Laserfiche WebLink
m. E..,o,e.� <br />GTY OF <br />everett <br />BUIIDING DEPARTMENT <br />259•8810 <br />�`�`,�1PPLI�AT�ON FC��:. <br />�. r,,;<) <br />CONSTRUCTION <br />�ERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />O DEMOLIFION ❑ COMBINATION ❑ DUILDING �-m��HANICAL <br />JWl \\A A lJ`ll �NM`-G _�oAILAD ESpq 5 / \ — — "� " \ L�+`-� `l' 21P � <br />� 1 l \���� <br />eRCNrtEGTONOF5IGNEP MAILADORE55 CIN 21v <br />�everen <br />� <br />0 <br />❑ PLUMBING ❑ SIGN <br />PHONE �+� � �\ <br />� J <br />MECM�NIC�LCONiR1GIfJN mn�inv�.r.ca.a y �...� i�r YnVNt LILtHSEI <br />PLUMOINsC�NiqRqOP MRILADORE55 CIIY ZIP PIIONE LiCE1lSE� � <br />C1�550i W0liN <br />❑ NEW ❑ A�DI710N -TERATION ❑ REF'AIR ❑ DEMOLI710N ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />WLUTTION OF WORN <br />WORN <br />PROJECi10DNE55 <br />PLUMBING <br />e <br />SIiE <br />J <br />OH ITEM � FEE <br />WATER CLOFET �TOILET� <br />BATHTUB <br />LAVATORY�WASHBAS:N� <br />SFIOWEH <br />KITCMEN SINK b JISP. <br />OISHWASHER <br />LAUNORYTPAY <br />CIOTHES WASHEfl <br />URINPL <br />DRI4NING FOUNTAIN <br />FIOOR ORAIN ' <br />tlACKFLOW PPEVENTERS <br />ROOF ORAINS — RAINLEADE <br />S�NK �SERVICE —DAR. ETG� <br />SUBTOTAL <br />PEHMIT <br />TOTAL FEE <br />REAR SELBALK <br />VRCRNT SItE <br />❑YES pN0 <br />MAK. <br />pV IPLRNSGNEGneU9T �nvpq.FOq155WNCEBV <br />I HEREBY CERTIFY THAT I HAVE R'=AD AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. ALL <br />PROVISIONS OF LAWS AND OflDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLETEC, WITH WHETHERSPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE A�THORITY TO VIOIATE OR CANCEL ThE PROVISIONS OF <br />A.'1YOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONS i RUCTION. . <br />SIGNA'UflE OF CONiRACTOR Ofl AU7HORIZEU qGENT pATE / <br />MECHANICAL <br />A/C — A/HNOLG UNITS — HP. <br />F.FflIGERATION UNITS — H.P. EA. <br />BOILL:75 — B.TLJH.P. <br />GAS FIFlEO A.C. UNI fS — B.T.U. <br />FqHCEL'AIqSYSTEMS—B.T.U. ( <br />WALL HEATERS — B.T.U. <br />UNIT NEATERS — B.T.0 <br />EVAPORATIVE COOLENS <br />CLOTHES �RYERS <br />VENTILATIQN FAN <br />RANGEHO00 <br />WATER HFA7ER �. <br />WOODSTOVE <br />MEfAL fIPEPLP :E 8 C4IMNEV <br />FIpEPLACEINSERT <br />HEATPUMP <br />GAS PIPINO <br />PLAN CHECN NUMBER <br />9I1B TOTAL <br />PERMIT <br />TOTALFEE <br />IFEE <br />BUILDING S <br />PLUMBING <br />MECHANICAL <br />OTHEP <br />S7ATE BU�LOING SURCHARGE <br />STATEENERGYSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />M EA. <br />M <br />M <br />FEE <br />RECEIPT NO. <br />PROPERN OW NERS AqE RESPONSIBLE FOR DETEPMINING ALL <br />PROPERTY LINE LOCATIONS AND RELATED EASEM ENTS. <br />