Laserfiche WebLink
�PLIGATION FO�i"'� <br />G `a'"" CONSTRUCTION <br />everett PERMIT <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK - PLEASE PRINT <br />259•BB10 <br />❑ DEMOLITIUN ❑ COMBINATION ❑ BUILDING �}MECHANICAL ❑ PLUMBING <br />everNl <br />�i� <br />❑ SION <br />C�n. 2�P PNONE_ <br />q�`1 , 1 ^M,1��ODR[59 }�O� �, � �� �/ , � �c� ,,` <br />p YO� �SCJ � ( � D �' � ii%� � J? `.CQ 'S�U _ <br />♦RCNITEC� O� DEliOHER <br />r.a•oones9 cm zi vnoHc <br />M�II�DORESS GIfY ZIP PHONE L�CEH6E• <br />OENEMI GONfR�C10A - � <br />� —_— _._. �.�e . ouow¢� � LICEM6E• <br />j - 1 VLJ�� - l. � -• � ' . . <br />] MML�O]PE59 GiT�" 21P P��ONE <br />1 ►lUM � GON GiO� <br />, ��...o.w�K <br />� ❑ NEW ❑ ADDITION LI ALTERAT�ON ❑ A�=PAIR ❑ DEMOLIiION ❑ WOODSTOVE/FRPL.INSERT BUIIDIN� RELOC�TION_ <br />� V�LU�110NCfMCRnICOSTOlM�TERI�LSPlU9L�9041 <br />1 <br />���;��; ._ � � ,., ti M ti,�� � r��� ahJ n��.�n� <br />wi_ e�oc�_�. <br />, nip,icar�onEee� <br />OSr�� � <br />� <br />d''f /LUUMINO <br />, Np� T/K OR FlRTU <br />yy�� �p�T (TOIIETI <br />MT11TU! <br />UVATORY IW�4M BAS�NI <br />y/qY1ER <br />RITCMEN SINK { D�SP. <br />�� �pN9T <br />! �PPUC. t10H eCG <br />— BI�R. <br />{U�TOTAI <br />/lllMlt <br />T0T11L iC� <br />��� <br />4E�R SETB�C�� <br />tOf ARE� <br />t <br />V�C�NT SItE <br />�VES ONO <br />FOR <br />I HEREBY CEFTIFY THAT I HAVE HEAD AND E%AMiNED?HIS AP• <br />PL ICATION AND KNOW TH E SAME TO BE TRUE AND CORRECT. All <br />PROVISIONS OF LAWS AND ORDI NANCES OOVERNIN6 TH IS TVPE <br />OF WORK WILL 8E COMPLETED WITH WHETHER SPECIFIED MERE- <br />IN OR NOT. THE GRANTIN6 OF A PERMIT DOEB NOT PHESUME TO <br />GIVE AUl HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF� <br />ANY OTH ER STATE OR LOCAL LAW RE6ULATIN6 CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. . <br />SIONAtURE OF CONINACT 'O l� iNONi2E0 �GENT O�TE <br />X /// % �� �� � �� �y <br />�� �,r„ .,, <br />MECMANICAL <br />NU. TYN OF EOUI�M[NT <br />`�iC — �/MHO�O UNITS — M.P. <br />iEF1110EMT10N UNIT9 —11.P. EA. <br />BOILERS — B.T.0 M P. <br />OAS FIRED A�C. UNITS — B�.U. <br />FORCED ��N SY9TEM9 — B T.U. M <br />WIILLNEATERS—B.T.U. M <br />nmrue�TcnR�BTII. M <br />WOOD STOVE <br />METAI FIREPIACE <br />FIRE7LACE INSEPT <br />HEAT PUMP <br />'0�5 PIPIN6 <br />PLAN CMECK NUMBER I FEE I RECE!PT NO. <br />9UILDING 5 <br />PLUMBING <br />MECHANICAL w <br />OTHER <br />$TATE BUIIDING SURCHR�76E <br />STATtENERGVSURCHARGE <br />PUBLIC WORKS <br />TOTAI <br />PROPERNL�INELOCATIONSANDNRELATEL'�EAS MENTSN�ALL <br />�..� y ' <br />C ..�.1. �. .�i. �I ... C \� A'•� ..il. . <br />