Laserfiche WebLink
�., <br />S'�:;e c;.,;J <br />+ i�►PPLICATION FOk <br />' `°.E"`°`"° CONSTk�JC710N everett <br />� cin oF � <br />� everett� �ERMiT <br />TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br />BUILDING DEPT. <br />259-8745 ❑ C011NSINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNR � M LR�OPE�O7'� /��V2���.������/O _/VU ���� / �� . <br />%/ ✓1 M %1 <br />(/�NIi ��v <br />PGNITE OROESIGNEfl � MAILAD NE55 � CITV ZIP PHO�lE <br />� 55— � zr�o <br />E RA ONTRR R AILROpRE$5 GITY ZIP PIIONE UCENSE• <br />.� �� 3 v 7- � 3��•-� S�` , g�-� a G- 9 3 5�z <br />M HRNICRI.LONTRALTON MAILAOOFE S GIiV 21P PMONE r � IlCENSE• <br />OF WORN <br />JEW ❑ ADDITION ❑ AITERATION ❑ REPAIR ❑ DEMOLITION <br />� ION OF WORK ( W 5T OF MAIERULS PI.OS UBOfry <br />� �1 � � � <br />1 <br />DRINKING <br />❑ DUILDING RELOCA710N <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BETRUE ANDCORRECT. ALL <br />ATTpGMFOURLOPIES� ppOVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHE'HERSPECIFIGD HERE- <br />IN OR NOT. THE GRANTING OFA PERMIT DOES NOT PRESUMETO <br />GIVE AUTHORITY TO VIOLATE OR CANCEI_ THE PROVISIONS OF <br />� ANY OTHER STATE JR LOCAL LAW REGULATING CONSTRUCT ON <br />�-�-¢ OR THE PERFORiAANCE tlF CONSTRUCTION. Q� I�p1, �V <br />._ n /�i c.A SIGNAiHHE OF CONTRACTOP OR AUTNORIZED AGENT DATE 'J / 1 I <br />X �, ) �,�e � <br />PPLICANiS CITY BUSINESS LIGENSE NO. <br />1ECHANICAL <br />NO. TYPE OF E�UI <br />AIR COND. UNITS-H.P. EA. <br />REFRIGERATION UNITS=H.P <br />BOIIEHS-H.P. EF. <br />GAS FIRE� AC. UNITS-TON <br />FORCED AIR SYSTEMS-B.T. <br />WALL HEATERS-B.T.U. M <br />IINIT HFATFRS-9S.U. M <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />PFONTSE ORCK REARSETB�CK SIDESEiBACI( PLANGII HNURIpER �l NCIIECNFEE <br />�'J �J�nJ �','�'' !�� /3 �`3� reE /0 3 � nEceirr Ho � S %� <br />USE20NE LOiFRE� WGNNTSITE <br />/1 ��� MES ONO � FEES VRL�RTION FEE <br />�" V <br />TVP��)ON�ST( OCCUPR//yy YGROUP NO.OiDWELLIfIGUNITS <br />_�L N I`'� ( � �`/� /1Tn �% �%.F� `l% <br />STORIES <br />� <br />APPLIC�TION�CC.BY PUNSGHEGNEO61 nrrH.rob45u�rvGttlY <br />�:,3. J�� �. ,L <br />DUILDIN <br />PLUMOING <br />MECNANICAI <br />OTI/ER <br />PENA�TY <br />TOTAL <br />n <br />t� <br />� <br />n <br />m <br />H H <br />H �'+] <br />H �� <br />� <br />d � <br />� <br />�z <br />�� <br />Hy H <br />K � <br />O � <br />� H <br />� <br />� <br />� <br />n <br />. � <br />� <br />� <br />H <br />� <br />y <br />Hn <br />C� <br />