Laserfiche WebLink
%i;�PPLICATl01�1 FO1.'' <br />'".`".,°,"" COfdSTR�IJCTiON <br />un ov <br />everett PERMlT <br />DUILDING DEPARTMENT TO BE COMPLETED IN INK- PLEASE PRINT <br />259-BB 10 <br />O OEMOLITION ❑ COM8INATION ❑ BUtLDING ❑ MECHANICAL <br />Q��%IGQ%�.���V�1�%�!�t�JI.\qJ%�IP'= � ����s��, <br />❑ PLUMBING <br />everetl <br />� <br />❑ SIGN <br />GENENI�CUNiPnGfO� nu11�00RE55 Cliv ZI� OI�ONE LI�ENSC� <br />� n„ �,� � � S /_� �1-� <br />MECIUNIGLGONiRnCiOq MNLPU���t55 �••• _.. . - �- � -- <br />P�UMBINGGONIBAGIOR M�ILADORE55 CIIV 21P PHONF LICE�6E <br />Cl�,'i:i OF W [�NR <br />❑ NEW ❑ �C��TIOIJ ❑ ALTERATION � REPAIR ❑ OEMOLIiION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING F7ELOCFI�ON <br />/�WAtlflu Of WO�Y IC09i QqfAP1EPUl•v PLUS UBO�I <br />✓ BPP.P�k �`��'a <br />oescnmr:wonn ��r S�ZEi <br />,��q.,� �u D 1��fi�/� ����� � DU�R �f�re,vr-� �Ta�• a��x��7� <br />u5eor a nou+/��� I HERE81' CERTIFY THAT I HAVE READ AkD C-XAMINED THIS AR <br />V� /��'J�` � PLICATIOI:ANDKNC:'JTiICSAMETOBETFUEANDCORRECT.ALL <br />V <br />IEGPLDESGRIPtIONO�PAOP[BIYISIIGWNBELOWOAAITAGIIfOUIiCOPIE51 PROVISIONSOFLNWSANDONDINANCESGQVERMNGTHS7YPE <br />OF WORK WILL D'c COMPLETELI WITH WHETH[R SPECIFIEC� HERE- <br />ior ___ewc�ov INORNOT.THEGRANTINGOFAPERMI'DOESNOTPRES:IMETO <br />�. GIVE AUTHORITY TO VIOLATE OR CANCHL THE PROVISIONS OF <br />� ANY OTHER STATE OF LQ�:A� LAW FEGULATING CONSTRUCTION <br />_ OF THE PERFORMAMCE OF CONSTRUCTION. . <br />� SIGN/IUREDFCONiPRG�GRORnUit10RIZE0AGENt p�1E <br />X A7� � . _ //. � � .. . . _���Xr.Q <br />1� <br />PLUMBING <br />NO. TYPF. OF FU(TU <br />WATER CLOSET �TOILET� <br />BATHTUB <br />�AVATOPYIWASHBASIN) <br />N'TCM�N SINK 8 OISP. <br />LAUN�RYTRAY <br />LLOTHES WASHEFl <br />U�7�NAl <br />OH�NKIN�i FOUNTAIN <br />FLOOR DRAW � <br />BACNFLON�PREVENTERS � <br />ROOF DHAINS — RAINLEADE <br />SINK �SERVICE — 6AR. ETC.) <br />� <br />ITE�11 � FEE <br />SUBTOTAI <br />TOTALFEE <br />O�BlOO �NO OF <br />� APVLICLIION�LC I3� <br />� <br />I� <br />� � —'— _ <br />I+ <br />i <br />SioE <br />VAC�NiSrt[ <br />OYES 7N0 <br />NO Of DWEL <br />MAN.00C LOAO <br />nLnr�SCNECnEDOY I�PPR �OfiISSUPNCE <br />CIiY <br />MECHANICAL <br />A/C—A/MNDLGUNITS—M.P. �_ <br />REFflIGERATION UNITS — MP. EA. <br />DOILERS —� B.T.U.MP. <br />G�5 FIRED A.C. UNITS — BS.U. <br />FOflCEO AIR $YSTEM$ — B.T.U. M FF. <br />WALL HEATF.flS — D.T.U. M <br />UtLTMEATERS—O.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESORYERS <br />VENTILFTION FAN <br />R�NG�HOOD <br />WATER MEATER <br />WOODSTOVE � <br />METAL PIREPI.4CE 6 CHIMHEV <br />F1.7EPlACE INSEflT <br />HEAT PUMP <br />OAS PIPING <br />E%HAUSTfAN _ __ <br />SUBTOTAL <br />PERMIT <br />TQT�1L FEF <br />P�AN CHECKNUM�ER IFEE <br />BUiLDING S <br />1'LUMBING <br />MECHANICAI <br />OTHER <br />STATE �l1ILDING SUPCMMGE <br />5?ATEENERGYSURCHARGE <br />PU6LIC WORKS <br />TOTAL , <br />RECEIPT NO. <br />FEE <br />PROPERT�' LOINE LOCATIONS 1NDNRELATE� EA�S�EMENTIS!NG �LL <br />