Laserfiche WebLink
��.�PPLICATION FO.� ���,�„ <br /> '".E",°"'" CONSTRUCTION 0 <br /> cin or <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 25p-8745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ �EMOLITION O COMBINATION O BUILDINO O MECHANICAL ❑ PLUMBINO ❑SI(3N <br /> M�I��DORESS Gin' [IP P110N( <br /> �w,.�� e s., G, � � g�� rs� <br /> ♦qGBil[Cf R RIUNF� M�IL�UOf1E99 LItY i1V 1'HONC <br /> m r,�.,� �8�� -��.�1- , � ,, �� s��>��, <br /> O IIEMLCO �LTOR MMLIOORE9! V IIP PNONF LICENS[• <br /> 1!_1I".d����� , PBB�r �4'6 � J� ySnS'� 5's��-9i'so <br /> GF.CN�NIGLCON�P�GfOq M�IL�OUf1E9S CITY ZIP P ONE LC[NtC <br /> PWMlINOLONIRI1CfON M11L�UONE3! CIIY IIP P��ONE IICEN]F• <br /> CLe390�wOPn <br /> �J NEW ❑ �DOITION ❑ �LTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSENT ❑ BUILDINO PELOCATION <br /> veiwnD OfWORNICOSIOIAUq.�I�l5PW9L�B0111 <br /> �ESCRi E W K OO ie'Jl�SdGld[ <br /> ' v -- <br /> uec o ��oir�a I HEREBV CERiIFV THAT I NA HEAD AND E%AMINED iHIS AP• <br /> PLICATIONAND KNOW THE SAMETO BE TRUE AND CORRECT.ALL <br /> i[o� ocxn nowor OPEAIYISNOWNBELOWOR�i1�CHF0UBCOPIE51 pqOVISIONSOFLAWSANDORDINANCE500VERNIN�iHIS1VPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> ior_eiock�or IN OR NOT THE aRANiINOOF A PERMIT DOE3 NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE Ofl CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW RE6ULATINO CONSTRUCTION <br /> OR THE PERFOFA•4NCE Of CONSTRUCTION. <br /> 910N�TUBEOfCpNiR�CTOPORAUiNO RED�OEN1 D�TE <br /> X�'r/,,,��1�,�1���- .��1�?6 <br /> PROJECI�DOPE94 11PPLIL�NTBCRY�U9iNE994CENSE NO <br /> Cp�O/ �I �J C/� D - b' <br /> PIUMBINO MECH�NICIIL <br /> N0. TYPE OF FIKTURE FEE NO, TYPE OF EOUIPMENT FEE <br /> WATER CLO5ET(TOILET) AIq COND.UNIi9-11 P.EA . <br /> BATMTUB REFRIOERATION UNITS—H.P. EA. _ <br /> UVATORY�W�SH BASIW BOILER9—N.P.EA. <br /> 2, SNOWER _ O �ASFIREDAC. UNITB—TONNIIOEE� <br /> _� NIiCHEN SINN 6 OISB PoRCED RIR SVBTEM9—B.T.U. M E�. <br /> :L O'SNW�S��ER WAILHE�TERS—B.T.U. M <br /> � LAUN�RVTRAV UNIiHE�TEP$-B.iA. M _ <br /> CLOfNES W�SHER EV�FORATIVECOOLERB _ <br /> Z WA1ER HE�TER CLOTHES�RYERS ___ CD <br /> U111N�L VENTIUTION FI1N � Q'�_ <br /> DRINKINO f�UNT�IN RANOE HOOD <br /> m FIOOR DR�IN AIR MAND�INQ UNIT- C.F.M. _ I <br /> VACUUM BREAKERS TOVE —_ <br /> POOF DPAINS-p�INLE�DER3 ' METAL FIPEPL�CE6 CMIMNEV �x �T <br /> SINK�SERVICE-BAR,LTC I WOODSTOVE/FIREPLACE INSERT 7 VV <br /> BUBTOTAL BUBTOTAL t �._E� <br /> PERMIT � PFHMIf ._ � _ <br /> TOi�L FEE t TUTAL FEE ,_� _ O� <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> �PONISFIfl�CN �[�l15[�B�Ch E�OESEIBACN PL�NCNECNNUMBER i'I�NCIIfChfEF <br /> � ��O � Or- ��� C fEE �7 '7�� �ffEi1`INO ��o^ '� <br /> p V! J l7l0� Y <br /> USf IOuf ��y������ < y�C�NT 9iiE V�lU�T10N i[E <br /> R�� y �ZI��V +� �{ ES ONO fEE! _ <br /> N� 1�� ��'1 qIC{Ih11� SG <br /> f�t'[Cf CpN9� OCf.UPeNCY GOOUP NO OF OWELltNO UNIfS F--'� w..l. 1. . /� _ L�Q� <br /> �j' .1n J_L:11.J.W �7 y� �� S �y'� <br /> .]L•'N 1`�3 �M� I � BVIlDINO f f�,('/• �.3�GL/ <br /> s�rt ap,mI nno '1 NO U�F�nniEA M�� �CL.^IO�D /� <br /> ZZOY�F+ ZIY M�� I 'F �AS . �V PLUMBIN4 _ _ `"'<J <br /> MFCIIRNICAL s � <br /> fIRESPRINKLER�HEOUIRED UVES NO <br /> OiNER n��l')Il P� 7 G��_ <br /> PENAUY <br /> •1'PIIC�11011�f,r: qv �`I�i1Sf.11lCM1FD9v �PP11 IOf1195U�NCEBY ----- --,--��' <br /> � TOt�L __ "17 O 5U <br /> tr�,�1 JE� � <br /> � , �� . . <br />