Laserfiche WebLink
��e Everp�een <br />cin oF <br />�ver. ett <br />BUILDING DEPT. <br />259-8745 <br />'�r�PPLICATi 1�1N FOr� everett <br />COfdSTRl.JCTI�N O <br />P�RANIT <br />TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br />� COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />Mnanooness �cnv zia v�+or+e <br />?_,;,/. _ _ �� � ��r..-� /—iirrP�-� 9,f?7D/ �?.5�?-3-5//3 <br />qOCMIiEfT ROESIGN[R / MAILROpjiEsS "" ��� /Qj� <br />% ry �S'a`Ps%�� li����`�� �DOo „77�� --"v/����E' t .o, <br />GE�ERnLCONRACiOP MAR�O�RE55 <br />� ��ry 21P FMONE LICENSE � <br />MECHl�"IW��TO� MAtLhO�RE55 Cltt ZIP PMONE LICENSEe <br />PLUMB W G CONiRACfOR <br />IANIA�Df1E55 GIN 2iP FNONE LiCENSE• <br />:LRSS OF WOiiN <br />❑ NEW � AD�ITION ❑ ALTER�.710N ❑ REPA!R ❑ DEMOLI710N ❑ WOODSTOVE/FRPL.INSERT BUILDING RELOCATION <br />USEOF9UILUIN4 �/ <br />IEtlPLOC::.�...''�-.^�OFPPOFERLYIS/N�$�WN�[I <br />LOT�-. HLOCI�11-L Oi—l../L— <br />�/iP�� L � O 5 ,G <br />i,= J��/ 9 0� /�l, <br />CP�� ���s v �' Jh <br />PROJECT���RESS <br />"23 � � � <br />PLUMBING <br />Np, TYPE UF FIXTUI <br />/ WATERCLOSET�TOILET) <br />BATHTIIB <br />/ LAVATORY�IVASHBASIN� <br />SHOWER <br />NIT[:HEN SINK 8 UISP. <br />vaor+r seiene� <br />20 <br />USE20NE <br />f�— <br />TVPE OF CO,N5{1 <br />�� N <br />512E OF BLDG. <br />,dvvrJ 5e <br />_ � <br />FS <br />�c�% ��r�ar�re fle ����%le�? <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AIJD KNOW THE SAMETO BETRUEAND CORRECT. ALL <br />PROVISIONS OF LPWSAND ORDINANCES GOVERNING THISTYPE <br />OF WORK WILL BE COMPLETED WI-i H WHETHER SPEC:PIED HERE• <br />IN OR NOT. THE GRANTING OF A PFRMIT OOES NOT P�ESU�4E TO <br />ANYO NERSTIATEOR O ALELAWREGULA INGCONSTR�UCTION <br />OR THF PERFORMANCE OF CONSTRUCTION. <br />SIGNAIUPEOFCONiPACTORORAUTMORIZEDAGENT DA7E <br />X ��c� �� �� 7�as��F <br />GITY OUSVIESS IICENSE NO. <br />;AL <br />7YPE OF EOUI <br />COND. UNITS-H.P. EA. <br />�RI�ERATION UNITS-H.F <br />LERS-H.P. EA. <br />i FIRED AC. UNITS-TON <br />9CE0 AIR SYSTEMS-B.T. <br />Ll HEATERS-B.T.U. � <br />ITHEATERS-�.T.U. M <br />1PORATNECOOLERS <br />DIMES UHYtHS <br />NTILATION FAN <br />NGE NOOD <br />i NANDLING UNIT- C. <br />OVE <br />iTAL FIFEPLACE 8 CHIMI <br />inncrnvF/FIRFPI ACE li <br />FEE <br />THIS PORTION TO BE CUMPLETED BY BUILDING DEPT. PERSONNEL <br />P�AN CMEGK FEE <br />REA�SCIenCK. SiDESEipACK P�ANGME NUIdBER >F3 qELFIPTNO /� <br />��% ��r S � � � J� FEE � �-` 3CJ <br />IOTAHER VAGANTSITE FEES VALUATION FEE I <br />2 GYES BNO -r— <br />OCCUPANGYGfVOpUP NO.OFOWELLMGI1NIi6 ���/'� �w- <br />�JJ� ^3 ' BUILOING E�1'4S6C'J� /�� � J <br />B\' <br />NOAF STORI[S <br />^, r.. � <br />-� �-UJ�'yj <br />bY <br />G•G <br />PLUMOING <br />IAECHANICAL <br />OihER <br />PENALTV <br />TOTAL <br />__ _ . _ <br />�; . ; <br />�'i k ' , � u,'„ t � ;- r ' Y? <br />'" � .: t <br />}� ���' �'��.f <br />. . r)�.':' . .,' � <br />