Laserfiche WebLink
; <br /> ��:...PPLICATIOIV FO�:� ���,�„ <br /> �E�°'� CONSTR(�C`fIQ►� <br /> everett PERMIT �� <br /> BUILDING DEPARTMENT <br /> 259•8745 TO BE COMPLETED IN INK- PLEASF. fyRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ 91AECHANICAL ❑ PLUMBING �I�SIGN <br /> OWHER �� M�IL�ODFESS CIN 21P 1'HONE <br /> �V�2C�L_..�1�i 5.�.09 �Ii�G�� t�Y C'�z�'n' <br /> ARGHI`EGTON�ESIGNEfl M�ILAOORESS GIN ZIP PMONE <br /> OENEMLCONLRACfOR MAIIPJORE55 JITV ZIP PNONE IICENSE• <br /> ��Rrzy' /V�.+�1 T � P�, �ox S�G9 LY,vuc�oon 9�'D46 77�•88�s 8ER2YN�'24� �D <br /> MECHRNIf,�LGONiH�CiOfl MMLApOAESS CIN 21P P10NE LICCNSE <br /> PLUMBINOCON7PAGTON MAIL�O�RE55 Cltt 21P PI10NE LICENSC• <br /> CL�55 OF WORN <br /> NEW ❑ ADUI710N ❑ ALTERATION ❑ fiEPAIR ❑ DEMOLiT10N ❑ WO'JDuTOVE/FRf�L.INSERT ❑ BUILDING FiELOCATION <br /> �`U TDD�QnK�CO5T0iM�IElilAlSPWSLl1BOP1 <br /> DESCRItlE WONK ��u�'�,/� <br /> .� c e� Ry [o � � ,rtic- PiPF _ <br /> useorew�mr+c � I HEREBY CERTIFY TNAT I HAVE READ AND EXAMINED THIS AP• <br /> COMI�'IL'�e��Z PLICATION AND KNOW THE SAMETO BETRUEANDCORRECT.ALL <br /> LEOALOESCHIPiIONOfPNOPEFiY�SNOWNBELOWOH�TTACHFOUPCOPIES� pROVISiONSOFLAVJSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BE CONIPLETED WITH WHETHER SPECIFIF.D HERE• <br /> �or_e�oc�_or — INORNOT.THEGRANIINGOFAPCRMITDOESNOTPRESUM6T0 <br /> GIVE AUTI�IOf71TY TO VIOLATE OR CANCBL TI IE PROVISIONS Of <br /> ANY OTHER STATE 07 I�OCAL LAW RHGULA�ING CONSTRUCTION <br /> QR THE PERFORMANC:E OF CONSTRUCTION. � <br /> SIGNATU E FCONTRACTOROHAUTNORIZEDAGENT UATE <br /> X �� � .5^-.27-86 <br /> PROJEGT ADDRE55 APP4CANi5 fITY BlI51NE55 LICENSE NO. <br /> �2�`I Fl/Ef�G2�� W'� <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FI%TURE FEE NO. TY7E OF EOUIPMENT FEE <br /> WATER CLOSET�TOILEn AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFFIGERATI'JN UNITS—H,P.EA. <br /> LAVATORY1WASt1 BASINI 801LERS—HP.EA. <br /> SHOWER GAS FIRED AC.UNIiS—TONNAGF EA. __ <br /> KttCHEN SINK 8 DISP. _ FORGED AIR SYSTEIdS—B.T.U. M EA. _ <br /> UISHWASHER WALL HEA7ER5=B.T.U. M <br /> LAUNDRVTRAY UNITHEATEFS—B.1.U. M _ <br /> CLOTHES WASHER EVAPORATI4E COOLEt75 _ _ <br /> WA7ER HEATER CLOiHES URYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD — <br /> FLOOR DRAIN AIR HANDLING UNII'— GF.M. <br /> VACUUM BREANEFS STOVE — <br /> ROOF DRAINS—RAINLEADERS METAL F'IREPLHCE lt CHIMNEY <br /> SINKISERVICE—BAR,ETC. WOODSTOVE/FIPE°LACE INSERT <br /> SUBTOTAL SUBTOTAL 3 _ <br /> PERMIT S PEflMIT S <br /> TOTALFEE S TOTALFEE s <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> FRONTSEIBAGN RERRSEiBAGK SI�ESEIDRCK PLANGHECKNOMOEfl PUNLHECNFEE <br /> FEE RF.GEIPI N0. <br /> USEZONE lOiAl1EA VACRNTSITE � cEES ���UATION iEE <br /> ❑YES ONO <br /> TYPEOFCONST. OCGUF�NGYGNOUP NO.OFOWELLINGIINIiS <br /> BUILDING �f <br /> SIZE OF OLOG. NO.OF STORIES MnX OLC.LORD <br /> PLUMBING <br /> MECHANICAL <br /> FIRE SPRINKLERS REOUIFED ❑ YES ❑ NO O7HER <br /> PENALTY <br /> APPUCr1ilON RGL BY PUNS CIIECKED BY AGPR.FOR ISSU � BY <br /> TOTAL <br /> ,�r I�, \ �7 SGGct,� 'rr9 �jE ,d-L L d.cG <br /> p�!(�A� %�,�OP��-� <br /> (c-� ��rp — <br />