Laserfiche WebLink
INEruOrNn <br />CITY OR <br />everett <br />BUILDING DEPARTMENT <br />259•8810 <br />�;,y�PLICATION FOR->`�:' <br />CONSTRI,tiCTION <br />PERIV#IT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION <br />� <br />O BUILDING ❑ MECHANICAL <br />S, <br />NG <br />everen <br />� <br />O SIGN <br />GpNEP�I CnHiN�CiO� M�R �O�tlE99 LI�Y Zlfr . nupNF LICENSF •. <br />I.�EGHANiGLGONIP�CiOA M�IL�OOAE55 CIIY ZIP PIIONL L�GENSF •. <br />PIUMBINOGONIP�ClOR MMLAOOPE55 GI�Y IIP PIIO��f ���aLt�bSf• <br />'�VC�T rY��n �'n.in ._„ t_QaO�F ( � �cSroo �i r-1 Pt)f.CZ ;� 17' 'lU3-�i5�`1 �sP��/�eL <br />CL�550� WORK <br />❑ NEW ❑ ADDI'IO�! ❑ Al7ERnT10N ❑ REPAIR ❑ DEMOLITION ❑ WOODSTO��_/FRPL.INSERT BUIL�ING RELOCA710N_ <br />PLUMBING <br />NO. TYPE OF FI%TURE ON �TEM <br />W�TER CLOSET �TOILETI <br />BATMTUB <br />UVATOflY IMMSH BASINI <br />SMOWEH <br />NITCMEN S�NN 6 OISP. <br />OISHWASHEA <br />LAUNDRYTNAV <br />CLO7HE5 WASHER <br />UF�NAI <br />ORINKING FOUNTAIN <br />FL0011 DRAIN <br />BACNFLOW PPEVENTE75 <br />ROOF URAINS — RA�NLEAOERS <br />SINK ISER�IGE — BnP. ETGI <br />SUlTOTAL f <br />PERMIT � <br />TOTAL FEE 1 <br />PONtSEip�CR I�E�RSEfB�CN 51[ <br />USE20NE <br />Of CONST <br />u <br />Gf10UP <br />V�C�Nf Sill <br />OYES UND <br />�� <br />� <br />UNI15 <br />FIRE SPRINKLERS AEOUI9ED ❑ YES ❑ NO <br />�oonruinw�m nv PUNSCIIELKEDOY APPR.1'Of1155lUNCEBY <br />I HEFEBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP• <br />PLICATIONANDKNOWiHESAMETOBETRUEANOCORRECT ALl <br />PROVISIONS OF �AWSAND OR�INANCES GOVERNING THIS iYPE <br />OF WORK WILL BE COMPLETED WITH WHETHEFi SPECIFIED HERE• <br />IN Ofi NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. _ <br />swr+niune or cor+�nnctcn on numomieo nceNT m+ e <br />X �� ��5� <br />�cm�f ufCC��v1111GINF55LILLN5EN0 <br />MECHANICAL <br />TYPE OF EQUIPMENT <br />AIC — A/HNOLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.U.MP. <br />G�5 FIf1ED A.C. UNITS — B.T.U. <br />FORCEO A�:1 SYSiEMS — B.T.U. M E <br />WALLHEATEAS—B.T.U. M <br />11NIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLEPS <br />CLOTHESOH'/Efl5 <br />VENTILATION FAN <br />RANGEHOOD <br />WATEfi HEATER <br />WOOD STOVE <br />METAL FIREPLAGE 8 CHIMNEY � <br />FlREPLACEINSERT <br />GAS PIPINQ <br />E%HAUSTFAN <br />9UBTOTAL <br />PERMIT <br />TOTALFEE <br />PLAH CHELK NUMBER IPEE <br />BUILDING S <br />PLUMBING <br />MECHANICAL � <br />OTHER <br />STATE BJIL�iNG SUHCHARGE <br />STATEENERGYSURCHARGE <br />PUBLIC WORN° <br />TUTAL <br />HECEIPT NO., , <br />PROPERTY LOINE LOCATONS ANDNRELA ED E SEMENiS.ING ALL <br />