Laserfiche WebLink
`r�PPLICATIQN FO:�' <br />'°.E°.'°,"° C�NSTRUCT�IAN <br />GTY OF <br />everett PERNIIT <br />BUILDING DEPARTMENT <br />259•8810 TO BE C031APLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION O COMBINATION ❑ BUILDING �MECHANICAL <br />❑ PLUMBING <br />�9L�3J <br />RRCHIIEGT OR DESIGNEB M41L p�ORE53 CI1Y �IP VHONE <br />CENEP�LCONiBPCIOR '•" AO�f1E55 CIIY 21P �HONE LICENSE • <br />�.dc��' /' i0� �V �,�"7'�t�(� %��p�� m�pH��� = <br />7 <br />r <br />r� LICENSE • <br />i`Y— � <br />NEW ❑ ADDITION �ALTERATION ❑ PE-FAIR ❑ �EMOLITION ❑ WOODSTOVE/FRPL.INSE(7T ❑ BUILDING RELOCAIION <br />TIONOiWQ�iN�(:OSTOFMr11ERIAL51'LUSLRBORI � <br />BEI.OW <br />I fiEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW TH E SAME TO BE TRUE AND CORRECT. ALL <br />PROVIS�ONS OF LAWSAND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLETED WITH WHETHEF SP[CIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NCT PRESUME TO <br />GtVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF' <br />ANY OTIIER STATE OR LOCAL Li1W REGULATING CnNSTRUCTION <br />OR T41E PERFORMAIJCE OF CONSTRUCTION. , <br />SI�NA REO CONiRACTORORAUTHOf12E0A0ENT OA1E <br />r /� <br />X .V,G�J/ �( .'7 .Y"G�Pa-�a i �0 i�/- i <br />��T�n3o CQ�1%�,�,�1� �ir� <br />PLUMBING <br />NO.� <br />WATEH CLOSET �TOILI <br />BATHTUB <br />I.AVPTORVIWASH BA: <br />SHOWER <br />KITCNEN SINK 8 DISP. <br />OISHWASHER <br />LAUNDFVTRAV <br />CLOTHES WASHER <br />. FLOOR DHAIN <br />BACKFLOW PREVENTERS <br />� ROOF ORAINS — flAINLEAOEFS <br />SINK ;SERVICE — BAR, El'C.) <br />i <br />. fnONiSE'� <br />USE ZONE <br />rvPE OF C <br />Si2E Of HI <br />SUBTOTAL <br />PERMIi <br />TOTAL FEE <br />RE�P SEiB�CN <br />NO OF STORIE9 <br />ITEM <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNOLG UNITS — H.P, <br />FlEFFIGENATION UNITS — N.P. EA. <br />BOILERS — B.T.UJH.P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — BS.U. M EA. <br />W,1lLMFATFF7.^.—B.T.U. M <br />UhIT MEATEFS — B.T.U. M <br />EVAPOPATIVE COOLERS <br />CLOTHE59RVER5 <br />VENTIIATION FAN <br />RANGEHOOD <br />WATER HEATER <br />�f <br />SIDE <br />VAC�NT 311E <br />OYES ONO <br />N0. OF OWFLLINO UNIfS <br />APPIICAiIONRCC B� IPLANSCHECkEDBY IAPPq,FORi55VAKGEOV <br />METAL FIREPLACC 8 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />CAS PIPING <br />E%HAUSTFAM <br />SUBTOTRL <br />P[HMIT <br />PLAN CHECK NUMBER <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANILAL <br />O7HER <br />STATE BUILDING SUitCHFRG <br />STATEENERGYSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />FEE <br />S <br />REGE�PT NO. <br />PROPERN OWNERS ARE RESPONSIBIE FOR DETERMININO ALL <br />PROP�RTY LINE LOCATIOt75 HND RELA'i ED EASEMENTS. <br />