Laserfiche WebLink
� <br />Ihe Everqieen <br />CITY OF <br />evei•ett <br />BUILDING DEPT. <br />259-8745 <br />OWNER <br />`��►�'PLlCATION FOrt <br />CONSTR�J�TIO�1 <br />PERMi'T <br />TO BE CO�IPLETED IN BLACK iNK— PLEASE PFINT <br />! <br />COMBINATIO��' [3UILDING �� MECHANICAL <br />ci*r �� <br />N.�. S�� <br />everett <br />� <br />PLUMBING ❑ SIGN <br />CENEflALCONAIqACiOR MniLA0pRE55 CITY ZIP PI�ONE 4CE115C• <br />'dECHANIC�A'IGO�FGTOfi �dRILA00RE55 Cli� ZIP P'�ONE LICENSE• <br />F�UMBRlGCONiHACiOfl MNLA�OPESS CIP/ ZIP P�iUHE LICENSE• <br />C1A550F WORK <br />❑ NEW ❑ ADDIi1nN �'�.'��ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODS70VE/FfiPL.ltlSERT ❑ BUILDING RELOGATION <br />VPLUATION OF WORK�LOST OF M�iER�ALS PLUS LA�ORI <br />�'[� la 8°ID . t�J <br />�ESCRIBE W RK <br />�eaa� <br />I3�.1 S, E• Ev� <br />BATHTUB <br />SINK <br />IpONLSEIBFGK <br />i 'ZONE <br />�-1 <br />TYPE T�Or��n NSi�. \ <br />JL.+ �I� <br />SIZE OF dL�G <br />2 �'18 <br />SINN 8 <br />VVIP�I <br />I HEREBY CF.RTIFY 1"HAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE:�AME TO BE TRUEAND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE <br />OF WORK WILL BE COMPLEIED WITH WHETHEp SPECIFIED I1ERE- <br />IN OR NUT. THE GRANTIPJG OFA PERh11TDO�S NOT PRESUME i0 <br />GIVE AUTHORITY TO ViOLA7E JR C/1NCEL TFiE PROVIS' 1P!S OF <br />ANY OTHER STATE OR LOCAL LA1V REGULATING CONSTHU•�iION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGN�TL'f1E OF CONTRAC70F OR AUiNORRLD AGENT UATE <br />X � <br />APPL'C SGItY IN[SSL�LENSLNO. <br />`� '/ __ <br />MECHANICAL <br />FEE —NO. �� 7YP� OF EOUI <br />/J . pIR CONO. UNITS—H.P. C.A. <br />REFf71GERATION UNITS—H.F <br />601L�R�4.P. EA. <br />GAS fIFED AC. UNITS—TON <br />FORCED AIR SYSTEAIS—B.T. <br />WALL NEAT[RS—G.T.U. h <br />IINITHFATFPS-8i.11. M <br />THIS PORTION 'i'Q BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />nnrucniwr+ ncc. av <br />nf. h. <br />ipf�$C� GI�OUP <br />��.2 <br />�f IUfllES <br />( <br />CIIECHE� OY <br />J�r�. <br />VPCANi SIiE <br />OVES lIe1Q <br />no. ov oweun+c ur+rts <br />c'� <br />MA%.00C LOA� <br />2'L. <br />pPPR. FOli 1S5UANCE OY <br />PL�I�H�/F� ��� GEE [/- ��7NREC'll <br />`�IP '7 <br />l FEES VA1.UI.TION <br />BVILOING <br />PLUMb111G <br />h1ECHANICAL <br />OTHER <br />PENFLTY <br />TOTAL <br />a <br />FEE <br />U <br />;7 J O <br />� �d <br />0 <br />� <br />z <br />0 <br />� <br />M-1 <br />� <br />m <br />r� 1--i <br />--I �7 <br />... -i <br />N S <br />m <br />0 <br />co <br />m� <br />-� c <br />om <br />�z <br />x —I <br />m <br />.. <br />oz <br />c <br />�_ <br />1-4 h-1 <br />� N <br />< <br />„ <br />o� <br />'*1 D <br />--i m <br />m .� <br />N <br />O <br />om <br />c �n <br />3 � <br />m <br />z c� <br />�r <br />• m <br />a <br />z <br />-� <br />x <br />a <br />z <br />--I <br />2 <br />N <br />Z <br />O <br />-i <br />n <br />m <br />