Laserfiche WebLink
i '���':PPLICATION FOi:� everetl <br /> � � '".E".,°`"" ' , CONSTRUCTION : 0 <br /> cm or <br /> � everett PERMIT <br /> BUILDING DEPARTMENT <br /> ! 259-8810 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ' ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMB�NG ❑ SIGN <br /> OWbEP �^AIL PODBE55 LIfY 21P PHONE <br /> `' d �l 3404 ���� ,� G"v� �zG� � 9�aB � <br /> Ma k'YNv � Q�NnraQ ,C.n,uc o«� <br /> � APGNIIECTOROESIGNEN M�IL�OORE55 GLY 21P PMONE <br /> 1 <br /> ' OENERALCONiRAG10R M�ILAOpqE55 Cirv ZIP �'HONE uLENSE• <br /> i " Q/�ws l'r /40/� �a�u ���;,E�l r�, u.t � - awnoc� 9,V�Y 2 <br /> '� ��i.�� , w�n ,5-.r-�K <br /> MEGIIANiULCONfR�GIOq M�ILAOORE55 CIR ZIP PIIONE LILE115E• <br /> � PLUMOINO CONTPApOR MAIL AODRE55 pTY Z�P PIIONE ' LiCEHSE• <br /> � GLASSOFWONN <br /> ; ❑ NEW ❑ ADDITION ❑ �L7EF7ATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERI' � ❑ BUILDING RELOCATION <br /> 1 `/�IU�TIONOFWO�hIWSTO�MAIERIALSf'LIISUBOPI <br /> I OESCRiBE WOpK � <br /> � � gG�'�- � o �.�f �'N —s si'.�. <br /> U EO!BUILDING i I HEA[BY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> "�1' S! F� E PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> � LEO�l0E5CRIPiIONOfPROPERiVISNOW�IOEIOWOA�TT��HFOURCOP1E51 PROVISIONSOFLAbVSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORKVJILL BECOMPLElED WITH WHEfHERSPECIFIEO HERE- <br /> � LO��—BLOCN�OF INORNOT.THEGRANTINGOFAPERMITDOESNOTPRESUMETO <br /> � � GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OF LOCAL�AW FEGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. g/// j <br /> � '.IGNATUB6� F ONiRACiGR OR A NOR EO AGENT pliE�J/'� �Q <br /> : / <br /> i+ �0 C/_ �-c{/ <br /> ` PROJEGT�ODRESS APVLIC�NiSCIiY9051NE55L�C[��SENO <br /> �� LUMBING MECHANICAL <br /> i NG. TYPE OF FIXTURE OA ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> W�TEPLLOSET�TOILET� A/C—A/MNOLGUNITS- M.P. <br /> � ' BATHTUB REFRIGERATIONUNITS—HP.EA. <br /> � 801LER5—B.T.0/HP. <br /> � LAVATORVIWASHBASIN� <br /> SHOWER GAS FIREO A.C.UNITS—B.T.U. <br /> NITCMEN$INK 8 OISP. FORCED Alq$YSTEMS—B.T.U. M EA. <br /> � OISHWASHER WALLHEATERS—B.T.U. M <br /> IAUNDRY TRAV UNIT MEATERS—D.T.U. M <br /> j CIOTHES WASMER EVFPORATIVE COOLEFS <br /> � URINAL CLOTHES DRVEPS _� <br /> � ORINKINr FOUNTAIN VENTILATION FAN <br /> FLOOA ORAIN � RANGE HOOD <br /> BACNFLOW PRCVENTEi1S WATER HEATER '. <br /> i ROOP DHAINS—�A�NLEA�EflS W OOD$TOVE <br /> � S�NK�SERVICE—BAR.ETC.� METAL FIREPtACE d CHIMNEY <br /> FIREPLACEINSERT <br /> � HEATPUMP <br /> pA5 PIPING <br /> J <br /> � ' � EXHAUST FAN <br /> � <br /> 1 SU&TUTAI f SUBTOTAL - <br /> �� PERMIT f PfRMiT <br /> �i TOTALFEE S TOTALFEE <br /> 1RONt5Ef0eCK RE4HSEiBAGR SiD[SETO�GR PLANCMELNNUMBER FEE RECEIPI'NO. <br /> i <br /> ' IlSE ZOHE �or aaEe yq�AllT SIiE FEES VALUATION FEE <br /> ' OYES ONO S <br /> � ew�oiric <br /> � iYPEOfCONST OCCUP/.NCYG90UP NU.OF�WELLIN6UNIi5 <br /> PLl'MBING <br /> ! SIZEOF8�00. NDOFSiORIES MRMOCCLOAD MECHANICAL <br /> ! <br /> � OiHER <br /> 1 FIRE SPRINKLE(iS REOUIRED ❑YES ❑NO __ STATE f1UILDING SURCHARGE <br /> � STF.TEENERGYSURCHARGE <br /> 1 <br /> � �PPUCAIION�CL 9� PL�rv5t1�[CnEOB� �P�R GO�ISSl1ANCE0Y pUBLICWORK$ <br /> 1 <br /> � TOTAL <br /> i <br /> PROPERN OWNERS ARE RESPONSIBLE FOR DETERMINING AlL <br /> PROPERTY LINE LOCA710NS AND FELATED EASEMENTS. <br />