Laserfiche WebLink
��� �r ,.:� <br /> _ �,�,,, �iPPLICATION FO1��' �„ <br /> «^� CONSTRUCTION <br /> � everett PERMIT E+ <br /> j BUILOING DEPARTMENT <br /> �� 259•8745 TO BE COMPLETED IN INK• PLEASE PRINT <br /> �DEMOLITION ❑COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBIPSG O SIQN <br /> �/ pNN[� Ml�iI�DDRES! CI1V IiV PHONE <br /> j <br /> s �.MOd Sl.�r�•� LIOG Fcc-MWS RS 6�.�L+ S�.O� <br /> � MCMIT CT011OElIONER — M�Ill10�HE84 CItY 21P PNONE <br /> 1 OEMEML TMCipI M�IL 11�DRESS GIIY Zlo PHONE LICEMSE• <br /> �d+7 �✓1��—G�*— � s o� �o.�ex �13 Y �vr.l'h `9Y Lo 6 YZY-S�Y� �, , �, /saL� <br /> IRp111NIW CONTMCTOq MMl�ODRE�9 C�TY IIP pNONE �I�ErygE� <br /> � I111M�MOCONfMtTOR WIL�OORE39 CITY 21P q1�NE tICEN9E� <br /> t, <br /> �� W1t�OFWpIM <br /> O NEW ❑ AODIt10N ❑ ALTERATION ❑ REPAIR �DEMOLITION ❑ WOOD9TOVE/FRPL.INSERT ❑ BU�LDINO PELOCAiION <br /> t w�wno�orwonKicosroaM�rcniaar�uaueom <br /> � oncnw�waiK <br /> Dc �i�►, �� d �..�k Q SLDG. ?.d»r !� b�Rd l�.�w� ,,,,N. ; <br /> � ����� I HEREBV CERTIFY THAT I HAVE READ AND Exl1MINE0 THIS AP• !, <br /> PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL i <br /> oe�e�arnouo�cnavEmrisNownea�owoa�n�cnvouncones� pROV1310N30FLAW3ANDORDINANCE3fiOVERNINOTH13ttPE <br /> ior-r•�oc•�� or � 'T�� �' NORNOTTHEORANTINa FAP RMNITOOESNOTPRE3UMET0 � <br /> ' OIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION9 0� � <br /> ANYOTHERSTATEORLOCALLAWRE4ULATINOCONSTRUCTION i <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> BIONATU/1�,OFCONTRACTOPORAUTNOR12EO�OENT D11TE �� �',�� i <br /> . A �T'M� Qw ..�� <br /> /Iq/tCTM01KNn / ' �PPLIGNTlGiYlUSINEblI�CEN3EN0. <br /> ,;171�P�1�t'/�� � <br /> NNO MECMANICAL <br /> T►�[OF RlkNll[ FEE NO. TT[OF[pUIM7[NT /�� <br /> -"' WATENCL08ETTOIIE 111RCONO.UNITB—N.P.EA. <br /> ` MiN1U� REFRIOEMTION UNIT9—N.P.EA <br /> L�VATOIIY �MI d181 BOIlEHB—M.P.EA. <br /> �IWYYEII OA9 FIRED AC.UNITS—TONNAOE EA <br /> KI7CMFN eINK�D16P. FORCED AIq BV9TEM9—l.T.U. M EA. <br /> DIOlIWASMER WAILHEATF.q9—B.T.U. M <br /> UWM>MYtMY UNITNEATERB—B.T.U. M <br /> CIOiNEa WA6NER EVAPOMIIVE COOLER9 <br /> WATER Mf11TEN � CLOTME6 DRYER9 <br /> � UMNAL VF.NTIUITION FAN <br /> " DMNIIINO FOUNTAIN � MNOE HOOD <br /> � ROdIDMIN 111qH11NOlINOUNIT— QF.M. <br /> ; � V1ICIIUMlIIEAKERS 910VE <br /> � OMIN!—MINLEADER6 ' METAI FIREPIAC!{CMIMNEV <br /> �S QNK lERVICE—!11 ETC. WOOD9TOVFJFIREPLACE INSERT <br /> i <br /> W��O�AL ' � OU�TOTAL t <br /> S ►[IIMIT • PE11MIi • <br /> TOtALfE[ t TOTAIFEE • <br /> i <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> FIIONT tET41CK RE�R bETlACK &DE SETB/�GK PLAN CNECK NUMBER PL11N GNECK fEE <br /> FEE RECEIP7 NO <br /> i WE20NE � LOTAPEl1 y�C�NTS�fE <br /> � � OYE9 ONO F[[{ Y11W11TION f[[ <br /> 1 <br /> � lY►EOFCONBT. OCGUPANGYGPOUP NO.OFDWEtUNOUNli4 <br /> � � � BUIlDINO � f <br /> N2EOFltOQ NO.OF9TORIES M�kOCGLO�D <br /> f PLUMBIN6 <br /> � MEGHANICAL <br /> � FIRE SPRINKLERS REOUIRED O VE9 O NO <br /> OTNER <br /> 1 <br /> � PENALTY <br /> � <br /> 11PfLIC�tION�CQ BY PLANS GNECREO BY �PP0.FOR ISSU�NCE BY <br /> � ""�� TOTAL <br /> i 11Y1 �. I <br /> Y'` <br />