Laserfiche WebLink
.7;i' l r:: 4.. <br />; "'o:;` <br />i��PPLIC/�TION FOk�' <br />`�.E�.ro"'� COR�STRUCTION °°"`" <br />cirr oF <br />everett PERMIT P <br />BUILDING DEPART�AENT <br />259-9810 TO HE COMPLETED IN INK • PLEASE PRINT <br />❑ DEMOLiTION ❑ COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBING p'SIGN <br />OWNEfl M�ILADDHE55 Ey�R�rT �7n�.L �t� �J �P 4870s�HONE <br />! � __ �.� . � i i �. _ _ � . _ _ _ U <br />MAIL <br />!ARIL AODBE55 <br />1 �Y� <br />IAAIL AppRE55 <br />—. •••••�•� ub[rv5[• 1,4 <br />PLUMBiNGCONIP�QOR MA!L�ppRESS CI1V ZIP PUONE LICENSE� <br />NEW L7 ADDI710N ❑ ALTERATION ❑ REPAIR ❑ DEMOLIiION ❑ WOODSTOVE/FRPL,INSERT ❑ QUILOING RELOCATION <br />�TION OF WORI�RST OF M�TERULS PWS LABORI <br />I NST�►�-L �1 Ev�l SlC„�1 <br />�or— <br />'ROJEGTACONE55 ��UELE� <br />I'-1 Ol 4E. �V ER-£Yr <br />PLUMBINi; <br />NO. TYPE OF FIXTUHE <br />'NATEN LLOSET �TOILET) <br />BATH7UB <br />LAVATORV�WASHB�SIN{ <br />SMOWER <br />KITCHEN SINN d OISP. <br />fRUNT <br />a c-,E <br />OW OR RTTAGH <br />� 3oiZDE.Z Tu3�NL.-� Cl�y�r�n�C�� <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br />PLICATION AND KNOW THE SAMcTO BETRUEAND CORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCESGOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHERSPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. , <br />SIGNqTJ��7E�p�FCONTFACTGROflAUTMOR�ZEDAGENi pATE <br />X JY� � If_\o^Lavy p C-1i—Ll�l <br />MECHANICAL <br />4LENSE NO <br /># 3�L <br />OR lTEM FEE N0. TYPE OF EOUIPMEN7 <br />A/C — A/NNOLC UNITS — H.F. <br />REFRIGERATION UNITS — H.P. EA. <br />BOIlERS — B.T.U./H.P, <br />6A5 FIRED A.C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. M EA, <br />WALLHEATERS—B.T.U. M <br />UNITHEATEflS—B.T.U. M <br />— RAINLEADERS <br />— BAR. �'fC.) <br />SUBTOTAL <br />PERMIT <br />G� � <br />u5E L LOT �pE� . <br />�-r <br />er <br />CLOTHESDflYERS <br />�ENTILATION FAN <br />HANGEHOOn <br />WATER HtATEH <br />WOOOSTOVE <br />MEfAL FIREPLACE d CHIMNEV <br />FIREM.ACE INSERT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />s SUtlTOTAL <br />f'I PERMIT <br />� TOTALFEE <br />SiDE SEtB�CN � P�A�� CMECK NUMBER I FEE <br />VRGnNT S17E <br />OYES ONO <br />N0. OF OWEL <br />APPR. <br />� � <br />BUILDING S <br />PLUMBING <br />MECHANIGAL <br />OTNER <br />STATE BUILDING SURCHARGE <br />STATEENERGYSUNCHARGE <br />P1;9UC WORKS <br />TOTAL <br />RECEIPT NO. <br />FEE <br />PROPERN OWNERS ARE RESPONSIBLE FOR DETERMINING ALl <br />PROPEqTY LINE LOCATIONSAND RELATED EASEMENTS. <br />