Laserfiche WebLink
� <br /> � �:,'';� �� <br /> F.PPLICATION FOh <br /> � everetl <br /> , � '°.E'.,""° CONSTRUCTION � <br /> CITY OF <br /> , everett PERMIT <br /> � BUILDING DEPARTMENT <br /> � 259•8745 TO BE COMPLETED IN INK• PLEASE PRINT <br /> � �DEMOLITION Li COMBINATION ❑ BUILDING ❑ MECHANIC.4L ❑ PLUMBING ❑ SIGN <br /> OWNE MAIL�0�f1E55 CIIY 2IP PIIONE <br /> �a«/ �'. ,S�Qp� �9oy �mG,p! ���e�f y�zo� a��-�3dz y�.� <br /> 11RCNIIECfORpES10NEN � AIML�ODflE55 �� ptt ZIP PIIONE <br /> 1 Sa��e .�91- 7.��o i�.-/ <br /> S' <br /> OENEPALGONIR�C708 M�ILAOUOE53 CIIY 21P P110NE LICENSE• <br /> � ,.fai�e <br /> j MEGIUNIC�LCONIMGIOq M�ILAOORE99 CIIY 21P PIIONE LIGENSE• <br /> 1 <br /> � FLUMBINUGONiPAC108 M�ILAp�RE99 CI1V 21P PIIONE UCENSE• <br /> I <br /> �1 CUSSOFW011R <br /> •; ❑ NEW ❑ ADbIT10N ❑ ALTERATION ❑ REPAIP � DEMOLITION ❑ WOODSTOVE/fRPL.INSERT ❑ BUILDING RELOCATION <br /> � veweuon or wonx icosr or Maenin�s r�vs�neom <br /> 1 � <br /> �� OESCNBE W�PN / <br /> � //Pmu�J�i EXi,f�'/h a/a � <br /> use ov am�mr+a���,^ <br /> f ✓a�ye PLICATONANDKNOWTHESAMETOBETRUEA 1DCORRECT.ALL <br /> 1 LEOALDESC�IPIIONOFPflOPEf11YI5XOWN0ELOW/ORAI7ACHF011PCOPIFS� pROVISIONSOFLAWSANDORDINANCESGOVEFNINGTHISTYPE <br /> � ,� /9 `'f S7' /�c�:l�� �e �''o <br /> f �or " e�oc or �' P�c'l- OFWORKWILLBECOMPLETEDWITHWHEiNERSPECIFIEDHERE <br /> /' IN OR NOT.THE GRANTING OFA PERMIT DOES NOT PRESUME TO, <br /> i Qi9� �pcC� � �� PBT Or /T � ANYOTHE�ST'ATEORLOCALLAWREGULA INGCONS RUCTION <br /> �j OR THE PERE'ORMANCE OF CONS7RUCTION. <br /> �: ���j/ fJ�j fjJK/'J�PL'A'/�� S , ��� � SIONATUP FCONTRACTOROfiAUTHORIZEDAGE �AIE <br /> j E✓�;�� . X��`J�-�tY � ' l9 �� <br /> � VPOJECIADDRESA / APPLIO�NT9CIiY6U51NESSlIGENSENO. , <br /> ; ��0� L0�6ir�c�' �✓t'/f �.�2d/ <br /> PLUMBINO MECHANICAL <br /> � NO. TYPE OF FI%TUf7E FEE NO. n'PE OF EOUIPMEN7 FEE <br /> �, WATER CLOSET TOILEp � AIR COND.UNITS—H.P.E0. <br /> �� BATHIUB REFRIGERATION UNITS—H.P.EA <br /> � LAVATORYIWASH BASIN) BOILERS—H.P.EA. ' <br /> !- SHOWER GAS FIREO AC.UNITS-70NNAOE EA <br /> � KITCHEN SINKB DISP. f'ORCED AIR SYSTEMS—B.T.U. M EA. <br /> � DISHWASHEti WALLHEATERS—B.T.U. M <br /> �� LAUNDRY TPAY U�IIT HEATEiiS—B.T.U. M <br /> CLOTHES WASHER EVAPOPAtIVE COOLERS <br /> � WATER HEATER CLO7HES DRYERS <br /> ' URINAL VENTI!A710N FAN <br /> DRINKING FOUNTAIN fiANGE HO00 <br /> FLOOR ORAIN AIR HANDLING UNIT— C.F.M. _ <br /> VACUUM OREANERS S70VE <br /> ROOF DRAINS—RAINLEAOEHS Mf:TAL FIREPLACE d CHIMNEY <br /> SINK SE1iVICE—BAR.EiC. WOODSIOVE/FIREPLACE INSER7 <br /> I — _ —_ <br /> :' <br /> i <br /> 9UBTdTAL SUB TOTAL 3 <br /> .1 PEPMIT S PEBMIi 3 <br /> ti TOTALFEE S TO7ALFEE S <br /> + THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> i <br /> � IRONf5E1B�CN flE�R3E7PACN SIOESEiBACN PL�NLNECKNUM9Efl PL�NCIIECNLEE <br /> '� FEE BECEIPT N0. <br /> USE ZONE LOTARE� VACANf SIIE <br /> DYE9 ONO fEE! V�LU�iION FEE <br /> � <br /> TYPEOfCONST. OCCUPANCYGIIOUP ND.OFOWELLINOUNITS ' <br /> OUIIUINO � S <br /> � 54E OL BLW. NOAF SfONE9 M�X OLG LO�� <br /> �; PLI!MBINU <br /> MECIIANIC�I <br /> '� FIRE SPRINKLEFIS REOUIRED ❑YES ❑ NO _ oT1iEn <br /> � <br /> PENALTY <br /> •PPL'.CAfIOHACC.Bv PLAN9GNECNEDBY APVRfORI550ANCE0Y <br /> i <br /> TOTnL <br /> .1 <br /> r <br />