Laserfiche WebLink
,„.E�.,,,,,� , �PPLICATION FO1. � <br /> CONSTRUCTION °°c`�" <br /> an ov <br /> everett PERMIT � <br /> BUILDING DEPARTMENT <br /> 259-8745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> OCDEMOLITION ❑ COMgINATION ❑ k3UILDING ❑ MECHANICAL ❑ PLUMBING O SIGiV <br /> OWHEf1 MRIIRDDRE55 CIfV l�P PNONE <br /> ,�enne✓, /�o6t�TD� JOd� Zo� dd� �=�o.tiJ`r` wi9 8871�/ 2SL— 8"36'D <br /> 11CIIREGIOROE GNER M�ILfD�RE55 CIIY 2iP PNONE ' <br /> /�� <br /> GENERRL GONIF�CIOR /� �M�RII A�ORE55 CILV ZIP i`��ONE LICEN'aE� <br /> / ✓ <br /> MECIIRNICRLCONiR�CiOfl /\ ��MNILAOLflE55 CIIV 21P PIIONE �I�EHS[• <br /> / — <br /> PLlINBiNGCONiPRG10f1 MRILRDORE55 CIfY 21P PRONE LICf��SE • <br /> ��� <br /> C�4550F WOpN <br /> ❑ NEW ❑ AODITION G ALTEt7ATION ❑ REPAIR ,IC�, DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUI�DING RELOCATION <br /> W1U�110N OF WORN�GOST OL MAIERIALS PWS UBON� <br /> DESCfiipE WORN <br /> �.�, o I; > � G'��-a <br /> USE OF BWLOING <br /> �j ]I-d � I HEREBY CERTIFY THAT I HAVE READ AN� EXAMINED THIS AP- <br /> PLICATION AN�Kh'OW THE SAME TO BE TFUE AND CORRECT.AlL <br /> IEGRL0E5CFIPiIONOFPROPERIY�SNOWNpELOWORRTTRCHFOl1lICOPIE51 PROVISIONSOFLA\NSANOORDiVANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BE COiv!PLETED WITH WHETFIER SPECIFIED HF;iE- <br /> �or_eiocK—oF IN OR NOT.THE GRANTING OF P,PERMIT DOES NOT PRESUME TO <br /> / GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVI;IONS OF <br /> L7C //� ANY OTHER STATE OR IOCAL lAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE UF COMSTRUC"fIGN. <br /> SIGYATUREOFCONTRACTORORAUiHOR12EDAGEN7 O�TE <br /> x ��-�� � G��.�._-- <br /> PROJECT ADOfiE55 APALICRfITS CItY BUSINESS LICENSE NO <br /> lG 3 1 L. <br /> PLUMOIN6 MECHANICAL <br /> NO. TYPE OF F11(7URE FEE NO. TYPE OF EOUIPMENT FEe <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H.P.EA. <br /> BFTHTU9 REFRIGERA710N UNITS—H.P. EA. <br /> LAVATORYIWASH BASIN� BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KI7CHEN SINK d DISP. PORCED AIR SVS7EtdS—B.T.U. M EA. <br /> DISViWASHER WALL HEATERS—B.T.U. M <br /> .___ . -�'L�RYTpAY UNI7HEA7E85—B.7.U. h1 <br /> . , . SWASHER EVAPORATIVECOOLERS <br /> _ .��` .HEATER CIOTHES DRVERS <br /> __ �Un :NL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— GEM. <br /> VACUUM BHEAKERS STOVE <br /> FUOF DFAINS—RAINLEADERS METAL FlREPLACE 8 CHIMNEV <br /> _ SINK�SERVICE—BhR.ETC.) WCODSTOVE/FIW�PLACEINSLqT <br /> SUB TOTAL SUB TOiAL S <br /> PERMIT 5 PEHMIT S <br /> _ TO'IAL FEE S TOTAL FEE S L__ <br /> THIS POFiTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> fqONi SEIBRCN PEAq SEI6PGK SIDE SE76FCK PLAN LNECK NUMUER PIAN CI�GCn IEE <br /> FEE RECEIPL NO <br /> USE20NE IOtRRER VACANTSIiE <br /> OYES ONO fEES VALUIITION FEE <br /> IYPEOFCONSI. OCCUPANLYGROUP NO.OFOWELLINGUNITS <br /> BUILOING f <br /> SIZE OF BLDO. N0.OL SLONES MR%.00C.10A0 <br /> FLUMBING <br /> MECWINICAL <br /> FIRE SPRINKLERS REOUIREO O YES ❑ N;1 — <br /> OTHER <br /> PENALTY � <br /> �PPII�AIIONRCC OY PUNSCHECHEU81 APPq.FORISSIIANCEBY <br /> TOTAL <br />