Laserfiche WebLink
�y:PP�ICATION FO��' <br />,".E".,°'"" CONSTFtUCTiON <br />CRY CF <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259•8810 TO BE COMPLETED IN INK • PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � �M[CHANICAL <br />owrrn M�IIAPOPfss arv _ nr <br />. � /. . r .� . r r n . . 1. . � l 1 i_ 1 /)1` <br />M�II <br />❑ PLUMBING ❑ SIGN <br />ruov[ <br />, ; %.� �-. � 7/ % <br />Otb[NALGOII'n�POn ^_••'••••..•'.• <br />`� '' .i—?,'7/ � il���it�� ���i� ��`l� ��'ii�nJl %�7/;.: %`.'j•/>I�,( El�rt.i/'S-li'i <br />, - i��i,f, ti. . � l�i� � <br />uecnuuui car�nur.�rni J , Mui nonn[ss cnv :ir r�mra ucc��sc . <br />PIUMP�qOCONIP�C1pR MNL�UUIIL45 G�IY SIP . PIIpNF lICE115C• <br />GL�550� WUP✓. <br />❑ ��EW � �DDIiIUN ❑ ALTERATIUN ❑ PEPAIR ❑ DEM(1LITION �/WOOOSTOVE/FRPL.INSERT ❑ BUILDING REIOCATtO�!_ <br />v�lw��oN ur Wonv �cost p� rn�4 nu�s rtu, unpni <br />Ut scmyt won. ^ . / ' ' . � „ ' � / i . ' . �/ <br />�! /• .d �:� /�� J::, -i i ./ ..v, ., ._ � i 'r � c" il A ii ✓i . P /i �n .' n. .!/� �'P,; /_ <br />� �: �l�f ,^ <br />ISIIOWN <br />io�—ewc�— <br />, <br />PNO1ECi�DfInESS � • <br />,�'-9//� Gv,,.,, !,; ., <br />v <br />PLUMBING <br />un rroE oF FIXTUPC OR ITEI <br />WRTER CLOSET �TOILET� <br />�ATMiUO <br />LAVATORY�WASN 9�SIN� <br />SHOwER <br />I(ITCHEN SINK 8 OISP <br />OISMW�SMER <br />IAUNORV7RAY <br />CLOTNES WASNER <br />URINAL <br />;FLOW PRE�ENT[PS <br />° ORAINS — MINLEAOE <br />ISERVICE — Bnn. E7C 1 <br />Sll9 TOTAL <br />CEf1M1T <br />TOTIIFEE <br />�i�OM1� SE Illn�r �-- ��1 ��� ^[16�CM <br />USCIUNL IUTAf1U <br />�n�[ or crn�s� n� r ni•nnc.r r,nc <br />spc0� oilvi nq rn �:�nniFs <br />r, or � rinrr; <br />SiOE SCIU�Cn <br />WC�NI SIIE <br />❑YES f1N0 <br />No O� OwRI <br />Y�C OCC l(�i <br />errr� ronis� <br />I HEREBY CEFTIFY TH I FIAVE READ AND EXAMINED TFIIS AP� <br />PLICATION AND KNOW TI1E SAME TO BE TRUE ANDCORRECT. ALL <br />PROVISIONS OF �AN/5 AND ORDINANCES GOVERNING iHIS TVPE <br />OF WORK WILL BE COMPLETED WITH WHE7HER SPECIFIEO HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIULAiE OR CANC[L 711E PROVISIONS OF <br />ANV OTHER STATEOR LOCI�L LAW REGIiLATINGCONSTRUCTION <br />OR THE PERFORMANCE Oi CONS7RUC'.iU!!. . <br />S�ON�IU�E Of CONtRR�ICR OH RUIHO�IZED RGENT ORIE <br />., ,. .. � . �-12•y% <br />CIIY flUSiNES9 <br />MECHANICAL <br />FEE NO. TYVE OF EOUIPMENT <br />A�C—A/HNOW UNITS—HP. <br />NEFFIGERATION I�NlTS — M P. EA. <br />BOILEPS — B.T U /H P. <br />GAS FI(IED A C. UNITS — B T.U. <br />fURCED AiR SYSiEMS — B T.U. M EA. <br />WALLHEATE(1S—BSU. M <br />UNITHEATERS—OSU. M <br />EVPPOf7ATIVE COOLERS <br />CLOTIIES DRYERS <br />VENTILATION FAN <br />Rr1NGE 1100D _ <br />W�TE� NEATER <br />WOODSTOVE <br />METAL FI{7EPLACE 8 CNIMNEV <br />FIREPV�CE INSEOT <br />HEAT PUMP <br />OAS PIPINO <br />E%HAUSTFAN <br />SUBTOTAL <br />PCIIMIT <br />tOT�LFEE <br />IM.AN CHECN Nl1MpER I FEE <br />FEE <br />RECEIPT NO. <br />�UILDING 5 <br />i'LUMBING <br />MECHANICAL <br />OiHER <br />St�TE DU�I�ING SURCHAfiGE <br />STATEENERGYSURCHAfiGE <br />PUBLIC WORKS <br />TOTAL <br />PROPERTY OW NEfiS ARE i7ESPONSIBLE FOR DETERMINING ALL <br />Pf70PERTV LINE LOCATIONS AND RELATED EASEMENTS. <br />