Laserfiche WebLink
0 <br />d�H <br />>Htn <br />� � � <br />H �1 <br />��Q� <br />Z <br />HC <br />OH <br />��g <br />QY (] <br />ry� <br />yy <br />g�� <br />���� <br />HOm <br />� <br />� <br />.:PPLICATION FO�►. <br />'".E"'°'"" CONSTRUCTiON <br />GTV OF <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259•87a5 TO BE COMPLETED IN INK • PLEASE PRINT <br />0 DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHAN�CAL <br />. � �nnn eooacss ` <br />.� �� � �.,�_ <br />PLUMBING <br />everen <br />e <br />❑ sicN <br />�( ' C�•� " ��ry ZiP / vMOnt <br />AqC111LEGtOR0E5iGNCR � AIL�OORE55 <br />G[NCRALCONIRACiOA M�ILADOPE55 CItV ZIP PIION[ LiLlNSL• <br />/' <br />MCCIUHIGLCON1R�LtOq . MML DDP[55 �i . CItV �� � 11P � NE � UCENSE• <br />� �i -- (� �.; , ^_ l• !,�� i .�E�,.G% c�'%- . ,ti,o��i:s <br />��� � - CiiY ZIP P11DNE LICEi �E • <br />VLUMBINGCO PAGTOR MAItADORE55 /' <br />7 ) .� n� ✓S�� .K G� � �f <br />G1A550f wORM <br />[�/NEW ❑ ADDI710N ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELQCATION <br />VAl IIAIION OF WO�N �COST OF M1MiCPULS PW$ LAOOFI <br />__'_,,� ..�,.r <br />; <br />' %'I✓�%� <br />FERLYISHOWN OELOW OR <br />/✓./ S� F_1/'(�f2(% �1'1.4L�. GC.%�� <br />USE <br />SINK 8 <br />/ <br />r. � � -' -' � ��v) � <br />I HEREBY CFRTIFY THAT I HAVE READ AND EXAMINED THIS AP- � <br />PLICATIONANDKNOWiHESAMETOBETRUEANDCORRECT.ALL <br />PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE I <br />OFWORKWILLBECOMPLETEDWITHWHETHEFSPECIFIEDHERE �� <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF i <br />ANYOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTION i <br />OR THE PERFORMANCE OF CONSTRUCTION. ' <br />SIGNATURE Of CONTRPCTOR Oii RGTIMORIZCD AGENT OATE S/ ���, ' <br />X % 1 :� � i�.s�-' f i <br />cirr eusir�E <br />GAS PIHED AC. UNITS—TONNAGE EA <br />FOFCED AIR SYSTEMS—B T.U. M EA. <br />WAII HEATERS—B T.U. 61 <br />IINR HEATERS—B.T.U. M <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />N[RpSEIBRCH SIpESETBACN PLANLMECNNOMBER PUNCMECNiEE <br />FE[ IRELbPINO. <br />ILOLnREn ypCANT51tE iEEB V�LWTION FEE <br />I ores nr+o — , <br />TYP[OFCONSi OGCUPANCYGROUP NUUrUw <br />Si2E OF OIOG NO OF STORiES MAX OGC. <br />FIRE SPRINKLERS REOUIRED ❑ �ES '7 N <br />\ � <br />pV <br />BUIl01N� <br />PLUMBING <br />MEGMRNICAL <br />OTIIER <br />PENAITY <br />TOTAL <br />S <br />