Laserfiche WebLink
IMEHIQ�MII �.r'PLICATION �OK�-�-� ���,�„ - � : <br /> �����F CONS�'RUCTION O <br /> everett PER11�91T <br /> BUILDING DEPARTMENT <br /> 25g 67a, TO BE COMPLETED IN INK- PLEASii PRINT <br /> ❑ DEMOLITION ❑COMBINATION �.BUILDING �O.MECHANICAI �S.PLUMOING ❑ SIGN <br /> n owv � M•iununess cm �"�"''_��u�� ���or+� � ..rJ /'W7/1 �.• <br /> �f�� ��r5��v�_�Ci �Ic.�� ��, <br /> �y URO f R . M/.II�DDNf LI1Y I�P ONC <br /> ��y �'ER� �O N�C�OR � ��'�il)A� 5� S3y ���/�• I'nONf UCI IISf • <br /> � �.�,€" ,/,'/I/'��'i7z�.3 <br /> � � �'l6Ue�iG�ICONiN�GiOq MML�Of1Rf5S Urv t'�' P�� (. UCENSt � <br /> ��ro PIIIMBINOCO�CIDR ` M�IL�ODf1C5$ GIIY ZIP Pr10NE IICEN..f • <br /> �x� �� <br /> CU59 0�WOPK <br /> Q H� N ❑ ADDITION ❑ ALTERRTION ❑ REPAIR ❑ DEMOLITION ❑ WOO�STOVE/FRPL.INSEHT ❑ BUILOI4G RCLOCATION <br /> � veiu� r .n.ims o.rn�rt rnu;nws eenni <br /> Q�� D6 <br /> �-1 . � <br /> Z H� otsc ia[ o K <br /> � y �� � - -- - <br /> �"� usr or ewro�im <br /> ��6 rr� !, L I HEiiEBV CERTIFV THAT I HAVE FEAD AND EXAMINLD (HiS AP <br /> � �y � IF / �ILY J � PLICATIONANDKNOWTHESAMETOBETRUEANDC0.7FECT.ALL <br /> � itoe�ocumrnovorvnoo�nrri nowr+�eeia^wonm� nrouapco/orts PROVISIONSOFLAWSANDORDINAIJCESGOVERNINGTHIS7YPE <br /> �q � �� �U'/�'ID�f/(� OfWORKWILLOECOMFLETEDWITHWrIETfIERSPECIFIE:DHEHE� <br /> �oi eioc INORNOT.THEGRANTINGOFAPERMI7DOESNOiPRE!iUMETO <br /> �y �h � �� A�D� GIVE AUTHORITY TO VIOLATE [)R :;ANCEL THE I'ROVISIONS OF <br /> (� ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR iH .RFURMANCE UF CONST GTION. �/���f <br /> s�GHAt1nFo COWnCicnnRnuT��an�zE .ENr II�tE � <br /> X <br /> CppJEGt�0URF55 ���PiIC�NiY �NOtiMESSUC[bSENO <br /> l//3 �d`�GQDE �-°� -- <br /> PLUMBINO _ MECHANICAL ___ _ <br /> TYPE OF FI%TURE FEE �.'7 NO. TYPE Of EOUIPMENT _ FEE <br /> W�TER ClOSET ITOILET) __z� (J.% __ AIq COND UNIiS-N P.EA __ _ <br /> B�THTUB _ REFRIGERATION UNITS_H P E� __ <br /> UVATORYIWASHBASIHI �' " — -'UOIlERS-/IP EA __' _- \ <br /> . SNOWER _ G/.S qREO AC UNITS-iONNAOE EA _ _ <br /> KITCMENSINN6DISP �ORCEDAIRSYSfEMS-B.TL. MEA <br /> C�, DISNW�SNER __ '��. _ WAILNEATER5=0TU M _"__ � _ <br /> I _ UUNDRVTR�Y UNIi11EFTERS=BTU M __"'_____ _'_._ <br /> � CLOTHESWASNER Z EVAnORATIVECOOlF.RS _ __, <br /> WATER NE�TER LLOiMES DRYERS <br /> — � —_ <br /> � �� URINAL VENII:ATIONFRN_____ __ _��" _ _ _ <br /> , �►1 ORINNIN6FOI1Ni�IN R�NCE1100�__ _______.1___ <br /> � � fLOOR OR�IN AIR N�N�IItIG UNIt— C F.M _____ <br /> i _ VACUUM BREANERS _ STOVE _ __ � <br /> �� ROOF UPAINS=�AIHI UDEFS MET�I 1'IREPUCE b CNIMNEY � /� <br /> I �`' ,_ SINICISERVICE_�AR.ETC) � J__ V/OODSTOVHFlREPLACEINSEFT _ _ ���V <br /> -- — --- - - � -Ir..�-al�`-1�a�►� -co <br /> -- --- - - - r -- - - � ��- <br /> ��� SUB TOTAL _�� I . SUB TOTAL ___ f js5 ,�_�'��{j�� - <br /> _ _ __— . _ '"_ _ _ _" _.Y"�,��_ <br /> PERMIT f '�"'�� '_._! _ ___ PEPMIT__ .. ._ !� _ <br /> — _ —__ _ '. _ —_. _ . � . . <br /> TOTALFEE t _�T"� 1. _ ..__ TOT�LFEE _____ _ 1f______'__ � <br /> w� <br /> ' I���� THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> �rovist�eecn nUAs[re�cx sm[s[t/e�cn n�enfc-r7����^vu��otn i' eur�i:..l�i.. <br /> , �U .�i7 V _ � ( I � �I�i� nc �J��� I� ntc[�ri��o (.�C�C71n� <br /> �J`It�lvt iOlel�t• �N19rtC ���"�� <br /> I �\�' �� � �J.jnU v(5 'INO !EE! V�WITION _FEE <br /> � ����t ����l OGGOO�NCVG�OOP NOOFDWF�L�YOIINi15 � _ ��� <br /> N «—! �;oJ <br /> _ —3 Au�iniHc ���, 51�4—��� <br /> 4)1 U� b1�0 NO Of S1pqiE9 M�Y OlC I O�D <br /> ' 7 f,� 4/�) - �J Nh PLUMBiNO S � <br /> .�_ <br /> / � _ ___—__ —___.__..._ —_�_ - ' _ _— <br /> MECN.INIC�L ,�:.� _.. <br /> f IRE SPqINKLERS REOl11PE0 ❑ VEti NO ^ l <br /> (�INER 1/1.� . _I il.�. ��� <br /> � ��� <br /> PEN1liV —'�7/� �. _.._�L�-�LC <br /> arr�a:nii H�:r, er �•�er�somc�[uev in ir,n�..����u��.-� n. —'_'-'. �L <br /> u . <br /> TOT�I <br /> --:� ,;� �, c, — - ------ -- -----�� <br /> �-,5� �. � 7 <br />