Laserfiche WebLink
hr'PLICATION FO� <br /> ^�"" CONSTRUCTION """' <br /> everett PERMIT P+ <br /> BUILDING D�PARTMENT <br /> 259-8745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑DEMOLITION ❑ COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBING �SIGN <br /> OWNER M�II�DDRE55 CitY Z�p M�ONE <br /> /�'�INIATL" �19n/ �?l;5 /5(�[• ���iFil t�Vc: CV��Etr <br /> �RLNRELTORDES�GNCR Mul �OON[55 CIfY I�P PqON[ <br /> OENER�L GONTF�CTON M�II����iCSS LITY ZiP PNONE LICENSE• <br /> ���i N�N INc: i}�,R,�,r s2c5' �-'f,oNcaa�,n `i�3��yL 7�(.��y�S' 1��'v�►zV�cm <br /> MECM�NIGI CONTReCTOq MAII �OOR[SS CqV IIP PIIONE IIC[NSE� <br /> PIIIMlINGCONTR�CiOF IA�II A[lDRC55 f4Y IIP PIIDN[ L�LENS[• <br /> Cl 5Of WORN <br /> �NEW ❑ A�DITION ❑ ALTERATION ❑ REPAIR ❑ DEMOl.1110N ❑ WOODSiOVE/FRPL.INSEflT ❑ BUILDING qELOCATION <br /> W(U�TIONOi WORNif.051 Of M1ICBUISPI IIS I.A90HI <br /> ��p�oo "= <br /> oexniec won� <br /> INS'7)It� 2 3r�"k/u' S F /NlZi�r bi: ��L�id�i+�A•7l1'> �)/b vi' <br /> use or ewioiNe <br /> I HEREBY CEqTIFY THAT I HAVE HEAD AND EYAMINED THIS AP- <br /> � � �- PLICATIONANOKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> LEO�LUElLPiPTOHOFPAOPEHTYIbNOWNBF.LOWON�TI�CHlOORCOPIES� pROVI510NSOFLAWSANDnRDINANCE3GOVERNINOTHI3TYPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> im—sir.�_or IN Oq NOT.THE Gf7ANTING OF A PERMIT DOES NOT PqE3UME TO <br /> GIVE AUTHOpITY TO VIOLATE OR CANCEI THE PROVISION3 OK <br /> ANY OTMER STATE OR LOCAL LAW HEOUTATIN6 CONSTHUCT{ON <br /> OR Tl1E PEFFORMANCE OF CONSTRUCTION. <br /> SION�T PE OI'GONIR�C70R pq�UT110PIZEO�GENT O�TE <br /> X n ��J <br /> G� �1• ! ,-� .'_� S�g � <br /> P110JEGT�OUNE6S �PPU Ni CITYB119iHE55liGLN5EN0 � <br /> ls�� /',�k t r.�c At�f= �s=�/ `�Z <br /> RYM�INO MECMANIC�L <br /> N0. TYK OF FIItN11E FEE NO. TYPE Of EOUI/MENT FEE <br /> WATEF CLO5ET�TOILED qIR COND. UNITS-H P.EA. <br /> S�TMTUB REPRIGERATION UNITB-M P.EA. <br /> UV�TORY(W�SH BASV1) BOILERS-H P. EA <br /> BNOWEH GAS FIRED A C UNITS-TONN�GE EA <br /> KIiCHEN SINK 6 DISP. fORCED RIR SYSTEMS-B.T.U. M EA. <br /> D18HW�9HER WALL H[ATEFS-BTL. M <br /> LAUNDRV TRI1V _ UNIT HEATERS-8 TL. M � <br /> CLOTHES W�SHER EV�POPATIVE COOLERS <br /> W�TEP HEATEii C1.OTHES DRVERS <br /> URIN�L VENTILATIpN F�N <br /> ORIHKINO��OUNTAIN RRNGE HOOD <br /> FLOON DlUIN �Iq 11qNDLINa UNI7- C F.M. , i <br /> VACUUN,BREAKERS STOVE <br /> ROOF UR�INS-R�INLEADERS METAL FIREPLACE 6 CNIMNEV <br /> SINNiSERVICE-B�Fl,ETC. WOODSTOVHFIREPLACE INSERT <br /> I <br /> DUO T0TI1L !U!TOT�L { � <br /> PEIIMIT • PEIIMIT i <br /> TOTAIFEE � TO�ALFEE i <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> �RONi SETB�GN RE�F SETB�C�" SIDE SETB�CN PI.�N LHECK NIIIABER PL�N Cn[Ln�EE <br /> fEE �ECEiPI NO <br /> USf20NE LOT�RE� — <br /> V�G�Nt Srt! FEE6 VIILUIITION FEE <br /> IIYlS IINO <br /> TVPCO�CONSi OCGUPRNCYGROUP qO0i0WLLlING11NIi5 <br /> pllll�IN6 f <br /> 512E 01 BL U6 NO OF SiOAlCS M�%OLL IOaD <br /> PLIIM9ING <br /> M[pIRNIC4L <br /> FIRE SPRINKLEHS REOUIRED CI VES ❑ NO '-------�-'--....__...---- --� '----- <br /> unie� <br /> P[N�LTY ------ _ �-- <br /> •PPIIC�110NILf, [IY PI4NSC11[CNLUOY �PPnfORI55U�NCEBY - --- -- <br /> _ <br /> /� T0T11L <br /> i <br />