Laserfiche WebLink
th� Ev�rprnn <br />�iTM oF <br />everett <br />BUILDING DEPAR'fMENT <br />259-8810 <br />...�v., .:'.h. <br />�:PPLICATION FOi:�' <br />CONSTRUCTION <br />PEitMIT <br />TO SE COMPLETED IN !NK- PLEASE PRINT <br />everetl <br />� <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWREP PQ� a1e MnILAU0RE5S CIiY I 21P . PHONE <br />�; �� � fi .,�� /v� 2 tG' 6, n�r-fT iria 1�,,�.,. F� Pr>' <br />cirv Liv <br />o��pNE �ICENSE • <br />MECHANIGLCONInnCiOq MnILADDFE55 Cliv ZIP FIIONE UGENSE• <br />nODRE55 <br />LiCENSE • <br />� 1 i� /// � ✓ n!' <br />L!! <br />CU55 OF WORI: <br />❑ NEW ❑ AODITION ALTERATION ❑ i7EPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />W WhTION OF WORn I�OST OF MAiERIALS PlUS UB0111 <br />IEWL <br />IOJEGT�OURE55 <br />/��Z L <br />PLUMBING <br />NO. T <br />WATER CL( <br />BATHTUB <br />LAVATORY <br />SHOWER <br />KITCMEN 5 <br />BELOW OR <br />OF FI%TURE OR ITEM <br />BASIN) <br />DISP. <br />LAUNOflVTRAV <br />CLOTHES WASMER <br />Uf71NAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN ' <br />BACKFLOW PPEVENTERS <br />ROOF OPAINS —(7AINLEA <br />SINK �SEflVICE — BAR, ET <br />SUBTOTAL <br />PEHMIT <br />TOTAL FEE <br />I HERGBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATIONANG KNOW THE SAME TO 3E TRUEAND CORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNING THISTYPE <br />OF WOFiK WILL BECOMPLETED WITH WHETHERSP[CIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF <br />ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. . !� �/ <br />SIGNqTUFE OF CONiBACTOR OR AUiNORIZEO AGENT nnre 3� ��+ � 0( <br />X.,��- / � <br />LIG6NSE NO <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />AlC — A/HNDLG UNITS — M.P. <br />REFHIGERaT10N l�N1T5 — M.P. EA. <br />BOILEPS — B.T.LL/KP. <br />CAS FIRED A.C. UNITS — D.T.U. <br />FOPCED AIR SYSTEMS — B.T.U. M EA. <br />WALLHEATERS—B.T.U. M <br />UNITFI'cATERS-8?.U. M <br />EVAPORA7IVE COOLEFS <br />CLOTHESDRYERS <br />VENTILA i ION FAN <br />qANGF.H00� <br />WATER HEATER <br />WOODSTOVE <br />METAI FIFEPLACE d CHIMNEY <br />FIREPLACE INSERT <br />HEATPUMP <br />E%HAUSTFAN <br />PIAN CMECKNUMBER <br />VACANTSR[ <br />OVES pN0 <br />BUILDING <br />NO.OFOWEILINGUNIiS ,_ <br />CMEGREDBY �APPfi.FORI55URNCE <br />PIUMBING <br />MECHANICAL <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />IFEE <br />OTHER <br />STATE BUILDING SURCHARG <br />STATEENEFlGYSURCHARGE <br />PUBLIC YlORKS <br />TOTAL <br />$ <br />0 <br />RECEIPT NO. <br />PROPERN OW NERS ARE RESPON519LE FOR DETERMINING ALL <br />PROPER7Y LINE LGCATIONSAND RELATED EASEMENTS. <br />