Laserfiche WebLink
� ( fMEw.yrs�n � �APPLICAT�ON FG �t ��—,.�,�-„� <br /> pry�F CONSTRUCTION U <br /> everett PERMIT <br /> TO BE COMPLETED IN BLACK INK– FLEASE PRINT <br /> BUILDING DEPT. <br /> 259-B745 <br /> y n H ❑ COMBINATIDN ❑ BUILDING ❑ MECHANICAL L� PLUMBING SIGN <br /> �i "0 <br /> H ��yryE MAILADONE55 C�iV Z�P PMONE <br /> � � ,�.w .�//a ,/ �o� .o-fs.� �„k�e% <�,� �F,�� 5�> ���; <br /> � �y ReC��rtCGi0eOE51Gt1 ' MMLA09PE9S CiT' y IIo V��ONf <br /> �ENERALGONiRACiDfi ^ / MMLA�DNES9 / OiY PP PHONE I.�CENSE• <br /> n�' ./ /i�i�<<;� 7cF rc'-r 3� /J�;/� rc�.,.� tT7�� 3S'3 z7�� <br /> K y � !/!- !�U['u.3f=�' <br /> � H� Nrp�pInCRLCANTMCTOF MRR��OFC59 CiiV Zi� ���ONE LICENSE> <br /> V1 H <br /> y � � FWMBINGGONiP�CTOR M�IIADORE55 LIN 21P PHO4[ LICENSE• <br /> C7 O <br /> Q H tl CU540F WpHN <br /> �M�V� <br /> ��g ❑ NEW ❑ A�DITION ❑ ALTEFATION ❑ REPAIR � DEMOLITION ❑ WOODSTOVE/FFPL.INSERT ❑ BU�LDING RELOCATION <br /> G]• OG Y<IWTONOFWORK�fAST,O/FM�TEPiAL5PLU9U80Po <br /> 'L M 3 ',� �O J1T�'� / � iI <br /> a H [�1 pEECPIBE WORK <br /> t�� x <br /> hi H <br /> y use oF euamwc <br /> F"'� I HEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS AP- <br /> n �� PLICATION AND KNOW THE SAME T08ETRUE ANDCORREGT.ALL <br /> [+ uouoE cnwnoNorFAo>earnsr�owHee�owca�necnrouecori¢s PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> s OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br /> [7 C� <br /> y�� rio�eioc�—ov –� � � INORNOT.THEGRANTINGOrqPERMITDOESNOTPRESUIdETO <br /> [ GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OK <br /> '6 �/% £� - '3IvtL U I���� �J- ^ oe ANYOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTION <br /> OR THE ERFQ1RMAN E OF CONSTFUCTION. <br /> SiGNAT -OF�CONfRAG ROPAUiN 2E G �'T �At[ <br /> X � y�/9�d'�' <br /> w <br /> PPOJECT�O�RE99 FOPUGANTSLiiY 5� ESSIIGEN5EM0. <br /> x 2aiv l'„lG . <br /> i PLUMBINO MECHANICAL <br /> NO. TYPE OF FI%NRE FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER ClOSET ITOILE AIR COND. UNIT$—M.R EA. <br /> BATHiUI� AEFHIGERATION UNITS—M.P.EA. <br /> IAVAiORM�WASH BASIN BOILEFS—N.P.EA. <br /> / �' SNOWER OAS FIRED AC.UNIT9—TONNAGE EA <br /> ! KITCNEN SINKB DISP. FORGED�IR SYSTEMS—B.T.U. M EA <br /> � ���� DISHWA511EB WAI.L HEATERS—B.TA. M <br /> 1 � _ LAIINDRVTRAY UNITHEATEPS—UTU M� <br /> CLOTNES WASHER EVAPORATNEGOOLER9 <br /> �, '��� WATER HEATER CLOTMES DRYERS <br /> I �� _ ❑RINAL VENiILAiIONFAN <br /> URINKING FOUNTAIN RANGE NOOD <br /> FLOOR OPAIN A!P MANDLING UNIT— C.F.M, <br /> I ' — VACUUM BREAKERS STOJL <br /> '_' ROOF DRAIN9—RnINLEA0ER5 METAL FIREPLACE 8 CNIMNEY <br /> SINK�SEfiVICE—BAR.ETC. WOOOSTOVE/FIREPLACE INSERT <br /> � _ <br /> �_� <br /> � SU9TOiAL 6UBTOTAL t <br /> PERMIT i pEFM1T t <br /> TOTAL FEE i _ 70TALFEE S _ <br /> 'a� THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> I ' fRGN15E10�CN �URSEtOACK SIDESEI�ACH PI�NLHECNNU118LR PUNCNEGNFEE <br /> _ GEE RECEIPI NO. <br /> �I_, pee 24N[ LOi�RG VAG�Ni SITE <br /> pVEB �NO FEE9 V�LUITION FEE <br /> TYPEOFLONST. OCCUPANCYGdOUP NO.OFUWELlINOUNITB <br /> BUILDINO L <br /> Sii[OF BL00. NO.Of BTORIE9 MAK OCC.LO�D <br /> PLUMBINO <br /> MECNANICRL <br /> FIRE SPRINKLERS REOUIRED ❑VE9 ❑NO <br /> OTHEN <br /> PEN�LTY <br /> AFPIIC/TIONACL.BY FLANBGH[GKE�BY APP0.FORISSU�NLEBY i <br /> TOTAL <br />