Laserfiche WebLink
�'�PPLICATION FO`�::� ` ���,�„ <br /> '��"`"" CONSTRUCTION <br /> everett PERMIT e <br /> BUILDING DEPARTMENT <br /> 259-8745 TO BE COMPLETED IN INK• PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ,�StGN <br /> OWNER MAILAODRE55 LITY Z�P PMONE , <br /> Bit-�>�, /17��s saoo �v�Q.�eo.� ,�- E'uc�'�Gc� 9�acz� 3s.3-���� <br /> MCMRECTOHOE9i0YEF M�IL�OORE39 CI 2iP PNONE <br /> '1e� ivt,J _rN�- ���o.f�ir� '� �'��F� ax- S�a�s- Ezs�ioo /��N��o�s <br /> OENEMICOHiR/�CTON M�ILAOOHESS C17Y ZIV PMONE LIGENSE• <br /> MECH�NILALCONTMGTOq MA4�DUPE55 CITY � 2iP FHONE IICENSE• <br /> FLUMBINOCONTMCTOR MMLFDURESS CIiY . � , 21P P��ONE � LICENSE• <br /> CL�S$OF WOIIK <br /> E� ucw ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WDODSTOVE/FRPLINSERT ❑ BUILDING RELOCATION <br /> � " . — <br /> VILUATIONOFWOR ICOSiOFM��ENIALSPLIlSL�90R1 <br /> b�` �/Sa�a, "�- <br /> OESGRIBE W�/O_N4N D '`LIyn //� {/y— <br /> �/�S�L�1 Y�Kble � / ��/J �/SIJ f _ �SQ l I�QIJ/'�— <br /> . USE OF BUIlDINO �� <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> S QS pLICATIONANOKNOWTHESAMET06ETRUEANDCORRECT.ALL <br /> LEO�LOESCIIIPTIONOFPROGEPTY�SHOWNBELOWOHATT�GMFOUFCOPIESI pROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BE COMPLETED WITH WH[THER SPECIFIED HERE- <br /> �or_e�ocK—or IN OF NOT,THE GRANTINa OFA PERMITDOES NOi PRESUME T� <br /> � GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O� <br /> ANYOTHER STATE OR LOCAL LAW RE6ULATINGCONSTRUCTION <br /> OR T4E FORMANCE OF CONSTRUCTION. . <br /> � $I�NATU�NTH�C� TORJ�RAUTHORI2EDAGENT DAIE � ��� <br /> l�� <br /> X ��-��-�-�. 5���7 i <br /> PPOJEGT��ORE43 APPLIGANTSCI:C^_J3:::c55 ENSENO. , i <br /> saoo ��R�,ee�,� - €��' �.. � 3aoi ; <br /> PLUMBINO MECHAN�CAL ' <br /> NO. TYPE OF FIXTURE PEE NO. TYPE OF EOUIPMENT FEE I <br /> � WATER CLOSET TOILE AIP COND.UNIiS—H.P.EA " <br /> BATHTUB REFRIGERATION UNITS—H.P.E0. <br /> LAVATORY WASH BASIN� BOILEflS—H.P.EA <br /> SHOWER 6A5 FIFED AC.UNITS—TONNAGE EA � <br /> � NITCHEN SINK 8 DISP. FOFCED AIR SY37EMS—B.7.U. M E0. <br /> DiSHWASHER WALIHEATERS—B.T.U. M <br /> LAUNDRYTRAV ' UNITHEATERS—B.T.U. M <br /> CLOTHES WASHEq EVAPORATIVE COOLERS <br /> � WATER HE�TER CLOTHES�RYERS <br /> UHINAL � VENTILATION FAN <br /> . �RINKINO FOUNTAIN RANOfi HOOD <br /> FLOOR DPAIN AIP HANDLIN6 UNIT— G.i.M. <br /> ' VACUUM BREAKERS STOVE <br /> ' flOOF ORRINS—RAINLEA�ERS METAL FIREPLACE 8 CHIMNEY <br /> SINK SERVICE—BAR.ETC. WOODSTOVE/FIREPLACEINSERT <br /> SUBTOTAL 9UBTOTAL t <br /> � pERAIiT f PEPMIT 3 <br /> TOTALFEE 3 TOTALfEE t <br /> ,i��. . <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL , <br /> FPONT 9EIBACN NE\q SETBAGK 91�E 9ETBAGK PLAN CHEGK NUMBEN PLAN CHECN FEE;. <br /> FEE PECEIPTNO.� " <br /> ' USEZONE LOTAREA VACANTSIIE � <br /> � OYES ONO FEE! VALU�TION FE! <br /> !�_{�. ; <br /> t ttPEOiLONST. OGCUPANr,yGflOUP NO.OFDWElLINOUNITS <br /> 1 BUILDINa s !' ' ��- <br /> � SIYEOFB�OU NO.OFSTOPIES M�XOCC.LOAD <br /> f PLUMBIN� <br /> 1 MECHANICAL <br /> f <br /> � FIPE SPRINKLERS REOUIRED ❑YES O NO . . . � <br /> � O'.�IFH <br /> PENALIY <br /> APPLIC�TIONAGC.9Y PLANSCHEGKEDBY APP . ISSWNCEBY <br /> � TOTAL <br /> � <br /> � SL1.N.1 '[b 'P.+E A.1..t. C►1 PPL W A� <br /> � /1,4..Q� PitUPFrT�`'( �-Io Pf�W19G'ROa! <br /> � du� iz�u� P�e•��T�� <br /> 4 <br /> 1 <br /> . <br /> �� .. . . . .] , r ,. . .. , . .. ..F�. . . ' _ -, , • ' . . <br />