Laserfiche WebLink
r.�PLICATIC3N F0�1� everetl <br /> the Eveipreen C O N ST R U CT I O N 0 <br /> CITY OF <br /> everett PERMIT <br /> TO BE COMPLETED IN OLACK INK— ALEASE PRINT <br /> BUILDING DEPT. <br /> 259-8745 ❑ COMBINATI6N � BUILDING ❑ MECHANICAL �PLUMBING ❑ SIGN <br /> owH�n i�niiao�aess citt zm r�aorie <br /> G'F�1 E FoSHk'PN1 PD. 8%� Sz3 4 F3v�.2B,7YT 9?206' ?37-15 f 7 <br /> nfiL1lRECiOR0E51GHEn �A�I��DOPE55 CItY ZIP PIIOrvE <br /> G@1ERAlGONit1AG10R IATILp00RE55 CIIY ZIP PHONE LICENSE• <br /> IAEGHANIC�LCONLfl�G10A MAILADORESS LIiV ZIP PHONE IIGENSE• <br /> f'LUMBiNGCONIR�CiOR M�ILAp�PE55 CIiY ZIP PIIONE IICENSE� <br /> CLe55OL WOBK <br /> ❑ ��EW ❑ AODITION �ALTE(iATION ❑ REPAIR ❑ DE�dOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING PELOCATION <br /> V�W�lIp110FWORN�CO OfMAt fURL5FlU9L�80fp <br /> �lO � Q�Q <br /> DESCniOE WOPN <br /> � DO 2ooNt — a2 �Mon �.� # 2 utiliT <br /> T— <br /> use or nm�ort+a n - <br /> pupC..�K' � /� C^S'r OEUT(If'� PIICATONANRDKNOWTHESAMETO�E'nRUE�NDCORRECT.�LI <br /> �ccnioes/cmrr NOFPRUPERtY15MOWNOCIOWOfIRAIiFCNfpURGOPIE51 pNpVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS7YPE <br /> tot� io��2or $C'� jT� P�T �F ��RONOTVTi[GRAONTINGOFAPIERMITDOESNOTPR[SUMETO <br /> �� �i GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OK <br /> EVERE7T Dr v� L ANYOTHERSTATEORLOCALLAWREGULATINGCONSTRUC710N <br /> OR THE PERFORMANCi�. OF CONSTRUCTION. <br /> SIGNAIUPE OF GONTRACTOR liR AUiMOR12ED FGENT D47E <br /> X �� G�_ .�6 �'� <br /> VPOJGC�ROOPE$5 � �O� �� A�'PLIGANI'SCIfYpU51NE55UCEN5E110. <br /> � � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUHE FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOIIETI OO AIRCOND.UNITS–H.P.EA <br /> BATHil18 [J FEFRIGERATION 11NIiS–H.P.EA. <br /> LAVATORY(WASN BASIN� O� dOILERS–MP.EA. <br /> g�{pyyER GAS FlqED AC.UNITS–TONNAGE EA <br /> —/ KITCHEN SINKB DISP. FOBCED AIR SYSTEMS–B.T LL M EA. <br /> 1 DISHWASHEP QJ WALL HEATERS–B.T.U. M <br /> LAUNDRYTRAV UNITHEATERS–BS.U. M <br /> CLOTHESWASHER (J EVAPORATIVECOOLERS <br /> WATERMEATER CLOTNESDRVERS <br /> URINAL VLNTILAiION fAN <br /> DRINNING FOUNTA�N RANGE HOOD _ <br /> FLOOR DRAIN AIF NANULING UNIT– C.F.M. <br /> VACUUM OREAKER$ STOVE <br /> ROOF OHAINS–RAINLEADER,^. METAI FIREPLACEd CHIMNEY <br /> SINK�SERVICE–UAR.ETC. �4'OOOSTOVE/FIIiEPLACE INSERT <br /> sue rorn� /p sue rorn� s G'b <br /> PEPMIT S PEflMIT S <br /> TOTALFEE S � D TOTALPEE _ S �r <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSOtJNEL <br /> fRONi5E1HACK fiEA05EIVpACK SIOF.SEIBPCN �UNCNECM't1UM�[R �lANC11ECNfEt <br /> �- ' �1/Jr� � �„/�3 9s� (EE�� �� fiEL IP/iNV� � <br /> USE20NE LOI�RG —� J <br /> VACUITSIiE FEES �AIURtION FEE <br /> �—2 Ex�s7'Cr °VE5 K10 <br /> TYPEO(CONSi. OCCUPPNCYGBOUP NOOFOWELLINOWJIiS <br /> �—n� �-3 � pUILDING s/D,�• " �-p <br /> Si2E O�fl1�0. NO.OF SIORiES Mrl%.OLG.LOAD <br /> EX��� 3 8 �'LUMOING �v QO <br /> SIECHANICFL � <br /> FIRE SPRINKLERS REOUIRED ❑VES NO <br /> OTHER <br /> PENALTV . <br /> PPpLICAl10N�LC.BY PI�NSCNECKE08Y RPPB.PORISSi!ArvG[tlV -L-�7� <br /> , ^ TOTAL � ,/V <br /> L_ .�� �E� <br /> L � — <br />