Laserfiche WebLink
, <br />m. ew��..� <br />GTY OF <br />everett <br />BUILDING DEPARTMENT <br />259•8810 <br />, C DEMOLITION <br />�I�"osQf�F (G'c?� <br />�RCHI�ECf OA OES�GNEH <br />F�. <br />�;�PPLICATION FO::� <br />CO!�STRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK • PLEASE PRINT <br />O COMBINATION ❑ BUILDING O MF�HANICAL <br />oq�i,no�U llt• <br />�:pLUMBING <br />PNONE <br />everetl <br />e <br />❑ SIGN <br />6ENCR�LCONI��GfOR M�I�n00RE55 CITY LP v1�pNE UGENSE• <br />MECIUNIULCONIR�CLOq 1AAIL�ODNESS Cltt ZIP PIIDNE UCENSE• <br />� FLUMB�NGCONIPACiOR M�iL AD�RE55 GiY 2iP P�IONE LICENSE • <br />�i r�P� <br />' CUSSOF ONe <br />' ❑ NEW ❑ AODITION � ALTERAi�ON U REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BU�LDING RELOCFTION <br />V�L��TION OF WOAK ICO51 OF M�LERIALS PLUS LABORI <br />i <br />�e <br />PLUMBING ' <br />NO. TYPB <br />/ W�TER CIOSET <br />�� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASNEH <br />LAUNDRVTR�V <br />CLOTHES WASHER <br />URINAL <br />ROOF DR�INS — RAINLEADERS <br />SINK �SERVICE — BAR. E7C.1 <br />N <br />SUlTOTAL <br />� PERMIT <br />TOTAL FEE <br />' iRONI5Ef8�CN RE�RSETB�CK <br />USEZONE LOTAqE� <br />TVPEOFCONSC OCCUPANCYGBOUP <br />.• SiZE OP BLUU NOAF SiORlE9 <br />FIRE SPRINKlERS REOUIRED O YES O <br />�VPL�UIION�CCO� PLANSCMECkEOBY <br />�'� <br />�� <br />I HEREBY CERTIFY "i HAT I HAVE READ AND E%AMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUEAND CORRECT. ALL <br />FOURCOPIE51 PROVISIONSOFLAWSANDOFDINANCESGOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED 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 />SIQN�TURE OF CONiRqCTOR OR AUTHOR12ED AGENT pATE <br />X <br />FEE <br />V�CANT SiIE <br />OYES ONO <br />NO.Of UWEI <br />APPR. iOR ISSUANGE BY <br />uceNseHo <br />MECHANICAL <br />A/C — A/HNDL6 UNITS — HP. <br />REFRIGERATION UNITS — M.P. EA. <br />BOILERS — B.T.U./H P. <br />QAS FIFED A.C. UNITS — B.T,U. <br />FORCED AIH SYSTEMS — B.T.U. M EA, <br />WALLNEATERS—BT.U. M <br />UN�TNEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTMES DRYERS <br />VENTIUTION FAN <br />RANGE/1000 <br />WATERHEATER . <br />WOOD STO�E <br />METAI FIREPUCE 6 CHIMNEY <br />FIREPUICEINSERT <br />HEATPUMP <br />GAS PIPINO <br />EXMAUSTFAN <br />SUBTOTAL <br />P[RMIT <br />TOTALFEE <br />PLAN CMECK NUMBEH I FEE <br />aui�oir,c S <br />PLUMBING <br />MECHANICA� <br />OTHER <br />STATE BUILDING SUFCliARGE <br />STATEENERGYSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />RECEIPT NO. <br />PROPERTYOWNERS ARE RESPONSIBLE FOR DETERMINING ALL <br />PROPERN LINE LOCAiIONS AND RELATED EASEMENTS. <br />