Laserfiche WebLink
.� . � �I:.i„�.;jI���Qf.' <br />y �����PLICATION FQR'��) ` �:� <br />��«�n �� � <br />} �".E'°'°`..° CrJNSTRUCTI�ON � � '� <br />� CIrY OF <br />' everett PERMIT �:;` <br />:� . <br />,., .i, l��t�: <br />� BUILDING DEPARTMENT � . ..I� <br />259•8810 TO BE COMPLETED IN INK- PLEASE PRINT i1' :"i p �; <br />� � j. � <br />� ❑ DEMOLITION O COMB{NATION O BUILDING ❑ MECHANICAL ❑ PLUMBING ";O SIGN;�i. <br />'.�' OWbEN MeIL�00RE99 CITY ZiP PIIONE � � ��1� <br />�H�.ro,J 98.�y8 y�G-73y9 �` ';: <br />'� � LL, 1.� o�C I /F Pi �I QD I drl� cin zir PHONE .� r��.'. <br />� �qCMI1FC10RUE9�ONEfi M�ILAOORESS <br />; _ �� <br />r OENEMICONINAC1011 M�IL�UUf1E99 C�fY IIP L:iONE 4CENSE• . <br />I?� nWN�12. cSRm� ��... <br />T� PIIONE I�CENSE • <br />FLUMBINOGONIO�G�O� MAR�0011E53 Ci�Y ZIP P��ONE LICENSE• <br />CU55 Of wOnR <br />❑ NEW ❑ ADDITION ❑ ALTEPATION ❑ REPAIR ❑ OEMOLIiION ❑ WOO�570'JEIFRPL.INSERT ❑ BIIILDING RELOCAiION <br />wwerivi or wonK icosi or r�ei cnu�s rws ienon� ; <br />� <br />— R� NT A �-.. <br />�oi— <br />PROJEGI�OORE55 <br />� 9a� �om$��ep �� <br />PLUMBING <br />Np, TYPE OF FI%TUR£ OR Il <br />WA7ER CLOSET ITOILET� <br />BATHTU� <br />U�ATO�Y �WASH BASIN� <br />SHOWER <br />NIiCHEN SINK d OISP. <br />� DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />UA�NAI <br />DAINKINO FOUNTAIN <br />� fLOOR�Rp�N <br />' BACKFLOW PREVEN7EiiS <br />� FOOFD�AINS—ApINLEA0ER5 <br />� SINK �SERVILE — BAR. EiC.) <br />SUB T0T11L <br />PERMIT <br />TOTAL FEE <br />iHON�5El0�Lk PE�n SEIB�CN <br />USE 1(INE LOI ARE� <br />VpC�NISItE <br />OYES ONO <br />IYFEOfCONST OCCU�A��CYG110UP NDAFOWELLINp <br />S�LE 0� O100 NO O� SIORIES M�X OCC. LO�D <br />FIRE �PqINKLEF75 REOUIREO ❑ YES ❑ NO <br />•VPL�GA�ION�CC 0� PL4HSC11EOCEDBY RPPf1.FOt1155UA <br />\` � <br />I HEREBY CERTIFY TNAT I HAVE READ AND EXAMINED TNIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUEANDCORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNING THISTYPE <br />OF WOFK WILL BE COMPLETED 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 PROVISIOMS OF <br />ANYOTHER STATE OR LOCAL LAW FEGULATING CONSiRUCTION <br />OR THE PERFOFMANCE OF CONSiRUCTION. . <br />SIpNATU�E OF CONiRAGiQR Op AU_TNORIZED AGENT p�lE . <br />C IIN�.i i�:.j iT �� ��r7 <br />X i%�. �- 3�'cf,c-,�., 5-/ 4� =�� <br />�oouf.AN . CIl OSINESSUCENSENO <br />MECHANICAL <br />TYF� O� EC <br />A/C — NHNDL� UNITS — <br />REFA16ERATION UKITS — <br />BOILEPS — B.T.U./H.P. <br />OAS FIREO A.C. UNITS — F <br />FOHCEO AIR SYSTEMS — i <br />WALI HEATERS — B.T.U. <br />UNIl' HEATER9 — B.T.U. <br />VENTILATION FAN <br />RANOEHOOU <br />WATEP HEATER <br />WOOD STOVE <br />METAL FIREPLACE <br />FIAEPLACE INSEH' <br />MGATPUMP <br />OAS PIPIN(3 <br />E%HAl13T FAN <br />SUBTOTAL <br />PCHUIi <br />TOTAIFEE <br />PLAN CHECXNUMBER FEE <br />FEES �A�� <br />OWLOING S <br />PLUMDINQ <br />MECHANICAL <br />OTHER <br />STATE OUILOING SURCHAPGI <br />STATE ENERGY SUPCHAfiGE <br />PUBLIC WORKS <br />TOTAL <br />i j • � ' <br />� ; ,L/,. <br />y, �i •n� <br />i. <br />��.i .��1iii <br />•i <br />RECEIPTNO.;` '1. 'i�'�1- <br />� I`t ,'�' i 1 ��,1 % � �, <br />7 � <br />F��„':��' <br />.. ; ;� i'! �?i' <br />r, . , <br />� I:' i l <br />PROPERTY OWNERS APE RESPONSIBLE FOR DETERMININO ALL � � <br />PROPERTY LINE LOCATIONSAND RELAiED EASEMENTS. ; I I <br />i, <br />