Laserfiche WebLink
�����PPLICATION FO��`�� everett <br /> '°.E".,°`"° CO N STR U CT 1 O N O <br /> Gtt OF <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259-8745 TO BE COMPLETED IN INK• PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING � SIGN <br /> OWNER M�IL�pORE55 GITV ZIP PIIONE <br /> � � l� MP Q�- 14t1 E1�.�i- A,r C�er�� 9b'�vl aS'R- '1�31 <br /> ARCHRECTOROESIGNER MAILAO PE55 CITY 21P PHONE <br /> �or� 1�i�" \�1a\ Cnl�.i '"Lvrm� ctYJ(>I d5d-9obr <br /> OENER�IGONiRACT01i � M�ILRODNE55 CIIY IIP cHONE 4LENSE• <br /> "S3iaE_ '-��qlS. <br /> MECN�NICAL COHTRACLOq MeiL�DORE55 Cltt ZiV PHONE LiLENSE� <br /> �\f W�/L, <br /> PLUMBINOCONTPACiOR MMLAOORC55 CITY. 2iF PI�ONE L�CENSE• <br /> h n h�� <br /> CLA55OF WOHK <br /> ❑ NEW �EI ADDI710N ❑ ALTERATION ❑ REPAIR ❑ DEIAOLITION ❑ WOODSTOVE/FRPL.INS[RT ❑ BUILDING RELOCATION <br /> V�LU�LIONOFWORN�COSTOfMPTERUl5PLU5LABOR� ,�(1J <br /> � /5[?�- �`� <br /> OESGRiBE WONN^ L� y <br /> f1[�'���l�or� �U �1`� O/is\� C'7n�'(�9G <br /> USEOFBIIILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> � Gc.c- S'tO�ag� pLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> LEO�LDESCRIPTIONOFFf10VERTY�SHOWNBELOWORATTRCMFOU1iCOPIE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> '��a1 i'13 p�,;f �,{` C.�ef�"� OFWORKWILLBECOMPLETEDWITHWHETHERSPECIFIEDHERE <br /> �o�e�oc�or D•� � INORNOT.THEGRANTINGOFAPERMITDOESNOTPRESUMETO <br /> . GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OK <br /> V , �� ANYOTHERSTATEORLOCALLAWREGULATINCCONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SI�Nq7UREOF ONTRACT 10RAUilIOR12EDAGENi UATE <br /> 14 �1 No A -� .� X O �0�—�6 <br /> PpOJEGT�pDPE9S APPLILANTSGITV SINESS�C[ SENO. <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FI%TUNE FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEP CLOSET(TOILE7) AIR COND. UNITS—H.P.EA. <br /> BFTHTUB REFPIGERATION UNITS—H.P.EA. <br /> LAVATORY�WASN BASIN� �OILERS—H.P.EA. <br /> SHOWER GAS FIRED AC.UNITS—TONNNGE EA <br /> KITCHEN SINH 8 DISP. FORCED AIR SYSTEMS-9.T.U. M EA. <br /> DISHWASMER WALL HEATEflS—B.T.U. M <br /> LAUNURVTHAY UNITHEATERS—B.T.U. M <br /> CLOTHES WASHEF EVAPORATIVE COOLERS <br /> WA7ER HEATER CLOTHESDHYERS <br /> URINAL VEN7ILATION FAN <br /> � ORINKING FOUNTAIN fiANGE HOOD <br /> FLOOR ORAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOFORAINS—RAINLEADEflS METALFIREPLAC CHIMNEY <br /> SINK SERVICE—BAR ETC. WOODSTOVE/FIREPLACE INSERT <br /> SUB TOTAL SUBTOTAL 3 <br /> PERMIT ' S PERMIT S <br /> TOTALFEE S 70TALFEE 3 <br /> THIS PORiION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> FqON/iJ5^El0ACN NEAqS!EiJD�ALR SIOE9EtBAGN PUNCNECNNUMBER PUNCII[CKfCE <br /> W !� 'S // � FEE /I- RECE�/ / � <br /> USE20NE IOi�REA YJ <br /> VACANi51tE FEE9 VAIU�TION FEE <br /> 2�2 OYES JQNO <br /> TYPEOfCONSf. OCCUPANGYGROUP tlO.OFOWELLIN�UNIiS <br /> Q�� M'� � auaoiHa sl�, � 2�J � <br /> Sue or e�oo r+o,ov sroniE9 M�x occ.to.o <br /> /Zfi/(� - / Z ( � PLUM�IN� <br /> MECNANICAI <br /> FIRE SPRINKLERS REOUIRED ❑VES NO <br /> OTHER <br /> PENALTY <br /> •PPLIWiIONACC.BY PUNSGNECNEDBY �PPfi �ORI55UAHCEBY <br /> ��� ��� � TOTRL <br /> 'G c�/�U C�'•.� <br /> [�. .�7 �� C�on'� I' <br /> � — <br />! <br />