Laserfiche WebLink
- `��1PPLICATION FG-.: ���,�„ <br /> � Gr�"`"" CONSTRUCTION <br /> � everett PERMIT e <br /> BUILDING DEPARTMENT <br /> 259•8810 TO 8E COMPLETED IN INK• P�EASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUIL.QING ❑ MECHANICAL ❑ PLUMBING ❑SIGN <br /> • OWNER MAII��ORESa CIiY ZIP PHONE <br /> ; r.,.lb,� Pl,o,c, �z�! / I So� D1r��orS+ .�tNe . t,ll�t. �i8►bg-- 76�--�347 <br /> �pGNITECI0ROE51GNER M�RADURE55 CitV Zlv PMONE <br /> ' GENER�LLONiq�CIOA MML�DDNESS Ciiv ZiP �NONE LICENSE• <br /> y�� CCOL7( W1h',E ��fL pU <br /> � 1IJ� Cltv Lli P110NE LIGENSE• <br /> MECMANIL�LCONTN�LLOq M�IL�DORE55 <br /> 1 piry PP P��ONE LiCENSE� <br /> PWMBiNGGONTR�CTOP MML�ODRE55 <br /> C.LJ�,SS Oi WOPM <br /> J��f NEW ❑ RDDI710N ❑ ALTEFATION ❑ REPAIF ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSER7 ❑ BUILDING RELOCaTION <br /> V�LU�TIONOF WOFKICOSI Of M�IERUlS PLW LPBOAI <br /> ; •s- <br /> r � <br /> ' �oescni e woaK <br /> snew �i►n �2.- _� ` c� I <br /> i useorewioiNc � ` I HEREBY CERTIFY THAT I HAVE READ AND E%AMINEO THIS AP� <br /> p ti�.1AyI, `� PUCATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL � <br /> � LEO� DES F1P ION FpqOPEATVI HOWNBELOWORATTACHFOUNCOPiE51 PROVI510NSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> { OFWORKWILLBECOMPLE.TEDWITHWHETHERSPECIFIEDHERE � <br /> �o+�e�oc�—or — INORNOLTHEGRANTINGOFAPERMITDOESNOTPRESUMETO � <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF d <br /> ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION � <br /> i OR THE PERFORMANCE OF CONSTRUCTION. . <br /> i $IGNALURE F CONiR4CTOR OR�ORIZEO�GENT 04TE � <br /> � X �' � � �1� //�/7�f17 r <br /> PFOJEGT�DDRESSf�� �PPL�L TSGIit BUSiNE55liCkNSE� k <br /> � <br /> I <br /> PLUMSING MECMANICAL <br /> Np, TYPE OF FIICTURE OR ITEM FEE NO. TYPE OF EOUIPMEN7 FEE <br /> WI17ER CLOSE7(TOIIET� A/C—A/HNOLG UYITS—M.P. <br /> BATHTUB REFFIGERATION UNITS—N.P.EA. <br /> •i LAVATORY IWASM B�SIN� BOILERS—B.T.0/H P. <br /> � SNOwER On5 FIREO A.C.UNITS—B.T.U. <br /> �� NITCMEN 91NK!,OISP. ^ FORCED MR SYSTEMS—B.T.U. M EA. <br /> DISMWASHER WALLMEATEFS—B.T.U. M <br /> UUNDRY 7NAV UNIT HFATERS—B.T.U. M � <br /> j CLOTHER NASMER G EVAPORIITIVE COOLERS <br /> URINRL CLOiHESORYEFS <br /> ORINNIN6 FOUNTAIN VENTILA710N FAN <br /> fLOOR ORI11N RANGE HOOD ��� <br /> BACNFLOWVREVENTERS WATERHEATER , � <br /> ROOF ORAINS—NRINIEADERS WOOD STOVE <br /> SINK�SERVICE—BI1R.ETCJ METAL FIREPIACE 8 CHIMNEV <br /> FIHEPLACE INSERT � <br /> MEAT PUMP { <br /> GAS PIPING j <br /> E%HAUSTFAN <br /> SUSTOTAL f RUBTOTAL <br /> VEPMI7 f PlRMIi <br /> TOTALFEE f TOTALFEE <br /> �aoNT SEiBec� AE�R SE1BeCn/ Si�E SETB�C; PLAN CHECK NUMBER FEE RECEIPT NO. �i <br /> a�Ll �V <br /> usE zo�+e LOi�qEA ��ryT SitE FEES VALUATON FEE <br /> P._ Es o�0 5 <br /> eui�owc 3 <br /> TYPEOFCONST. OCCUP�NCYGROUP NOOfDWFLLINGUNIIS ' <br /> - �il PLUMBIKG PJ <br /> �v <br /> SiZE Oi BL�O NO Of StOPiES M�M OGG LOAp �J ��� <br /> DO <br /> N�Y a MEGHANICAL 7 i�� <br /> OTHER <br /> FIRE SPRINKIERS REOUIRED ❑YES ❑ NO STATE BUILDINti SURCHARGE ?j <br /> STATEENERGYSURCHARGE � <br /> >VP���RIIOHPCC B� PL�NSCHECNEDBY RPPR f0li155UANGEBY <br /> PUBLIC WORKS <br /> 1/�r� � , TOTAI <br /> ��1 <br /> PAOPERN OWNERS ARE RESPONSIBLE FOR DETERMINING ALL <br /> PROPERTY LINE LOCAT�ONSAND RELATED EASEMENTS. <br />