Laserfiche WebLink
J <br /> `APPLICATION FOK �.�.� <br /> �:�"" CONSTRUCTION 0 <br /> everett PERMIT <br /> BUILDING DEPAATMEN7 TO BE COMPLETED IN INK- PLEASE PRINT <br /> 258-8745 <br /> ❑DEMOLITION ❑COMBINATION ❑ BUILDIN6 <br /> LMECHANICAL ❑ PLUMBING O SIfiN <br /> \ 1 �1M �` 1 41L�� I/.�l✓ El.�-`�,IX,Y` �' ` UC�I T 11 �C-� . VNONE � ��l�� <br /> Q C Zlv PHONE <br /> •qCMll[C\d1 OESIONER Mw�� � <br /> C��y jlP PNDNE LICENSE� <br /> aE��CQN1P��� M�IL�DDRESS <br /> isll�DORE35 Gtv )IP ^ IE �FIS� <br /> N .• �LCONT��� . � � � � C : �— � G. <br /> RUMlWOCONT TOM <br /> MNL�OOiE99 Cirv 1i� P��ONE L ENSE• <br /> C1A190f WORR <br /> � NEyy ❑ ADDIiION ❑ ALIERATION ❑ REPAIR ❑ DEMOL7TION ❑ WOODSTOVE/FRPL.INSERT BUILDING RELOCA710N <br /> VI�111T10�/N'l,cl�TOFM�tEPU1L3oW3l�BOR1 <br /> (1tV w <br /> llV <br /> DElC���K ' � 1 <br /> ` yil'ji <br /> wE tiomu , I � /� I HEREBV CERTIFV THAT I HAVE READ AND E%AMINED THtS AP- <br /> �F— (�L'1'�Q_l _ PLICATIONANDKNOWTNESAMETOBETRUEANDCORRECT.ALL <br /> LEOALDElL1MP��OMO�P�OPEA�VISNOWNlEIOWON�1TxGMiWRCOGIE51 pROVISIONSOFLAW�ANDORDINANCES60VERNINGTHISTVPF <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE•� <br /> �or_s�oc�—os IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> � '. GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF <br /> E ANV OTHER STATE 6A LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGN�TURE OF CONTR�CTOR ON AUTHO ED�GENT D�TE <br /> 1 c� <br /> �POtIC�N 9CITYBUSWESSL NSENO. <br /> VROJEG��OUAESS <br /> PLUM�INO MECNANICAL <br /> � TM��FlX��E pEE NO. TY7E OF EOUI/MENT '_fEE <br /> WATER CLOSET(TOIIEI) <br /> �IR COND.UNITS-HP EA � j <br /> 9�iMTUB REfRIGERFTION UNITS-H P.EA. ____ ____ � _ <br /> UVATORYIW�H BASIN) BORERS-N.P.EA. __ _.'_'_' 'i- -- <br /> SXOWEH GAS FliiEO A.G.UNIT$-TONNAGE E0. __,_�__._ <br /> NIICHEN SINK 8 DI3�. FORCED AIR SYSTEMS-B.T.1/ EA. _ _ <br /> DISNW115NEP WALL NEATERS-B.T.U. M <br /> UUNDAYTRAV UNITMEATERS-B.T.U. M __ <br /> CLOTNES W�SHER EVAPORATIVE COOLERS <br /> W�7ER HEATER CLOTNES DRYERS — <br /> UMINAL VENTILATION iRN <br /> DA�NKINO fOUNTIIIN RAN6E HOOD <br /> fLOORDRAIN AIRH�NDIINGUNIt- C.F.M. <br /> VhCUUM BREl11(ERS _ STOVE <br /> ROOF OM�NS-RAMIEADERS MEiAL FIREPMCE 6 CHIMNEY <br /> SINK SERVICE-B�K.ETC. WOODSTOVE/ EPLACE MSERT ._ <br /> sU/TOTAL SUB T0T11L ! <br /> PEIIMIT f VERMIT � - <br /> TOtAIR!! • TOTAIFEE � <br /> THIS PORTION TO BE �OMPLETED BY BUILDING DEPT. PERSOhlNEL <br /> �RONT]ETS�CI{ ME�NSEiB�CN SIDESETB�CN PL�NCNECNNUMBER VL�NGHECkFE£ <br /> FEE AECEIviNO <br /> )SEIONE LOTIIRE� y�C�NTSRE pE�� VIIW�TIOM FEE <br /> OVES ONO <br /> 'VVEO�CON9T. OCWV�NGVGPWV NO.OiDWELUNpUNlT9 _ _ <br /> BUILDING s <br /> SIZE 0i 1106 NO.Of 9TOa�E9 M�%OCC LOeO <br /> PLUMB�NG <br /> MECHRNICAI � <br /> �IRE SPRINKLERS REOUIHED ❑YES ❑NO <br /> OTHER — _� <br /> PEN�LTY <br /> ipO�iG4TqN�CG BY VLMN9 CHECItEO BV �PVR.FOR ISSU�NCE BV <br /> � TOT�I _ ____ .— _.__ . <br /> __� � _— <br />