Laserfiche WebLink
i <br /> AR�`'LICATION FOR '>'�:�'; <br /> `"'E"'°"'" CONSTRUCTION °"°'°" <br /> an or <br /> : everett PERMIT e <br /> � BUILDING DEPARTMENT <br /> � 259-8745 TO BE COMPLETED IN INK • PLEASE PRINT <br /> O DEMOLITION �COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> I OWNER M�II.�DDqESS CpY 21P pHONE <br /> �rza►w�r t�.Uc3.oP�rn�-r 42ii �sw �. c.u�nwaon qgo� ��a o09� <br /> �RGHIfECTOPDE5IONER M�II�U�RE55 dT � tlP PIIONE <br /> � cI�A 4230 19s�sw� �r�nnWax� 9803� 7�►-2�00 <br /> OENEMLCONiR�CTON M�IL�DORE55 CI1V ZIP PHONE L,OI. LICENSE• <br /> 1°l�L �YiG�tx /6'82� 208��.N�• Gtk��aVu.t.t 98072 788-�� .• <br /> MECH�NIGLCONTF�GTOq M�IlAODPESS CITY ZIP PIIONE �ICENSE� <br /> �iT <br /> VLUMBIN�CONiPAClOR , MML�O�NE55 CI7V 21P PIIONE �ICENSE• <br /> J LC <br /> � c�� or wonK <br /> �� �NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDINO RELOCATION <br /> � ... J�TIONOFWORR�COSTOFM�IERULSPWSLIOOPI <br /> � '� ��uaC� <br /> � UEDCRIBE WONN <br /> � � . ��//'/ //I.: V(r//iG//IC� <br /> IUSEOFBUIL01N0 --- <br /> `�, ` I H[REBY CERTIFY THAT I HAVE READ AND EXAMINED THIS Ap- <br /> ' PLICATION AND KNOW THE SAMETO BETRUEANDCORRECT.ALl <br /> LEO�LDESCRIPiIONOfPROPERfY�SHOWNBEIOWONATTACNFOUPCOPIES� pROVI510NSOFLAWSANDORDINANCESCaOVERNINGTHISTYPE <br /> , OF WORK WILL BE COMPLETED WI7'H WHETHERSPECIFIED HEqE• <br /> lOT_BLOC�—OF <br /> j IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PqESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OK <br /> ANY OTHER STATE OR LOCAI LAW REGULATING CONSTFUCT:ON <br /> OR THE PEFFORMANCE OF CONSTRUCTION. � <br /> � SIGNATUHEOFCONTP�CTORORAUi�� DATE <br /> i � <br /> ; X � f7� <br /> i PFQIEC7�ODReSS APP G iSCI1vBOSINESSLICEN5EN0. / — <br /> • J �C �I� L�.-�G ' <br /> PLUMBINQ ECHANICAL <br /> NO. TYPE OF FI%TURE FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILEn AIR COND.UNITS-H.P.EA. <br /> ' BATHTUB REFRIGERATION UNITS-H.P.EA <br /> lAVA70RV�WASH BASINI BOILERS-H,P.EA. <br /> SHOWER GAS FIRED AC.UNITS-TONNAGE EA <br /> KITCHEN SINK 8 D�SP. FORCED AIR SYSTEMS-B.T.U. M EA. <br /> DISHWASHF.R WALL HEATEPS-B.T.U. M <br /> LAUNORYiRAV UNITHEATERS-B.T.U. M <br /> CIOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKINO FOUNTAIN RANGE HOO� <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. <br /> � VACUUM BHEAKERS STOVE <br /> ROOF DRAIN�RAINLEA�ERS ME7AL FIqEPLACE 8 CHIMNEY <br /> SINN SERVICE-BAR,ETC. WOODSiOVE/FIREPLACE INSERT <br /> BUBTOTAL SUBTOTAL S <br /> PEqMIT ! PEflMIT S <br /> __ TOTAIFEE f TOTALFEE f <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL_..(� <br /> iRONf SEID�CN RG11 SETB�CK SI�E SETBACK PU�EC IlUMBEl1�� �EE I �� ECEIPi N0. �y ).,:/�1 <br /> n l"1 <br /> (�GC75� c.iv r ) <br /> U9E20HE IOTAPEA y�CANT511E <br /> L'MES ONO FEE9 VALU�TION FEE _ <br /> ttPEOFCONSC OCCUP�NCYGROUP NO.OFOWELlIN0UN1T3 <br /> � � $�Z B OUILDINQ S zs0(o yZ � <br /> S�2E OF OLUO. NO.OF STOp1E9 M�K OCC.LOAD <br /> _�700 / 5 as �� � '4� r�uMoir�a <br /> MECHANICAL <br /> FIRE SPpINNLEFS REOUIRED ❑ VES O I ��, <br /> OTNER <br /> PENALTY l �_��� <br /> APP�ICAfIONACC.BY PUN9CNECNEUOY AFPII.FORISSU�NCEBV <br /> � TOTAL `/�(. (�� <br /> �� l, <br /> C''1_CC��I'V� ``�C,C^; ,'-,C� f'�"1 (.`�(�(� �� �t Il�l',�. (�YC('. �(�`�l C1 Y':�r�lllll 1( 1(� - <br /> (' ,, l _�'�IJ'�. ���� i '���_ . <br />