Laserfiche WebLink
f <br /> '�wPPLICATION f0��2� ���,�„ <br /> ,".`"'°,"" CONSTRUCTION 0 <br /> �ITY CF <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259•8745 TO BE COMPLETED IN INK• PLEASE PRINT <br /> O DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SION <br /> �yN� M�II�DDRE59 ❑IY 21P PNONE <br /> y e �z �ow,�,�-�u�ty a � �s ��-�P,� sr ����-��'- �vA - <br /> •NCNI�EGfONOESIONEA—� M�il�0ORf39 Gry Z�P P��ONE <br /> � � <br /> OENER� CONIReC10R M�IL�ODRES9 CIiY SIP y�� VHONF lIG N�E• <br /> It,�v 2 /��f�i�4 C� �',� O 1 " j�z c� cSn,n/4�,� Qt" /!c �� M A�yJU�cr e� rvit f N•US'�S /3L k/l <br /> MECN�NICµCONIR�CTOq M�IL�OORE99 CIIY 21F PIIONE IICEN9E• <br /> PlUM11iNOCONiR�L10� M�IL�DDIIESH CIiV ZIP P1�ONE I�CENSE• <br /> CL�SS Of WORK <br /> ❑ NEW ❑ ADDIiION ❑ ALiERAT10N REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FHPL.INSERT ❑ BUILDINO RELOCATION <br /> V�1V�11UN 0�WJNItIGOSi Of M1iE�I�LnS PLU9 L�BOAI <br /> � f �STMLC' —D�(4l IIH�I% DW /ZGK A LU �/ 6��0 �Q1 •--� �/ O�U <br /> DE6CN9 wORK n <br /> '� ��S/71ZC� �'�J� L' ��iH6���w t.t) 0 r7 <br /> USE Oi�BU;iIDiNO ff Q' I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED T!iIS AP• <br /> J �H- �7y'���` '"� �1��`�""' PLICATIONANDKNOWTHESAMETOAETRUEANDCORRECT.ALI <br /> lE0�l0E5C IION��O�fPqROVER�Y�lNOWNB4LOYOR�i/�G11F0URCOPIE&�/J PROVISIONSOFLAWSANDORDINANCESOOVERNINGTHISTVPE <br /> or��e�ockZL�or �/'f-�������L "`v �Z OFWORKWILLBECOMPLETEDWITHWHETHERSPECIFIEDHERE <br /> IN OR NOT.THE GRAN11N0 OF A PERMIT DOES NOT PFESUME TO <br /> QIVE AUTHORITY TO VIOLATE OH CANCEL THE PROVISIONS OF <br /> ANY OiHER uTATE OR LOCAL LAW FEGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUGTION. <br /> UREOFCQry1R�CTORO AUTMORIIEO�OENf U�IE <br /> / � <br /> . r:� -�/9; <br /> VROJECT�DORE49 �PP IC NT. CIIYBU9iNE9SVC[NSEN <br /> 7J l S �' KrrL. C��712�.P.�� �,. <br /> PLUMBINO MECHANICAL _ <br /> NO. TYPE OF FI%TURE _ FEE NO. TYPF OF EOUIPMENT fEE <br /> WAiENCLOSETTOILED _ _ NRCOYD. UNIIS-H.P.EA. _ <br /> BATMTUB _ NEFRIQERATION UNIT9-H.P.EA. _,__ _ <br /> LAVATORV�WASHBRSINI _ _ DOILERS-H.P.[A. _.__ __ _ <br /> 3HOWER 4�S FIRE�AC.UNITS-TONNAOE EA ___ ___ <br /> NITCMEN SINK 6 DISP. FORCEO AIR SVSTEMS-B.T.U. M EA. _ <br /> D�SMWASHER W:LL HE�iER3-B.T.U. M _ <br /> LAUNG9Y TfiAY UNIT HEATER9-B.T.U. M __ _ <br /> CLOTHES WASNER EVAPORATIVECOOLEHS <br /> WATER.IF�TFR CLOTHES�RYERS _' _ <br /> UR�Nn'_ VENTILATION FAN <br /> DR�NKINO FOUNIAIN RANOE HOOD _ <br /> FLOOR URAIN AIP NANOLINO UNIT- C.F.M. <br /> WCUUM BREAkERS STOVE _ <br /> ROOF DRAINS-PAIHLEAUER9 METAL FIREPL�CE 8 CHiMNEY <br /> SINK SERVICE-BAR,F.fC.) _ WOODSTOVE/FIREPUCE INSERf _ <br /> BUBTOTAL BUBTOT�L t <br /> PERMIi • PEPMIT f _ _ <br /> TOTALFEE ! _ TOTALFEE f _ <br /> TH15 PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> �AONISEIB�CK AEeN5E�0�CN SIOESE1B�Ck PI�NCMECNNIIMBEf, �UNL��FCKlEE <br /> �EE AELE�PI NO <br /> USEIONE IOfAPE♦ y���H131fE <br /> �[ES VIWATIOH f[� <br /> OYES�MIO <br /> !� <br /> M1PEO�NSI O(:CUP�NGYG�OUP NOOFpWElUNOUNITi1 <br /> .�✓ n - � � e�i�oiNa � <br /> SilF OF gl0 MO Of SIOPIE9 M�% OCC.lOAO <br /> ��12� �ON — N,4 -- N/1- PLUMBINO <br /> MECN�NIC�L <br /> FIRE SPRINKIERS REOUIREO ❑ VES�NO <br /> OTNCR <br /> PEN�LTV <br /> IV��i[�IIOH�CCBv PL�NSCIIELNEDOY �PPf1fOR195U�NCEBY �- <br /> �^ TOTAI_ _ ___ <br /> / <br /> s-v <br />