Laserfiche WebLink
f�CONSY1tU TION� � <br />I�s Evup�een <br />Gltt OF <br />everett PER�y11T <br />BUILUING DEPARTMENI' TO 8E COMPLETED IN INK- PLEASE PRINT <br />259•8810 <br />___.. .-..,����..ir,ir_ nMECFtANICAL <br />❑ PLUMBING <br />everrtl <br />� <br />❑ SIGN <br />...,........ __.... �. ...,_'_'___.... . <br />❑ NEW ❑ �DOITION ❑ ALTERATIOPJ REP41 ' <br />�n4�.111[��AlSPLtiSlaf�i . <br />us[ <br />u <br />� <br />��� l �Je� <br />PLUMBIPIG <br />NO. TVPE OF FI%TU <br />WATER CLOSET �TOILET� <br />BATHTl1B <br />�AVATORYIWASH BASINI <br />SHOWER <br />KITCMEN SINN 8 DISP. <br />OISNYlASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />11FlINAL <br />OFINKING FOUNTAIN <br />FI.00R ORAIN <br />1151 <br />r.r, <br />ROOF ORnINs — nM�������� <br />SI�IKISER ETC) <br />ITEM <br />Sl1B TOTAL <br />PEflMIT <br />TOTAL FEE <br />qEnfl SEfOACK <br />LOfPOIR <br />�r � � � n N � <br />I HERCBY CERTIFY THAT I FIAVE READ D EXAMIN THIS AP� <br />PLICATION AND KNOW TF1E SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWSAND OPDINANCES GOVERNING THIS TYPE <br />NrOR�NOTNTHEG A�TNGO APIERMITDO SNOTPRES�UMETO <br />GIVE AUTIiORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />APdY OThIER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />�OR 1 HE PEREOfj�MANCE OF CONSTRUCTION. <br />SIGt1A7l�NH Of' Ce�Ni��G1GR OR FUTHORiZED AGENT UaTE <br />,-, <br />t f1U5ME55 <br />MECHANICAL <br />FEE NO. TYPE OF E�UIPMENT <br />A�C — A/MNOLG UNITS — H P. <br />flEFRIGERATION UNITS — H P. EA. <br />OOILERS — B.TLIHP <br />GAS FIR[D A C. UNITS — B TL. <br />FOFiCED A�A SYSTEMS — B TL. M EA. <br />WALLHEATERS—OT.U. M <br />UNIT IIEATERS — �.T U. M <br />EVAPORATIVC COOLEPS <br />CLOTIIES ORVERS <br />VENTILATION FAN <br />RANGE II00� <br />WATEFl HEATER <br />WOOD STOVE <br />METAL FIREPLACE S CHIMNE� <br />FIREPLACE INSERT <br />HE�T PUMP <br />GAS PIPING <br />E%HAuSTFAN <br />SUBTOTAL <br />f <br />pEqMiT <br />- TUTALFEE <br />' ! PIAN CMECK NUM�ER I FEE <br />S��E 5[�tlA�� <br />VACANI SIII. <br />❑YES f.ltlO <br />�,o or owei. <br />❑JN aLf, pv PlANSCMEf.hEU OY AI'PR (�fl ISSl1nNCE OY <br />� <br />� <br />PECEIP7 NO. <br />�UILDING 5 L ` � l�i-��--� <br />I <br />PLLIMBING <br />MECHANICAL <br />OTIIER <br />STATE BUILDING SURCHARGE <br />�S7ATEENERGYSURCNARGE <br />PI19L IC WORKS <br />TOTAL <br />PROPER(Y OWNEFS ARE FiF5PON51BLE FOfl DETERAIINING ALL <br />�ROPERiY LINE LOCATIONS AND RELATED EASEM� <br />tl <br />