Laserfiche WebLink
� <br />IM Er�rpiNn <br />WTl' OF <br />everett <br />BUILDING DEPT. <br />259•8745 <br />F Lu. �� <br />i�,PPLICATlON fOk-' ���,�n <br />CONSTRUCTION 0 <br />PERMIT <br />TO BE COMPLETED IN BLACK INK — PI.EASE PRINT <br />❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />) w�o�u <br />� M�q1UURE% �.j YU �'YW/.4 Cn�i "" Iu' � ) � 1-.� <br />_r� . _ J � .�.,rc< �,�.�. c., ,-sJ-.3 •- % �% <br />"�.1�%�t�, r�.:.. i. <br />.nCra�EGr�QPOES�GNEH M�ReDonL'i5 c�ir l��� �����t <br />� ✓�il/�1�G 1 <br />� Vl• /iy�� 1`w1Nf lIGU15F.� <br />M�II.�DI`AC55 7 ` ' <br />�::�r�ry.�tor�tn.c�oa � . . �i'�.4, L1.$ G 1+'t1t/ i•. C i i% .•�.�� <br />,? c /'i �i - vi � z <br />Na%-2YLLt � t... .�L��..a.a �t. <br />MECM�NIC�LLON �tlOR MAIL�DORE55 Gilv lil` 1'Ia1Nf 1-fNSf• <br />� <br />�IUMBINa GONIPe[IUR <br />MML��ORE55 GiV 21P 1410HC l�LUSE• <br />::1 �55 0� WOPK �-/ <br />❑ NEW ❑ AODITION ❑ ALTERAiION Lp REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPLJNSER7 DUILDING RELOCATION <br />+� W��ION C�[ WOHN ICOSf O� M�TERP'_5 PWS l�BL91 <br />���C C%��� - � I- 1 <br />� UfSCH�BE WORN � � �7 �µ�.�(.li c(. � -� ii� v�PV . 5^J l [:IF t �'�-C� �°`d / <br />�c� ��t ..; _ti �� II � . � n � �. c v,• � e. ..?.�� �� <br />LC� L �-t�12 �' G Gh-L" �' V '1 /1 ` ,L�rt : J'4�. ! i <br />•c;ror oanwr � .i I f1�REBY CCRiIFY iHAT I HAVF RFA AND FXAMWED THIS AP� <br />1 � PLICATIONANDKNOW 1HESAMETOBF iRUflANDGORRFCT. ALL <br />�� t.c rt.i a.-� �-' <br />JIMIDFSCA����ONOlVPOOEP�YISMOWNBfIUWON�f1�C���OlIRL01"[d PfiOVISIGNSOFLAWSANDORUINANCESG�)VERNINGTHISTYPE <br />OF WORK WILL9EGOMPLETEDWITH WHEIHERSPECIFIED HERE <br />,or_eioc�—or IN OR NOT. iHE GRANTINGOF A PERMIf DOES NOT PRESUME i0 <br />GIVF AUTHORITY TO VIOLATE OR CANC[l THE PROVISIONS OF <br />ANV OiHEH STAT E OR LOCAL LAW REGULATING GONS1RUCilON <br />OR THE PERfORMANCE OF CONSTHUCTION. <br />sicN�rune ov cuNuucro� on �un�omrco �ocr+r o+ie <br />X l ��o.C�f,� .•s��%/�:c,t¢..,�jj /-.a y-� Sl <br />enrur.�rvrsr,nynu;wcssucursrau � <br />��i�l) <br />PLUMBINO <br />NO. <br />WAfER CLOSET <br />B/TNTUB <br />� _ LAVAiORY�WA? <br />SIIO W C R <br />NIiC�1EN S�NN 1 <br />OISNWASHER <br />..-"'� UUNDPVTRAV <br />CL07HE5 WAS� <br />W�TER HEATEF <br />U9E IONE <br />M1Yl Uf C <br />Si2E O� B <br />L <br />— MCl.�1M1�14i 4 ___—. . . � .. <br />NO TYPE OF EOUIPMENT FEE _ <br />aIR CONO IINI75 H P CA __ _ _.. - <br />PfPRIGf11AfIpNUN1T5 HP4A , ___ ___ <br />OOIIE(1S -Hf f4 _ _. _. ._.._ . . . . ... —_ <br />GAS 1 IRFD A f, I1N115 iONNA �f F � __ . __ ..' _ ''' <br />_'. ___"- _... <br />.. _._ .____ . <br />fOHCFOAIH'tv;ICMS-�IU MFA . . .._ __' <br />_ __-. <br />_. <br />1V�II IIC�IfH:-fl1U M . . .. . ._ _'-" <br />" � ��' IIqIt1�fA1FIK �F7tU Id _ . .. _ --- � <br />_..__ ... __— <br />f V�POIIAIIVE COOLERS___ ___ __.. . .._ _ ._..._' -- <br />_._ ___'____'_ <br />CLOfNES DRYFf15_______" .' _ _ _ _. _--'— "-- -- <br />— --- VENIILAIION fAN __ -- <br />PANGE IIOOD ___—_ — -- <br />.�o .. �. �n� wr. uuiT_ C F.M . —. <br />"___" <br />VACUUM BREAKERS STOVE -- � <br />-- _- _"___ _ _-'__."'__.____ <br />ROOF DRAINS-FA�NLEADEFS _ IACiAI F�47lPLAGEA C1IIMIJFV__ ____ __ _. _ _.________ -- <br />__ -- ___'_' _ ' _ - _ _ <br />SINKISERVICE-BAN ETC) WOODSIOVF�fIHEPLACF INSCR! _ __' _ ,_. _.__,. _ _.. . <br />.—__ __"__.._....'."_...'-__."-""__"__'_-- _-_ <br />SUBTOTAL SUOTOTAL _ ________ ____.. _ __ -- <br />-'__ . _"_" - -' _ - _ <br />-- PEIIMIT. _ ' _ "_ _ s _ _. _ _ "" _"'"_ <br />PENMIT _f .._- __'_ _. ' -' . . <br />TOTAL FEE • ____'_'_ _"_.._ . . . _ . . TOTAL FEE s _ . _' _ . _ . - "-- <br />THIS PORTION TO BE COMPLETED BY BUII_DING DEPT. PERSONNEL <br />__.. _ <br />IB�IM RUASFIB�CM1 ti10[SCIBACM <br />I'I 1N �.uli �•��H�Ip 11 .. . � ��i.�q� �n r.r �1 1 <br />111 -- �iq �-1 iP� I�t__—_____ <br />IOUNEA veG/.N�Srtf �--� iEE3—"�'�—�--"--V�LU�IION fEE _�__ <br />�6C N� <br />f lvES I INO <br />U{:GUVIING�4NUUY �NUO�[lWCIlINl111N1�5 <br />Br <br />�QAp <br />•PPN IUR <br />pUILUING s <br />VLUMOING <br />MEC��ANiCRI <br />o„�E�� <br />VF.IIAl1Y -- <br />TOT�L <br />� <br />`r <br />� <br />