Laserfiche WebLink
ArPLICATION FOR <br /> '"""'°""" CONSTRUCTION "� <br /> CIn Oi <br /> everett PERMIT <br /> BUILDING DEPAFTMENT <br /> 259-8810 TO BE COMPLETED IN INK � PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL O PLUMBIN6 ❑ SIGN <br /> awntT� Mul�nDatSs (:�rv im t.�/(.O vvaNE <br /> � T l <br /> C 1 FY ��c � E�ti 5�)> v .� � •_ � -� .) � u� � �� 1� U �_.,�-.� �. (-1 �� Ido �e <br /> •NUatlflU�Ol1�O�IFR Mul�0OnF99 Crtv tiv PIbNf <br /> fVR1111 LU�i�N�CtOR Mul�11bnE34 C��Y 11O VupMf � �:� 4 1!`"� UGtNSE• <br /> � -�. � � �av L�,n� 1 _; dl ° F'IG,v�. ��, •� ��a � �2_ <,. cr � �1 UH `(�I�- �I Scl�rocciv� c � <br /> �Iff1UNrt.�ICOH�H�f.lpq M�It�DOMt91 C�IY tIP V110Nf lICF11RF • <br /> flUMfl�llriCUM�N1i.1pR M�IL�fR111[R9 C��♦ lIV p11pN1 IICINSE • <br /> C1�93N WIl9✓ <br /> � II[W 1� �ODI710N I� AITERnTION ❑ nf.PAIR ❑ OEMGLIIION ❑ WOODfTOVf/fFPI IN_'.EfT ❑ BUILDIN(7 RELOCAiION <br /> Y�IU�'N1�111� 410(M��fAA1tifL�191�'Inn� �j <br /> � � � �, U l� . C �� �� ��G ...�L• <br /> PISCnMII w <br /> � � 1 <br /> �) O l.�t ^ I� �11 1_. )� '�._?�d.��—_ __— <br /> uv� ur nuno�no I HEREB'I CERTIFV THAT I HAVE REI1D 4ND f�AMINEO iHIS AP� <br /> �p „�,0 ,�e PLICATIVN AIJD KNJW TNE SAME TO BE TRUE ANDCORRECT ALL <br /> im�iar.r.n�d�fiu'i�N1�15��OV/MBEIOWOA����LlllfUnLOhEAI PROVI'lIONSOFLAWSANDORDIN4NCESOOVEFNINOTHIFTVPE <br /> OF:v.)RK WILL BECOMPLETEP WITH WIiETHEA SPECIFIED HERE� <br /> �o�_ninc�—or IN UA NO7. iHE GRANTING OF A PERMII DOES NOi PRESUME TO <br /> pIVE AUTHOf11TV TO VIOLAtE OR CANf'EL THE PFOVISIONS OF <br /> ANV OTHER STATE OF LOGAL LAW FEGIJLATING CONSTRUCTION <br /> — OR THE PEqFOFMANCE OF CONSTRU(..-ION. <br /> �iar+.�m�carcor+rn.cror+on�urNomzeo.c��+r n.re <br /> X 1� � .� '� �,-�.,5.� S .z r� s � <br /> PBOIiGt�DOnF99 ��PI�UNI'9GIIrBIISINF99l� 1111[NO <br /> 7� '1 <br /> PLUMBIN6 MECHANICAL <br /> N0. TYP[OF FI%TURE OR I1EM FE! NO. T'PE OF[OUIPMENT FE! <br /> weTEP CLOSE71TOIlEf� AiC-��HNOLO UNITS-M P <br /> B�THTUB nEFR10EMTIONUNITS-NP EA. <br /> UVATO�Y IWASN BASIHI BOILEP$-A T U/H P <br /> SHOWER OASFIREOAC UNITS--BTU <br /> NIfCMEN SINN d DISP F0110E0 RIR SYSTEM9-B T U M pA. <br /> O15MW�SHER WALL NEATEl1S-B T U M <br /> LAUNURV TRAY VNIT HEAfEAS-B T U M <br /> CLOTHES w�5NEi1 EV�POA�TIVE COOIERS <br /> U�INIIL CLOTHE9 OAYENS _ <br /> 0111NNING FOUNT�IN VENiIUTION FI1N <br /> FLOO�OAAIN A�NOE/�OOD <br /> B�CNFLOW PI7EVENTE�S W�TEP VIEATEII <br /> �OOf�q�INS-��INlEAOERS M�OOD STOVE <br /> SINN�SEPVICE-Bnn,ETC 1 MEGL Flf1EPLl10E 6 CHIMNEY <br /> FIREPUCE INSERi <br /> HEAT{'UMP <br /> OAS PIPINO <br /> ENHIIUST FAN <br /> !UO TOTAL 1 !US TO��L <br /> PERMIT t P[RMIT <br /> TOt�L FE[ t TOT�L RfE <br /> niivn�sp�n.cr nt�nsE�B�ce sioE9E�E��� _^ �'LANCHECNNUMBER FEE NECEIVTNO <br /> � � / 5_ � c;,,��s��,�, S .y/ � 5a�� r a5s � <br /> '�'�� � ���'"^�" wc�rav�[ � FEE VALUATION FEE <br /> ❑vf5�0 <br /> BUILDIN� S ' � O� <br /> hni O� 6 451 a:r.uru¢r G�o�r NO O�DWRUN6 UHIt9 <br /> ��N /Lf-� '� PLUMBINQ <br /> i 5�lF ry NiPO N�� u�S�ORiE9 M�� OGC Lo�p <br /> I� // 4� � / N^ MECHANICAL <br /> O �a. �7 ,/� <br /> EA �C'('. S� <br />� fIRF °Pt11NNLERS PEOl11RE0 LI YESXI NO <br /> $TATE BUILOIN6 SURCNAR6E <br />� <br /> STATE ENERdY SURCHAiiGE <br />' urinciniqur. P. virrr,ru[cKFodr �rrn �onissu��+cEBr PUBUCWORN9 <br /> Vy1. � ,� %� ?OTAI �. <br /> I ' <br /> —' PROPERTV OWNERS ARE RESPONSIBLE FOP DETERMININO ALL <br /> PROPERTV L�NE IOCAT10N5 RND NELATFD EASEMENTS <br />