Laserfiche WebLink
,T� :;.�� <br />�'''''�PLICATION FOl�� <br />'".E",°'"" `•° � . `CONSTRUCTION <br />Lltt OF <br />everett P�RMiT <br />BUILDING DEPARTMENT <br />259•8810 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ D�MOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL <br />OWNER M�iLADOPE59 CiIY ZiP <br />/1,�,.,t,✓�a,,.,_.. 7�// r4� i..,. !, �i/,r�' �J.�����, l'�P�:7� <br />MEC�VNICeLCONiP�GTOq rnei�nwmm� <br />' FLUMBINUCONiHAC10R M�IL�DOAE55 <br />CL�55Of WOR1t � <br />❑ NEW ❑ AD�ITION ❑ ALTERATION <br />VALU�110N Of W011K iCO4i Oi M�fEPUI S 1'LUS L�OOP� <br />' � �/�� _ �/Yli �� — <br />OESCR19E WONN <br />[ <br />XUS OfEUIL INO <br />�ien•� oesr— .�� P� <br />�m—a�ocK— <br />. I <br />� <br />� PNOJECT�ODNE9S <br />� X 7��'' �7� o,�..�i <br />PLUMBINfi � <br />NO. � TYPE OF FURU <br />WATER CLOSET ITOILE7� <br />BATHTUB <br />! UYATOHY �WASN BASIN� <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />� <br />DISHWASHER <br />LAUNDRVTRAY <br />j ClOIi�ES WASMER <br />� URINAL ' -' " �" " � <br />� ' OflINNINO FOUNTAIN <br />i <br />4, , FLOON DRAIN ' <br />� - � B�CKFLOW PAEVENTERS <br />I . ROOFOflA1NS—RI1WL£AI <br />� SINKISERVICE—BAR.ETf <br />sue <br />i fpOHT$E70�CM <br />USE20NE <br />� fYPEOiCONSi OCCUPI <br />� . <br />Si2E Oi BLDO <br />OY <br />•n�cN <br />O PLUMBING <br />vNONe //, /�� <br />�J�1�S' Y Y YG� <br />❑ SIGN <br />���. .,. ...�n� .�.�..��. <br />CIfY IIP VIIONE 4CENSE • <br />REPAIR ❑ DEMOIITION ❑ WGJDSTOVE�FRPL.INSERT ❑ BUIl01NG RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP• <br />PLICATION AND KNOW THE SAMETO BE TRUEANDCORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCESGOVERNINGTHISTVPE <br />OF WORK WILL BE COt.APLETED WITH WHETHEfi SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OFA PERMIT �OES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL TMiE PROVISIONS OF <br />ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OF; TNE PERFORMANCE OF CONSTRUCTION. . <br />SION�Tl1REOFCONTR.ICTOROR�UTNOR11E0h0EN� D4TE <br />�I�//1/ //%'///l.1/!i _ U-L/i.� <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />NC — A'MNOLO UNITS — H.P. <br />FEFRIOEMTION UNITS — H.P. FA. <br />BOILERS — B.T.0 /H.P. <br />OAS FIREO A.C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS —B.T.U. M EA. <br />WALLHEATER9—B.T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOlERS <br />CLOTNESDRYERS _ <br />VENTIUTION FAN <br />RANOEHO00 <br />WATER HEATER , <br />WOODSTOVE <br />METAL FIREPUCE 8 CHIMNEY <br />FIREPUCE INSERT <br />HEAT PUMP <br />�AS PIPINO <br />" E%HAUSTFAN� <br />� aUs TOTAL <br />� i[qMiT <br />TT � TOTALFE[ <br />.__ _.._..,., ' 1 PLAN CMECN NUMBER I FEE <br />RECEIPT NO. <br />V�CANT Si7E FEES YM�IlN � �tJ1� �« <br />�YES ONO r <br />NO.OFpWFLUNOUNl13 BUILOING ' S � <br />PLUMBINO <br />usx.oCC �o�o MECMANICAL <br />OTHER <br />STATE BUILDIN6 SURCHAHGE <br />STATEENEFGYSURCHARGE <br />•PP0.FORISSU�NGEBY pUBLICN'OflKS <br />TOTAL � <br />Pi10?EHTV OWNER i ARE FcSPON5IBLE FOR DETERMININO ALL <br />PROPERTY LINE LOCATIONSAND RELATED EASEMENiS. <br />