Laserfiche WebLink
APPLICATIQN FOR--' �„�� �� �.u� <br />C I 1/ rr ,Yi,6 �.� <br />,^.E'",°'"" CONS�RUCTl�N � <br />cin ov <br />everett PER�11T L�� <br />BUILDING DEPARTMENT TO B� COMPLETE4 IN !NK- PLEASE PRINT <br />259•8810 <br />❑ DEMOLITION O COMBINATION ❑ P.i11LDING O MECHANICAL ❑ PLUMBING ❑ s�dN <br />M.n ennncss a�rv zm ��wNe ) <br />�or�%E� � /a �.. i . _ l . ' y���.r�f�" d .�'�i ��� / <br />+Y c±v H L. [ << <br />MFCIIIN�f.N CON����I:n�q '... <br />riu�/airn:cO�+tn�G�on M�I1.�11UqC53 <br />CIIY lIP PIIDNE IICCN$E � <br />❑"NEW � ADDIIIDIJ ❑ ALTER�TION ❑ REPAIR <br />I \ usr n���� <br />�� <br />PLVMBING <br />WATEN CLOSET ITO�LEi� <br />BATNIUO <br />LAVATCi7Y IWASH B�SIN� <br />KITC�IEH SINK 8 DISP <br />OISi�K'�SHER <br />LAVNORYTRAY <br />URINAL <br />D��NKING FOUNT�IN <br />FIOOA OR�IN <br />B�C�:FLOW PREVEtlTE�15 <br />fi00F DA��NS — RAIIrIEAOG <br />SINK ISCnVICE — O��i E1C 1 <br />I l�l)Ilf if Ip61:V <br />115! iUpC <br />�.iq pr(,n4st <br />s�zc a� ni nu <br />fIRE SPHR�N�ER', <br />u�ru�::.��c•�+[:c ar <br />•� <br />SUB70T�L f <br />PERMIT = � <br />70TAL FEE f <br />i[�RSEiN0.CM SiDESCiB�CN <br />A�<�C� ypf,RNT5IIE <br />U�ES I]ND <br />pCCU�'ANCYGROUP N0.0lOWFlI <br />q0 Of SIORiES M�R OCC !A� <br />i'IA�15 <br />A1'Pli <br />D[MOLItION ❑ WOODSTOVE/FRf'L.INSERT ❑ DUILDiNG RELOCA710N <br />L� <br />� C� �C �"" <br />I HERCAY CERTIFY TI1AT I IiAVE RE�D AN� EXAMtNED T{iIS AP• <br />PlICA710N AND KNOW TH[ SAME TO B[ T(lUE AND CORREGi. ALl <br />PROVISIONS OF LAWS AND OHDINANCES GOV[RNING iHIS TYpE <br />OF WORK WILL BEGOMPLETED WITIi WIiETHEtiSPECIFIED fiEF7E� <br />IN OR NOT. iHE GRANTING OF 4 PERMITDOES NOT PRESUME TO <br />GIVE AUTf10RITY TO VIOLATE OR CANCEL THE PROVISIOPlS OF <br />ANYOTH[RStAiEORLOCALLAWRE�.jlJLATINGCONSTRUCT�ON <br />Oq lHE PERFORMANCE OF CONS7i;K1QTION. . <br />S�GNn1U11E Of CONIPACIGH OR AU7HOR12F.q�/S'iCNT onie <br />MECHANICAI <br />TYFE OF EOUIPI <br />A/C — A/NNDIG UNITS — H P <br />REF{iIGERAiION UNIiS — H P. I <br />BOII.ERS — B.T U iH P. <br />GAS (���D A C. UNITS — BS.U. <br />FOnCED AIR SYSTEMS — BJ.U. <br />WAIL HEATERS — �7.T U. <br />UNIT HGATERS — B T.U. <br />CLOTHESD�YE�S <br />VENTIIATION FAN <br />f1ANGE 1100D <br />WATEA H[ATER <br />WO00 STO�E <br />Mf.TAL FlREPI.hCE 8 CHIlANEV <br />F�AEPI.ACE INSE�T <br />NEAT PUMV <br />G�S PIPING <br />E%NAUSTFAN <br />SUBTOTRL <br />PENMIf <br />TOT�LFEE <br />PLANCNECKNUM�Efi IFEE <br />BUILDING S <br />PLUMB W G <br />MECNANICAL <br />OTIiEP <br />SiATE BUILDIN6 SURCHARGE <br />STAT[F.NEPGYSU(iCNARGE <br />PUOLIC WOFKS <br />10TAL <br />HECEIPT NO. <br />PROPEf7TV OWNERS AFE PESPONSIBLE fOR �EIERMINING ALL <br />PROPERI Y LINE LOCATIONS AND ��ElA1ED f�SEMENiS. <br />