Laserfiche WebLink
,�.E,,,o,,,� ArPLICATICi�fd F�R <br />=,r,oF CONSTRII�CT�ON <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259•8810 TO BE COMPLETED IN INK• PLEASE PRINT <br />DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />.1, •, <br />�� <br />MI�IL <br />❑ PLUMBING O SIGN <br />ruuru <br />33 3 - �3a 6 <br />pfNFPAICOHI11AG10� MMIAf:OfiCiS C��V LIP �I�ONF IICFNSE� I <br />�f �%c,'�'l'�— <br />MkC1UNI.,�LCOMpeL10q 1A�IL AppRL55 Gl�v Z�P PI�ONC LICCNSF • <br />�WMBM/iCOHIH�L1011 MMLAUO�[55 I,tiv (�Y PiIONE �ICLIbE• . <br />❑ MEW ❑ ADOITION ❑ ALTERATION ❑ REPAIR <br />I�W�IIONOfWOPNILO510FM�fCRULSCLUSL�80R1 � <br />dE5CNi8E WORn <br />'TF,�', 2 <br />oeiow on auc�� roun coa�es <br />�o�—ei«�k_ <br />82�Y 13�v��ly �1�� <br />iOJEGUDDNESS <br />PLUMBING <br />NO. TYPH OF FIXTURE Oq ITEM <br />W�TER CLOSET �TOILET) <br />BATHTUB <br />USE <br />SHOWER <br />KITCMEN SINK 6 OISP <br />D1511WASNER <br />URINAL <br />LRINI(IN(I FOUNTAIN <br />FLOOR ORAIN <br />BACNROW PREVENTEHS <br />ROOF ORAINS — R�INLEAOERS <br />SINK �SERVICE — BAR, ETC! <br />PERMIT <br />TOT�LI <br />DEMOLItIUN ❑ WOOOSTOVE/FRPL.WSERT ❑ BIIILUING RELOCAIION <br />«�F wN <br />•NE� V�C�Ni51tl <br />orEs oN0 <br />UP�NCYGAOUP VO OFOWELUNO <br />OCC LO�D <br />I IiEREBV CERTIfY THAT I HAVE fiEAD AND EXAMINED Tf11S AP• <br />PUGATION AND KNOW THE SPME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNiNG THISTYPE <br />OFWORKWILIBECOMPLETEDWITHY✓HETHER'. � LCIFIEOHERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOi FRESUME TO <br />GIVE AUTFIORITY TO VIO�ATE OR CANCEL THE PROVISIONS OF <br />ANV OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION <br />OR THF PERFORMANCE OF CONSTRUCTION. <br />$IGNRIU�E OF CONiqAC7GP 011 AUi110R12E0 RGENI ppiE <br />X � � • ��°r`% ��' y' �� <br />� I MECHANICAL <br />TYPE OF EUUIPMENT <br />A/C — A/MNDL6 UNIiS — NP. <br />HEFRIGERATION UNITS — M P. EA. <br />BOILEHS — B T U./H P <br />GAS FIRED A C. UNITS — B.T.U. <br />FOACED RIN SYSiEMS — B T.U. M EA. <br />WALIMEATERS—B.T.U. M <br />UNI1HEAiERS—B.TU. M <br />EVAPONATIVE COOLERS <br />CL0INESDRYEFS <br />VENTIUTION FAN <br />FIAEPLACE INSEIIT <br />MEATPUMP <br />GAS PIPINO <br />E%HAUSfFAN <br />PLAN CHECK NUMBER <br />9UBTOTAL <br />P[RMIT <br />TOTALFE! <br />�FEE <br />FEES � <br />BUILDING _ 5 <br />PLUM0ING <br />MECNANICAL <br />C7HEF <br />STATE BUILOING SUFCHAqGE <br />STATEENERGVSURCHARGE <br />PUBLIC WORK9 <br />TOTAL <br />RECEIPT NO. <br />PROPERN OWNEFS ARE!iESVONS�BLE FOR OETERMININO ALL <br />PROPEFlTY LINE LOCATIONS AND RELATED EASEMENTS <br />