Laserfiche WebLink
,�.E�.,o,N� Q:�'PLICATION FOR:��� � ���,�„ '' <br /> ��TM�F CONSTRUCTION O . <br /> everett PERMIT <br /> BUILDINO DEPARTMENT <br /> 259•eeto TO Bc COMPLETED IN INK- PLEASE PRINT ; , <br /> O DEMOLITION YCOMBINATION �BUILDING O MECHANICAL ❑ PLUMBING D SIGN <br /> OWNEN M�R�OORE54 CITY 21� PIIONE • <br /> T�YJ�Pd hrirn� ��2� ��/�'o A-r�,� r��' 4�zcr� 3 c3 -45�89 <br /> •nGN�tectonokawxcn M.u�ooncss arv xic rr�onc <br /> .-r-��a �.�,�,.,�,�--5 /YIAcNi vi 175�2�' <br /> OENERIILCONIR�G1011 MFIL�0�11E99 C�tV 2�P vuONE IICENSE• <br /> ri'vhPa f-���Q - -- — - <br /> M CN�H�UICONIRIGi9q MNL�0011E99 CIIY 2iP PIIONE 4CENSE• <br /> OLUMBI�u)GON111eGi0� M�IL�DDI�E54 CrtY Y�F PIIONE UCENSE• <br /> C1�55 0�M'ONe <br /> ���EW ❑ AODI710N ❑ �LTER�TION ❑ F7EPAIR ❑ DEMOLITIOtJ ❑ WOODSTOVE/FRPL,INSERT ❑ BUILDING FiELOC�TION <br /> vew�uuu u�wonK�cos�o�M���n�n�s rius�enoni <br /> �.'�e�B � �>�O(� OD <br /> ocecn�a�woan <br /> �9 N �T- �v"�r ' � <br /> �acoreu��oiNa I HEREBY CERfIFY TI1AT I HAVE RE�D AND EXAMINED TNIS AP• <br /> �[y'C ,- PLICATIONANDKNOIVTHESAMETOBETRUEANDCORRECT.ALL <br /> LIO�ID[lLRIPIIONO�OROPEIIIY�9110WNBELOWOR�IIACMfOURCOPIE51 pROVISIONSOFIAWSANDORDINANCESOOVERNINGTHISTVPE <br /> OF WOFK WILL BE COMPLETED WITH WHETNER SPECIFIED HERE• <br /> toi�.e�oc�c.__or IN OF NOT.THE GRA�ITING OF A PERMIT DOES NOT PRESUME TO <br /> QIVE AUTHORITY TO VIOLATE OR CANCEL TNE PROVISIONS OF <br /> ANY 01HER STATE OR LOCAL lAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. � 'I <br /> SIQN�TUBEOFCO��f.iOf10RAUiHOR12EURC O�fE�/�� CE� <br /> � <br /> X �` <br /> VPOJECf�00RES9 �VPLIC f�5 ITY BU5 1ESS t�CENSE N0 <br /> u <br /> PLUMBINO MECHANICAL <br /> T1'PE OF FI%TURE OA ITEM FEE NO. TYPE OF EOUIPMEHT FEE <br /> WIITER ClOSET�TOILET) NC—NNNOLO UNITS—H.P. <br /> BATHTUB " f7EFPIGEPATION UNITS—H.P.EA <br /> U�ATORYIWASHBASIN� � 901LER5—B.T.U./N.P. <br /> SNOWER �" OASFIREDA.C.UNITS—B.T,U. <br /> 1(ITCNEN SINK A OISP. FOi10E0 AIR SYSiEMS—B.T.U. M EA. <br /> O�SHWASNER WRLLHEAIERS—B.T.U. M <br /> UUNORv7R�Y UNITHEATEPS—O.T.U. M <br /> CIOTHES WASHER � EVAFORATIVE COOIERS <br /> UPINAL CLOTNES ORVE�7S <br /> DN�NNIN6 FOUNTAIN VENTILATION FAN <br /> FLOOR OA��N ' RANGE HO00 — <br /> BACNFLOW PREVENTERS ' WATERHEAiER <br /> flOOF ORAINS—RAINLEA�ERS WOOD STOVE <br /> SMK(SERVICE—BnR.EtCJ METAL FIAEPLACE i CHIMNEV � <br /> �� FIREPIAGE INSEPT <br /> HEATPUMP <br /> GAS PIpINO <br /> EXHAUSTFAN <br /> SUs TOUL f — 9UE TOUL — � <br /> PEIIMIT f iE11MIT <br /> T0TIILFEE f TOTALFEE � <br /> �ROHISEIOnLK OE�t15EI0�CK Si0C5EloecN PLANCFIECKNUMBER KEE � pZ FIECEIPT�� , <br /> � � F�s� aC(D G � `'�'— q $� <br /> usetur�+j wr�ne� CAHTSIIE FEFS VAlUAT10N FEE � <br /> I�Z YES ONO � <br /> a���o�N� S c (05�1 <br /> 1YPEO�fC NSi OCCUPANCYGf10UP N .OFOWF.LLINOUNITS <br /> ' ,.yi�� � —� Z PLUMBING � � <br /> S�LE O�BIDO NO Of SIORI[g M�%.OCC LOA�D/ <br /> �Z�I � S� � N�Y' MECHANICAL <br /> ,�g� sF�R OTIIER <br /> FIRE�Pf11NKLERS REOl11F7ED�ES�NO STATE U ILDING SURCHARGE � <br /> STATE ENEf10Y SUFiCH�fiGE <br /> •�'PUCAiION�CG 0• PI�NuC11EGNEDOY ��P�.F0f11S5VANCEBY <br /> PUBUC WOi7KS <br /> �/�1� ry � � /� TOTAL �L2 <br /> ��� '1 J� <br /> PROPEf7TV OWNERS Af1E RESPONSIBLE FOR�[TERMINING ALL <br /> Pl10PERTY LINE LOC�710NS AND RELATED EASEMENTS. <br />