAIN <br />BRCKF�OW PHEVENiERS <br />ROOF DRAINS - RAINLEADER$ <br />SINK �SERVICE - BAR. ETC � <br />SUlTOTAL <br />PERMIT <br />TOTALFEE <br />FIRE SPRINNLERS REOUIRED ❑ VES ❑ NO <br />♦rpucenoruncc <br />S.H. <br />FEE <br />f�DEMOLITION <br />❑ OTHER <br />❑ BUILDINO RELOCATION <br />I HEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVEfiNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OH NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PEF3FMMAd9�E OYCOWSTRUCTION. <br />X <br />OP OYMER D�TE <br />A�C -- A/HN�LG UNITS — H P. <br />PEfRIGERATION UNITS - M P. EA. <br />OOILERS - 0 TL /H P. <br />GASFIREDAC UNITS-BT.U. <br />FORCEDAIRSVSTEMS-BT.U. MEA <br />WALLHEATERS-BTU. M <br />UNIT HEATERS - � TL. M <br />EVAPOHATIVE COOLERS <br />CLOTHES �RVENS <br />VENTILATION FAN <br />RANGEHOOD <br />WATERHEATER <br />wOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HE�T PUMP <br />GAS PIPING <br />E%NAUSTFAN <br />SU! TOTAL <br />PERMIT <br />TOTIIL FEE <br />PL4NCHECKNUMBER FE[ <br />����� <br />srtE FE <br />❑ No <br />w[iur�cuHrts BUILDING <br />PLUMDING <br />� �ono <br />MECHANICAL <br />ar I arvn von issunr�cc m <br />INVESTIGATION FEE <br />STATE �UILOING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAV PERMIT <br />:��� <br />•' <br />':111 J/ i <br />� <br />���7' ��•r' <br />J 11 1 '1 <br />�" <br />• 1:1.1 . '� <br />ti� <br />RECEIPT NO <br />{� ��� � <br />TOTAL I �-- --� --�--- <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIOATEO pN THIS SPACE) THI515 VOUR PERMIT <br />;,n� ,.. : i:' <br />3 <br />