Laserfiche WebLink
� � <br /> r.PPLI�ATION �Oe. e�e,e„ <br /> N�Eve�p�een C O N ST 6t U�T 1 O N <br /> cin.oF � <br /> , <br /> everett PERMIT <br /> TO BE COMPLETED IN BLACIC INK— PLEASE PRINT <br /> BUILDING DEPT. .J <br /> 259•8745 u COMBINATION ❑ BUII.DINf9 ❑ MECHAPiICAL ❑ PLUINBING ❑ SIGN <br /> OWNER • MAILAD�RESS / (' Gli! ZIP PI�ONE <br /> ���a�r 5 � A"�h.1 h , .� 1 J G � ,b C t I C; �l ! Y�- ��[.1 a L 7 �' � � U� � CI <br /> AflCHREGTOflDE51GNEP � MRILR�OFE55 CIiV 21P PHONIS <br /> Co �ry�'rnci- �y���n v„�,�.,,-�e� � Ol ��� Ih AJe. � . ` ���r(e `i�IIL ir3 -85o0 <br /> GgNE�ALCONTRACTOfl IAAILA�ONE55 �'n' ZIP PIIO'.VE LICENSE• <br /> pwn� r � p t3rr \u� c� E� er<T7" `�I�G�-oG '� S> -oIS� <br /> MEGMANICRLCONiBAf,iO� MAILAO�PE55 CITY ZIP ^HONE 4GENSE� <br /> PWM91hpLbYTP4Ci0H MAIL�D�fl655 Cltt ZIP PHONE LtC[NSE• <br /> CLASS OF\YORN <br /> � ❑ NEW ❑ ADDITION ` ALTERATlON ❑ REPAIR ❑ DEMOLITION ❑ WOOOSTOVE/FflPL.INSERT ❑ BUILDING RELOGaTION <br /> VALWTIONOfWORN�CO5TOF1.1AiE��AlSPLUSLABOR� i� <br /> •11� 30, ono . .— <br /> �ESCHIB[WOFK l�T vn L � f\ -�-.: � t� -Ti� �� f Y ✓� <br /> USE OF BllIL01NG <br /> I HEREBY CERTIFY'fi1AT I HAVE READ AND EXAMINED THIS AP- <br /> � PLICATION AND KNUW THE SAME TO BE TRUEAND CORRECT.ALL <br /> LEGALDESCRIPTIGNOFPROPERiY�S110WNBELOWONAIIFpIFDIIRCOPIES� PROVISIONSOFLAWSAIJDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIEC HERE- <br /> LOT—BIOCK_OF 1 IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> V �1 � I U ��-T .s GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O� <br /> ANYO?HER ST.4TE OR LOCAL LAW REGULATING CONSTRUCTION <br /> ^ UR THE PERFORMANCE OF CONSTFUCTION. <br /> C- - L �� ' � SIGNANRE OFCONTRACTOH Ofi AUTHOflIZEO AGENT DATE <br /> x <br /> PPOJECTADDRE55 ��"� 01 'pv( � .� 1 ,.i r V�f,���.� APPLICANTSCITYBUS�NE$SLICENSENO. <br /> PLUMBINC MECHANICAL <br /> NO. TYPE OF FI%TURE FEE NO. 7VPE OF EOUIPMENT FEE <br /> ��i WATERCLOSET�TOILEn AIRCOND.l1NIT5-H.P.EA. <br /> BATHTUB I REFRIGERATIONUNITS-H.P EA. � <br /> i LAVATORY�WASH BASIN) G� k701LER5-H.P.EA. <br /> SMOWER GAS FIREO AC.UNITS-TONNAGE EA <br /> KITCHEN SINKB DISP. FOfiCED AIR SYSTEMS-B.T.U. M EA. <br /> I DISHWASHER WALL HEATERS-B.T.U. M <br /> �� LAU�7DRY TRAY UNIT IIEATEflS-B.T.U. M <br /> `� CLOTMES WASHER EVAPORATNECOOLERS <br /> � WATER HEATER � (� CLOTHES DRVERS . <br /> �� �Z URINAL 2 VENIILATION FAN <br /> '� DRINHING FOUNTAIN RANGE HOOD _ <br /> FLOOR DRAIN AIR HANOIING UNIT- C.F.M. _ <br /> VACUUM BREAKERS STOVE <br /> ROOF ORAINS-FAINLEAD[RS MEiAL FIREPLACE 8 CHIA7NEY <br /> SINN�SERVICE-BAR ETC.) WOODSTOVE/FNEPLACEINSERT __ <br /> Si1B TOTAL SUB TOTAL 5 � �` <br /> PEfi(✓IT 5 PEHMIT 5 <br /> TOTAL FEE 5 TOTAL FEE 5 ��O � <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> FflONi SETOACK REAN SEI�AGK SIDE SET�RCK PLFN GH[ K NUMBER PLAN CHECH iEE <br /> '--I t7 '/ /37 / iEE � flELEIPO�/ � <br /> Y <br /> USE ZONE LOT APEF yp�q��i SIiE <br /> FEES VALt1RTION FEE <br /> — •�' OYES K7lO — <br /> TYP[OFWNST. OCG�U}PANGVGflOUP NOAFOWELIINGUNITS <br /> ��<<i'('�) /�1"�i _.� <br /> OIIILDING s3p�� !J3 DU <br /> uit[OF BI OG YO OF:iTOPiES MA%OCC LO D P��IIdBING a�/ <br /> 30 � 13�-��n I I°u�- _��S <br /> MECM•1NICFL ��Lj ' <br /> FIRE SPRINKLERS REOUIfiED ❑YES p NO <br /> OTHER <br /> PENALTY <br /> APPLICATIONACC.BY PLANSCIIECNEDBY APPRFOpISSUPNCEOY <br /> �'� J�� .oTA� Z� � s� <br /> � <br />