Laserfiche WebLink
P' yt�ti•` <br />fA�EvnOrnn ti��`'PLIC,4TION FO(t`��-' <br />��TM�F CONSTRUCTION <br />everett PERMIT <br />BUILOING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK- PLEASE PRINT <br />everett <br />e <br />O DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING I�SIGN <br />OWNEfi IAAILADORESS CIiV 21P pNON[ <br />�?yE L�OSET /yo�. S E Ev6LFr7 M�ec w�ty E�t,GE77 ,Gu�a • <br />•RCIIIIECIOOOESIGNE1i MqI�AD�RE55 Cltt 21P p110NC <br />OkNER�LGUNI��WOn MMI�[1011E55 C�IY 11^ �I�ONE UL[NS[• <br />MkCllullCnLCONInOCIOq MnIL�D�RESS CItV 2iP PIIONE IIGENSF• <br />PttlMEtM9CON1RAplOp MAIL�ODBE55 CIiV 21P PNONE IICENSE � <br />SSC R/ <br />Rit/YA/Gun.s:.TSln/f�AV.JNSNG.2NG a1Y3'fACD.cacRou� 2D 1�FIW�kLFien 9d1�1S aaU-iLci Ar-iircr��_.-. <br />NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIP ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ �UILDING RELOCATION <br />TIONOG WO�NICOSt Of M4iEBIRLS PLOS LA�ORI <br />'� 2..1z8.96 <br />:7'pu– �NTEKxo <br />ET/t t� <br />�oi—owc�_ <br />E U E� KE i-r <br />rao�ecr <br />PLUN..bING <br />5 rh, P <br />fY �SHOWN BELO W OR AiUCN fOUB COPIE51 <br />�4 �L �'b �yoz sE E <br />. Y11RL� WAY <br />TYPE OF FI%TURE Ofl ITEM <br />WATER CLOSET �TOILET� <br />BATHTUB <br />LAVATOflY(WASH BASIN� <br />SHOWEP <br />KIT.:MEN SINK 8 DISP. <br />715HWASHER <br />LAUNOflVTPAV <br />CLOTHE$ WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER$ <br />ROOF DHAIN$ — RAINLEADERS <br />SINK �SERVICE — BAR. ETC.) <br />iPUNI5E104LN <br />, ttP OF CC <br />SIZE <br />ICRIIONACC HY <br />SUBTOTAL <br />1'ERMIT <br />TOTAL FEE <br />REAR SEiBaCN <br />IOTAPE� <br />PL�NS l'l1EGHE0 OY <br />�� <br />1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP• <br />PLICATION AND KNOW THE SAME �i O BF TRUE AND CQRRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVEANING THISTYPE <br />OF WOPK WILL BECOMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF ;;ONSTRUCTION. . <br />SIGNATIIPEOFCONIq�CTO00fiAUIHpR12EDACEN7 pAiE <br />X A�` -�-���- :� a� = �/— 89 <br />APP'_ICANiSCIlVBp5WES5t ENSEnO <br />aa86�� <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILEflo — B.T.0 /H P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WAILHEATERS—B.T.II. M <br />UNITHEAiERS—�.T.U. M <br />EVAPORATIVECOOLERS <br />CLOTHESORVERS <br />VENTILATION FAN <br />RANGEH000 <br />WATER HEATER . <br />WOODSTOVE � <br />METAI FIFEPLACE d CHIMN_V <br />FIREPLACEINSERT <br />MEATPUMP <br />GAS PIPING <br />EXHPUSTFAN <br />SUBTOTAL <br />PERMIT <br />TOTAIFEE <br />PLANCHECKNUMBER IFEE <br />vnceNrsrte FEES <br />OYES ONO <br />NO.OFOWF.L�INGUNIiS BUiLDING 5 <br />PLUM6ING <br />MR%.00C lOAO <br />MECHANICAL <br />OTHER <br />STATE BUILD�NG SURCHARGE <br />STATEENERGVSURCHARGE <br />APPN fOR ISSO�NCE OY <br />PUBLIC WORNS <br />TOTAL <br />FEE <br />HECEIP7 NO. <br />FEE <br />PROPERN OWNERS ARE RESPONSIBLE FOR DETERMINING nLL <br />PROPERTY LINE LOCATIONS AND RELA7ED EASEMENTS. <br />