Laserfiche WebLink
/�ufSLiG vJc✓ZfCS . ;. <br /> f:.'PLICATION FOR�..�' ��� <br /> IM Er��O�� CO N ST R U CT I O N 0 <br /> f.IT'!OF <br /> everett PERMIT <br /> BUILDINO DEPARTMENT TO BE COMPLETED IN INK- PLEASE PRINT <br /> 259�8745 <br /> ❑ DEMOlITION ❑COMBINATION �BUILDINO O MECHANICAL _ ❑ PLUMBINO ❑S�C�N <br /> OWHER M�IL�UpORE!! ' ��TY tIP �NONE <br /> /f .I�.l, 22v � N aJu.OD �! ' 74 'aJc�.ya <br /> �CC:�'��I�C IC C- N� � M�il�DORE!! CIIV iIP PNONF <br /> MC��iIEGi ON UEl�O��ER <br /> � � Q �� w..� ��on ..�A 9E.viv ')'7i- zjcu <br /> OFNf��LGONIR�CION MM1�0011ED! CItY !IP �NONF LKEhSE <br /> L�vcu� /.., c � cn, .,1A- �vU7L 7t;G. SroG knrv�zi•- <br /> I,lv�/ .�Ou ��.rN.�- .7 . Ic <br /> MFC`IUNIGIGONIR�LIOq MMI�DORES! GIIY LIP PIIONE LICENSC��(�t�.J7. <br /> (�J�' z'(HI/L�� �N 1t4.4 � S �NS �V�7Nw/Y4l7 ��� -�.��ll <br /> PLU�B^�NO�C/ONIR�CIOR �MM11100AE!! �] �G7Y 2iP FIIONE lKEH9E <br /> hJi1�-�rJN �'ILKr//�-V t Doiiia.'7.0 JA ��� 2•IIlaU . <br /> ei�ee or wone <br /> (B�NEW ❑ AODIiION C� AITERAiION ❑ REPAIR ❑ DEMOIITION ❑ WOODSTOVE/FRPL.INSERT BUILDINO RELOCATION <br /> v4 W�iON O�WORKICODi O�M�tEN�l9�lU!L�BOm <br /> v�v C�O <br /> �.,,t�.., � ��, ).L<,,;�.,�-N�S /5 <br /> oeecn�eE wonK <br /> �� �s�3.r ���=�.�t �-r�,��,�� �.,��,�h . <br /> u'or eunoin I HEREBY CERTIFV 1HAT I HAVE READ AND EXAMINED THIB AP� <br /> PLICATION AND KNOW THE SAMETO BE TRUEANDCORRECT.ALl <br /> lEO�IOESCOiPIIONO�P�OPERIv�9��OWHSEIOWO��It�CNFOURWVICl1 PROVI910NBOFlAW3ANDORDINANCE340VEFNIN6THISTVPE <br /> OF WORK WILL BE COMPLETED WITH WHETHEp SPECIFIED HEFE• <br /> ia�__����_o� IN OR NOi.THE QRAN'+INOOF A PERMIT DOES NOi PHESUME TO <br /> OIVE AUTHORITY TO VIOLATE OR CANCEL iHE PFOVISIONS OF <br /> ANV O11iEFi STAiE OR LOCAL lAW REOUTATIN�CONSTFUCTION <br /> Op THE PERF NIANCE OF CONSTRUCTION. <br /> lIONATUREOi N�ACTOR011�UtNOR12ED�OkNi UUE <br /> � <br /> x .� -�� � 6�3•��� � <br /> WIOJEC11100PE6! . �'L�C11NTlGItYlU91 E!lLICEN NO , <br /> I <br /> T �Q - �") k. C4�f i N o `_, �i <br /> yu� � <br /> MECNANICAL � <br /> PLUMeINO fEE N4. TYPE OF EOUIVMENT FEE <br /> NO. TYP[OF FIKTUNE _ — <br /> W�TER CLOSET IOIIE AIR COND.UNITS-H.P.EA. <br /> REFfl�AER�TION UNIT9-N.P.EA <br /> BAINTUB <br /> UV�T011Y WA9N 9A9iN1 BOILEHS-H.P.EA. __._ . <br /> SNOWEp 4A9 fIRED AC.UNITB-TONNAOE EA <br /> NIfCHEN SINK t DI9P. FORCED�IP SY9TEMS-B.T.U. M U. <br /> 019HWASIIER WAI.LHE�TERB-B.T.U. M <br /> L�UNDRYIRAY UNITMEAlER9-B.T.U. M - <br /> CLOtHE9 WA9HER EVAPORAiIVE COOlER9 -- <br /> WATER NE�TER CLOTME90RYER9 <br /> VENTILATION fAN <br /> URINAI <br /> ORINNINO FOUNT�IN PANOE HOOD - - <br /> FIOUR DR�IN � AIR HANOLINO UNIi- C.F.M. <br /> V�CUUM BFE�NERS 9TOVE -- <br /> ROOF DR�IN9-R�INLEADER9 MEUL FIREPL�CE 6 CHIMNEY --- <br /> 9 SERVICE-9 R,EIC WOOD9fOVE/FIREPLaCE IN9ERT _ <br /> — r i U � ' � � <br /> � � ' <br /> BUB iOi�L BUB TOIAL � -- <br /> PEPMIT � PEHMI7 � - <br /> TOTRLFEE • TOtALfEE � - <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> �110HtlEIBaCK �E��SEIB�Cn S�DEBE�B�CN <br /> PL�N CNECN NUMBEII �UN G��ECN fEE <br /> � �� � fEE � � �ECFIPt HO � <br /> USE iONE �0���E� VAC�Nf SItE «�� y�L11�TI0N F!F <br /> �� ,�/'Q nv[e�o — /y� <br /> �MEOfCONl�I1 OCCU�RNf.vG00UV NOOfpWElLIN0UNl1! % j �� ,� ��(I ��� "✓ _ <br /> ��N '/'Z � 9UILDINO fl.7vt-0/• I�Z OU_ <br /> 51t[O�PI UO �W Of SIONE9 M�M OCC l0 U <br /> ( s� Sf � � r�uMeiNa -_ <br /> MECH�N�C�L _ <br /> FIRE SPRINKLERS REOUIRE� L] YE9 IN70 OiHER __ <br /> PEN�UY __ <br /> �PPl�C�110N�CC0� 1'i�i�SGrtCKEOsv I1PPPiOPIelU�NC[W <br /> � G .o..� _ - <br /> � ,U,, , J�� <br /> ` � � � i��1,� �•J �..� w 9 - <br />