Laserfiche WebLink
�PPLICATION FO",;� <br /> f��Enryn�n C O N S T R l!C T I O N everett <br /> un oc <br /> �verett PERMIT � <br /> TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br /> BUILDING DEPT. <br /> 259•8745 ❑ CCiNBINATION � UILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEN NqL�00PES5 CIIV ZIP PIIONC <br /> 4�, �/�,evN, nAn,�n:..l ?7 ls�s7 ,'/,aj,l.C,:o L- L��'4.• ;/ 4.-,�,�i <br /> . �qGMItECiON0E51pNEfl MAIL�UORESS Girv ZIP � PHONE <br /> GENER�LWNTR�CTOR MAIL�LDRESS C�IY ZIP P��ONE LiCENSE� <br /> / � !� 1 <br /> l.-� �_c✓�.�n.rr c,��cG.�l.�a �7��!O C?cr."'.cti�a(N� 4.�.d.i /-6P4�/� tJi�7�`� )5-�. �;��0 l�Cf ocIS�1H� <br /> MECWWIG�LCONTN�GTOB M�ILAOORESS `� r C�IV ZIP PMONE LiCENSE• <br /> PLWABINOCONTNACTOR MMLAOURE55 CIIY ZIP pHONE LILENSEr <br /> Cl� OFWORK y' <br /> �-. a <br /> F NEW -L7�-�ALOITION ❑ ALTERATI�]N ❑ REPAIR ❑ OEMOLITION ❑ WOODSTOVE/FRPL.INSEFT ❑ BUILDING RELOCA710N �„� <br /> '/�IWTION OF WORK�GOST OF MAiERIRLS PLUS LABOH'. O <br /> pe Cr1 <br /> CS OCY' — <br /> OESGRIBE WORK <br /> A✓.. � /-/:.FW C <br /> USE OF BUILDINO <br /> I HEREBY CERTIFY THP.T I HAVE REAO AND EXAMINEU THIS AP• H r-i <br /> G�"d�' � PUCATIONANGKNOWTHESAMETOBETRUEANDCORRECT.ALL ''3 'T� <br /> LEO�LDESCPIPTIONOFPROPERTY�SM wN F,LOWORARRGHFOURCOPIESI PHOVISIONSOFLAWSANDORDINANCESGCVERNINGTHISTYPE r-i <br /> �.p. 4/�eT 3u'eF LrQT'�7 OF WORK WILL BE COMPLETED WITH WHETHER SPF.CIFIED HEflE � � <br /> �ot BLOGrt_OF ^�� "�� ��' INORNOLTHEGRANTINGOFAPERMI7DOESNOTPqESUMETO � <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION � <br /> OR THE PERFORMANCE OF CONSTRUCTION, i � <br /> SIGNAiyFEOFCONtqACTORORAUTHORIZEUAGENT pA!E�j�/6,� <br /> X \, ��'1/[� . � " � <br /> . �� � ��r.t,%��C--�' t...''L 2 <br /> PPOJECT�ODRESS ,1PPLIC4NT5 Q fY BUSi hE55 LICENS[NO. <br /> .9 � 6.�>7 r�,��w•��., i� � yz � � <br /> PLUMBINO MECHANICAL � <br /> NO. TYPE OF FIXTUPE FEE NO. TYPE OF EOUIPMENT FEE � <br /> WATER CLOSEi�TOILE AIR COND.UNITS-H.P.EA. � <br /> BATHTUB qEFRIGEP4t10N 11NITS-H.P.EA. <br /> LAVATORY�WASH BASIN) DOILEP.S.-M.P.EA. U7 <br /> SHOWER GAS FIRED A.C.UNIiS-TONNAGE E0. � <br /> KITCHEN SINK d DISP. FORCED AIR SYSTEMS-flT.U. M EA. <br /> DISHWASHER WALL HEAiEflS-B.T.U. M N <br /> LAUNDRYTRAV UN'THEATERS-B.i.U. M _ , � <br /> CLOTMES WASHER EVAPORATIVECOOI�RS <br /> _ WATER HEATER CLOiHES DRYERS <br /> UflINAL VENTILATION FAN � <br /> DRINKIN.G FOUNTAIN RANGE HODO <br /> FLOOR DRAIN AIR NANOLING UNIT- GF.M. <br /> VACUUM BREAKERS STOVE H� <br /> ROOF ORAINS-RAINLEADERS METAL FIREPLACE 8 CHIMNEV �"� � <br /> — N <br /> SINK'SERVICE-BAR ETC. WOODSTOVE/FIREPLACE INSERT � <br /> H <br /> n <br /> C9 <br /> SUBTOTAL SUBTOTAL 5 <br /> PEHMIT S oERMIT S <br /> TOTALFEE � TOTALFEE f <br /> . THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> iRONlSETB�GN HE�FSETBACK SIpESETpACN —f PIANCNECKNUMB[P FUNG116CKfEE <br /> 28P"r 2QF' 'rJ F I �j� �.l � 0 K' rcc ��_� necelc'r�OO 70 <br /> USEZON[ �J LOTARE� WC�NTSITE � <br /> �� (� �TES ON� FEES VALURTION fEE <br /> tYPEOiCONST OCCUP�NCYGROUP NO.OFOWELLIN6UNR5 <br /> V-+J M N,4 e���o�N� :c�t9�,� � � <br /> SIZE OF BL�G NO.OF SiORIES MAX JCC.LOAD <br /> ?�g �j� I µ,4 PLUAIB'VG <br /> �� MECIIANICAL <br /> FIRE SPRINKLERS REOUIRED ❑VES O"NO - — <br /> on�en <br /> PENAL7Y <br /> �VP4C�LIONRGC.UY PUNSCNECNEOOV APPR.FOR55UnNLEBY —_ <br /> � r ^ .� TOTAL S� <br /> /� �r� (� <br />