Laserfiche WebLink
�� �c�+': n�m�er2� �o �yar_� . ,ii-000s <br />f+PPLICAIfIi'JN F��.-' <br />'".E".,°`°°" C O N ST Ft U CT I� N <br />cin oc <br />ev�rett PERIvtIT <br />BUILDING DEPARTMENI" <br />259•8810 TO BE COMPLETED IN INK PLEASE Prt�NT <br />everett <br />e <br />❑ DEMOLITON ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />owrver� r.an noornss cnr ,u• �6n� u _bY yv 11�r• <br />�3� ��yvrHin s�-�s_ 370 6 HoYi �✓�. E��Err�rr y__&2oL_ �s ,��.39 � — <br />hRC1UlEC10�OkSiGNFl1 Mnii AD���FS± � <br />ry;ul byr� hv. w- CYys'uou � _1&�36 i7S��6v7o <br />�—�.n�..u4i? �t �.,�, - — <br />GEtlEFPLCO111B4CIC� 1.411.�Ililp[[5 iIP PI�pNF LICENFk• <br />��� —� M41L aDUREtiS rti�� ---- ���• -- PIIONF UC[NSF • <br />Mf:fHnr��f.4L COIlIPeC.IOp <br />PWMONGCONtRPLIOR I.IAILAOftqE55 <ilv hl' Pi1pNE LIG6PoF• <br />CLA55 OF WOn^ <br />❑ NEW � �DOIfION I�� A�7[Rn1lON ❑ AFPAIR ❑ D:'All7Ul'IOH _�. Wf)f)USfOVE;�RPL.IN5ER7 ❑ BUILDING RELOC�TION_ <br />veW V io�+ar wann rt osi �n rem� nini = ri re: i nMnni <br />, DO <br />k0E5�Ri0E �N�.� _._ <br />'___._.--_—'_ —_".__. .—._ ._ _____...__._'-___ __..._—..—__ _ . <br />arn� �,.,,,...��.M�_,r< 1) CNEpJ"�f`DOnqirLh3J �S_��I�i-J�_i—Z�CCt£A1Fl2S_ w�tH wwm„bJ �^iFrta.vl <br />usc <br />v <br />' ' `y.p`�^`_ BIOC'� <br />0 <br />I H[17[BY CFR11fY THAT I IiAVE RE.�D AND ExAMIN�D THIS P.P� <br />PLIC�TIONANDKtJOWTHESAME iOBETRUEANDCORRECT.?LL <br />niuu�rounco�°us� PROVISIONSOFL�WSANDORDINANCESGnVFRK:NGTHIST`(PE <br />OF WORK WIL l BE COAIPLETED WITH WHcTHEfl SPECIFIED HERE <br />- IP�OfiNOL (IIFGRAMTINGOF�PERMITDOESNOTPRESUMETO <br />(1��, ^�Q GN[. �U71�{pR17'f 10 VIp��TF OR C4NCEL THE PROVISIOP�S OF <br />//f U ANVOlH[RSIAIFORI.00ALLA,Wf7EGULATINGCOIJSTFUCTION <br />OR fHP 1'f:RfUqFAANCE OF CONSiRUCTION. <br />S�G1ln�Ulil t�� �'���i��Inqp��qnfl6Uf�n:ll46I)AGF.tl1 1'iF <br />_ � <br />d1.P1 IfAllflf:ll� 11�1!:IUf �SI rl:t 1ltif' �!f\ <br />3>06 /foY7- .1 vE • <br />�vr•�z.�r� <br />PLUINBING <br />NO. I TYPE OF FI%TU <br />WATER CLOSET (TOILET� <br />BATMTUC <br />�AVqTORY IWASH BASINI <br />SMOWER <br />KITCHEN aINK 8 �ISP <br />OISHWASNEfi <br />LAUNDRYTRAV <br />CUJTHES WASMER <br />URINAL <br />OA�NKING FQUNTAIN <br />FLOOR OFAIN <br />B4CNFLOW PAEVENTERS <br />ROOF ORAINS — RAINLFJU <br />$INN �SERVICE — 8��. �T <br />i <br />��ON*SE19FCk <br />� <br />i� L' <br />usc ror+r <br />`� � <br />IYPC O� CO�!ISi- <br />�/ —j <br />sze or oinc <br />�K/+ <br />FIRL SPf71NKLGl <br />APPLIC�IIONACC I <br />��. <br />OR ITEM I FEE <br />u <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />(ILApi[IpAC✓ � <br />ZG� <br />io�nnrn <br />accunnnr.v ,�o <br />� � <br />Ho or;�omes <br />Z <br />� <br />s <br />S <br />SiDL SF. <br />VAC�NIfiI1L <br />IIYES 'JO <br />Ho or nwr i <br />M�K OLC LOPO <br />nrPq rOn �sSU+NCF. �r <br />� � I �-�( G� � <br />��� <br />MECNANICAL <br />NO. TYPE OF EOUIPME <br />AiC —��N�+(JLG UNIT i— H P <br />REFRIGEPnTION UNIT$ — M P EA. <br />[IOILEPS -- � � U �H P <br />GA$ FIRED A C. UNITS — B.T.U. <br />FORCE� Alfi SYSTEMS — B TL. <br />W�LL HEA1Lf15 -- � T U. <br />UNIT HEPTE115 — �S U <br />EVAPOMiIVE COOLERS <br />CLOT11E5 OIiYERS <br />VENiII AiiOW PAN <br />RPNGEI10D0 <br />WnTER MEATER <br />wOO�STOVE <br />METAL fIR[PI.nCE A CIIIMNEY <br />Flt1EPLACF: IIJS[Ri <br />;IEA1 PUhIP <br />GAS PIPING <br />exi�nvsi rna <br />SUBTOTAL <br />PENIAIT <br />TOTALFEE <br />�IAN CH�C6 NUM�ER <br />�UILOING <br />PLUMBING <br />MECHANICAL <br />07HGf1 <br />$TATE �UILDMG SURC� ��� V <br />STATE EN[PGV �UfiC1iARGE <br />ruouc wonKs <br />TOTAL <br />M EA <br />AI <br />M <br />�0 <br />1TION <br />FEE <br />PECEI.'T N <br />13� 9,g <br />FEE <br />pf10P[RI`. ('VNNf-RS ���`- RLSPONSIE�LE F09 DETERMINING F.LL <br />PI70PF1711' iJNE: LOCMIOIJSANU REL�TeD EASEMENIS. <br />