Laserfiche WebLink
;=:PPLICATION FO`;=' <br />�1YOF�r�n CONSTRUCT�CIN <br />everett �ERI�AIT <br />BUILDING DEPARTMENT <br />259-8810 TO BE CQMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION ❑ BU�LDING �MECHANICAL <br />❑ ?LUMBING <br />everetl <br />� <br />❑ SIGN <br />���LNifECTORDES'GNER mni�nuw�coo ���• ��� ������ <br />r,ac �,rti n,s,p /f 5�vc��ircS Po�3nx /2n7 Rcn.rv,�, Z 9/ EStio <br />GENEPdLGONINRCIOR M�IL <pDRE55 CI!Y 21P PHONE UGENSE • <br />ENFR�iY RECLAi <br />PWMPINGCONIRAGIOR <br />MAIL AOORE55 <br />MAIL <br />ca <br />CIIY <br />Zi� <br />GG <br />aM <br />PIIONE UCEHSE • <br />CL�SS OF WOflK <br />� NEW ❑ ADDITION ❑ ALTERATiON ❑ REPAIR ❑ DEIAOLITIO�! ❑ WOODSTOVE/FfiPL.INSERT ❑ BUILDING RELOCATIOM <br />V�LU�110NOL WONK�COSI Of M�i[RIALS PW$ LAOORI <br />DESCNIBE WORN <br />lN�7Att_ .r- r_ „� <br />USE OF OURDING <br />Pi Z 2�4 NRvr��_ <br />iean� oescAirnor+or onoP <br />�oi—e�ock—oF <br />PPOJECT <br />PLIlMBING <br />WATER CLOSET �TOILET� <br />BHfMTUB <br />U�'ATORV!WqSH BASIN� . <br />KITCHEN SINK 6 OISP. <br />DISHWASHEFI <br />LAVNDRVTRAY <br />URINAI <br />IPUNi5El0ACh <br />USL IONE <br />IYaE OF CONST <br />s¢Eovoioc � <br />BV <br />— RAINLEAOERS <br />— BAR. ETC.1 <br />OP AiTACM <br />SUB T07�.'. <br />PE7MIT <br />TOTALFEE <br />ner,r.s[rencn <br />lOi4R[� <br />OCCI'°ANCY GnOUP <br />NO OF STOAiES <br />aED ❑ VES ❑ <br />PlANS CHECNED BY <br />7'OA.� <br />I HERE5Y CERTIFY THAT I HAVE AEAD AND EXAIdINED THIS AP� <br />FLICATION AND KNOW THE SAME T06ETRUE AND CORRECT. ALL <br />PROVIS!ONS OF LAWSAND ORDINANCES GOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HFRE- <br />IN OR NOT. i HE GRANTING OF A PERMIT DOE`� NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL YhE PROVISIUNS OF <br />NNYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR TfiE FEflFORMANCE OF CONSTRUCTION. . <br />$IGNATUREOFCONiRACTJFO�AUiHONI2FDAGENT OA7: <br />X <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPI <br />A/C — A/HN�LG UNITS — M.P. <br />REFHIGERATION UNITS — H P. I <br />BOILEfl'o — B.T.U./I I.P. <br />� GASFIREDA.C.UNITS—B.T.0 <br />FON:.ED AIH SYSTEMS — U.T.U. <br />WALL HEATEHS — B.T.U. <br />UNIT MEATEFS — B.T.U. <br />EVAPORAI'IVE COOLERS <br />CLOTHE50RYERS <br />VENTILATION FAN <br />� RANGEHOOD <br />WATER HEATER <br />wO005TOVE <br />METAL FIREPLACE d CMIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS f!PIN i <br />'� E%HAI.STF;�N <br />VACANT SITE <br />OYES ONO <br />MA%. <br />APPR. FOR 185UANCE BY <br />SUBTOTAL <br />PENMIT <br />TOTALFEE <br />VLnNCHF.CN -�.dOER IFEE <br />BUILDING I g <br />PLUM8ING <br />MECHANICAL <br />OTHEP <br />STp7E GUlLOING SUfiCHARGE <br />STATE[NERGYSURCHnRGE <br />PUBLIC WORKS <br />TOTAL <br />M <br />M <br />ree <br />RECEIPT NO. <br />PFlOPER7Y OWNERu ARE FESPONSIBLE FOR DETERMINING ALL <br />PROPERN LINE LOCATIONSAND RELATED EASEMENTS. <br />