Laserfiche WebLink
..PPLICATION FO►_ <br />`�'E"'°`»" CONSTRUCTION <br />an or <br />everett PFRMIT <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ UEMOLITION ❑ COMBINATION yd BUILDING ❑ MECHANICAL <br />PLUMBING <br />❑ SIGN <br />OWNE9 �...�i..��.....,. - <br />SoN �En�/G d/6.23 S'ff� v4v (.J Edn,oH�s 98odo 77S-9oa'{ <br />♦RGNIIELfOROFi�ONER M�II�DDPE55 CIIY 21V PM�NC <br />OW wer <br />GENEMLGONIR�UOR M�IL�OO�IE55 G�iY LIV ���ONE LICENSC• <br />p w he.r <br />MEGH�NiG�ICOMiP�ClOA M�il�00NES5 . Ci1V LP i'��ONE UGENSE• <br />�wn <br />PWMBINOGONIR�LtOR MML�UDNE55 LIiV !I� PIIONE UCENSE• <br />�W 4bQ� <br />CI�SSO� WORN <br />❑ NEW � ADOITION ❑ ALTERPTION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FHPL.INSERT ❑ BUILDIN6 RELOCA�ION <br />W WA➢OH OF WO�K ICOSI OF M�IEPI�LS FWS L�B0f11 <br />L �cC'i, <br />oest�mpoewonK / <br />uy��s�q G�oYN�P✓ /n 4h_ eYlt%n9 4�/C- SP�ct ' To A�� A ��1��YooM7 . ' <br />PLUMBING <br />NITCHEN SINK 8 <br />Evern�ff� <br />I HER[BY CERTIFY THAT I HAVE HEAD AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAMETO BE TRUEANDCORREC f. ALL <br />PROVI�IONSOF LAWSAND ORDINANCESGOVERN'NGTHISTVPE <br />OF WOFK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE� <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTqUCTION. . <br />S�GNRTURE OF CONIRRCiOp OR AUiHOR12ED AGENT ORTE <br />1�1 <br />MECHANICAL <br />NO <br />OIlE7) '�,�j NC—NHNOLOUNITS—HP. <br />REFRIGERATION UNITS — H.P. EA. <br />BASIN� BOILERS — B.T.U./H.P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />�Sp FOPCEO AR SVSTEMS —B.T.U. <br />WALL HEATERS — B.T.U. <br />UNIT MEATERS — B.T.U. <br />� EVAPORATIVE COOLERS <br />ORINNINO FOUNTAIN <br />FLOOR DRRIN � <br />ROOF <br />�2 0 <br />/`1 ^ I <br />fYVE OF f.pNST <br />.L"-n! <br />I�flO� <br />BUSTOTAL f " <br />PERMIT i <br />TOiALFEE f � UCt <br />RE�R SETB�LM Si�E 9EIa1�CK <br />�z o ( � <br />LOf ARE�� / y�L�Nf SiTE <br />/�,/� OYES ONO <br />OCCUPANGYGPOUP NO.OFDWELLI <br />r{-3 <br />NO Of 9TONIE9 M�n OCC. LO� <br />� ^�� <br />RED O YES ,NO <br />VLANS CNECIOiD BY �PP0. FOR IFS <br />VENTIUTION FAN <br />RANGEMO00 <br />W�TEN HEATEfi <br />WO00 STOVE <br />METAL FIREPUCE ! CNIMYEV <br />FIREPIACE INSERT <br />HEAT PUMP <br />OAS PIPINO <br />E%MAUSTFAN <br />SUBTOTAL <br />PCNMIT <br />PLAN CMECN NUMBEfi <br />� 7 �/ C,, , `. <br />BUILDING <br />PLUMBIN6 <br />MECHANICAL <br />orHer <br />STATE BUILDING SURCHARG' <br />STATEENERGYSURCHAHGE <br />PUBLIC WORKS <br />TOTAL <br />FEE <br />M EA. <br />M <br />M <br />2S <br />/�/a z/8 7 <br />HECEIPT NO. <br />� <br />PROPERTY OWNER9 ARE RESPONSIBLE FOR DETERMININO ALI. <br />PROPERTYIINE LOCATIONSAND RELATED EASEMENTS <br />