Laserfiche WebLink
'�`F°`�`�'" 1 f'�NSTRUCTION - <br />CITY O� ' <br />e�erett PERMIT PERMITNO. 25OZ`l <br />259-8810 <br />� DEMOLITION ❑ COMBINATION ❑ BUILDIN(3 C3 MECHANICAL ❑ PLUMBING O SI6N � <br />OWNER <br />M�II R0011E55 CITY ZIP PIION[ I <br />�..._��.4 �7-n �qn._�llirld <br />N.ich�[llr, Monq J.f��O 1'. Pron�te�nv 1 cqret t., cHone � <br />_ MeR �oonF55 clTv T�� <br />M�IL AD011E55 CiTV 2iP PHONE <br />•RCHiTIiG f OR OESIONEN I <br />M�i1.�U0PE5S CrtY 2�P 1'MONE UCEHSE� �, <br />GEhE��,LCONTR�CTOH � <br />MIII.�DOPE55 CiTY 21P FHUNE I�CENSE� �i <br />MECH�NIGICONTN�CtOR I <br />;n(1th FW Lynnwood, l�`A "��n1i, i,7n''�GH i.t�.��:-I�.C�771F�� <br />7,odti^.tat ro. �,GOS . - Z1P nwHe LICENSE� I, <br />PLUMBINOCONTN�GTOR <br />uea �ooness �'T`' <br />C1�55 Of WORN <br />❑ NEW <br />❑ ADDITION <br />CON?RACI PRICE OF WORK: S 1�1 � BBO <br />p(SCRIBE WORv �ND SOU�RE i00T�0E INVOIVED <br />Fenl.ace rootop FiVI!C uats <br />❑ REPAIH ❑ DEMOLITtON <br />CONTACT PEPSON �NO <br />❑ BUILDINO RELOCATION <br />ir mncn in.�. �o�.� <br />movoseo use or euaoiNa <br />Rest3u!ant ,: � . �i;.� „ <br />�Ep�l pESGqIPt10NOF PROPENTY �SHOW BEIOW OR ATT�CN fOUR COFiES� . <br />LOT�BLOLIt�Oi .•. ,• �.��•�1�� <br />PLUMlING <br />NO. T1IPE OF FI%TURE OH <br />WATER CLOSET �TOILET) <br />B�tHTUB <br />LAVATORY (WASH BASIN) _ <br />BMOWER <br />KITCMEN SINK 6 �ISP. _ <br />UIBHWASHER _ <br />UUNOPV TRAY � <br />CLOTMES WASMER _ _ <br />URIN�I �_ <br />DRtNNINO FOUNiA1N _ <br />POOF DHAINS - AAINIEAPENS <br />SINK (SERVICE - BAR, ETC.) <br />{U! T0T11L � <br />pERMiT f <br />IOTAL FEE i <br />iRONT SETO�CI( PE�R SETB�CK SIOE SEtB�CN <br />USE 20NE LOT �Rc• V�C�NT SITF. <br />❑ YES ❑ NO <br />iYPF Of LOMSiPUCiqN �I IQNI&E � rYR Of CONSIMIGIION �L1URL r,�«m �� q �1 <br />saE or eioa <br />pCCUP�NCYLOeO <br />11E�SON IDR SMINN�Ei <br />�PPLICATION �CC BY <br />NO OF STONi[5 <br />❑ YES ❑ NO <br />ESPRINMIERSFEOD REIOMiIIMIT�TION <br />VES ❑ NO <br />rveoer I CITY OF EVERETT <br />LOCAL SALES <br />, ) TAX CODE IS <br />3105 <br />MECHANICAL <br />S EXPIRE IF WORK IS N:1i COMMENCED WITHIN <br />YS OR CEASES FOR MORE THAN 180 DAVS. <br />NC - NHNDLO �1NITS - MP <br />FOFCED AIR SVSTEMS - B T. <br />UNI� HERTERS - B T U <br />VENT�LATION FAN <br />RANGEHOOO <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLRCEINSERT <br />MEAT PUMP <br />OAS PIPIN6 <br />E%MAUSTFAN <br />8U! TOTIIL <br />OERMIT <br />CMECK <br />BUILDING S <br />PLUMBING <br />MECMANICAL <br />OTHER <br />STATEBUILDING SURCHAHGE <br />STATE ENERi1Y'iURCHARCE <br />PUBLIC WORNS <br />M <br />{ l j fIU <br />{ 1 00 <br />{ <br />RECEIPT NO. � <br />_ fEE <br />I lA5 OQ <br />IS <br />1as I on <br />�,.� <br />. .Il .l� <br />� <br />