Laserfiche WebLink
� APPLICATION FO.� ��e <br /> �^'`"'°'"" CONSTRUCTION 0 <br /> �,r a <br /> everett PERMIT <br /> BUILOINO DEPARTMENT TO BE COMPLETED IN INK• PLEASE PRINT <br /> 2se•ee�o <br /> O DEMOLITION G COMBINATION ❑ f�u1L'.➢IN6 ❑ MECMANICAL PLUMBIN6 O SION <br /> pWNER M�IL�DORCSS �_�_— GfV 2�P FNOHE <br /> Tira.L /•1.r.�tr /SZP �pv�'i`' Ei�t tf�' 98Zo: <br /> ♦q[wIfECT U11 Ul��OHEA <br /> MLiI�uDUE55 G�v i�r M�OM! <br /> 01 VEIUI CON�H�Cibfl �, M�it�OffaESS L�iv T�n vuONE UCENtE• <br /> ls. � �Pr � ♦�7rvo�u:n -- <br /> MECN�WULCONI��CIOII M�II�DORElS LIl ZP P O [ lK[NSE <br /> PLUM�IN�CONfPs�.10A MSIL�DD�E55 Clrv ZiP PIIONE UCkNSE• <br /> �. � i/Pa� /'���e. ti /�i ♦3 6%c� '�? ,t7r S L• Sn o�o,-i s� ;'Y Znv 3 37 I/!H M��E�u^zu�• <br /> C1�5lOf WOPM <br /> ❑ NEW ❑ ADDITION .� ALTERATION ❑ REPAIR ❑ DEMOIITION ❑ WOOOSTOVE/FRPL.INSERi ❑ BUILDING AELOCATION <br /> VLLU�I101y0f�11 O��i M��C�i�LS PLU9 L�SORI <br /> � <br /> � <br /> DflC11i�E WORK � y <br /> YC �i !'i� P i� %h �� �/ � 7 <br /> uae or�ui�oi�a I HEREBY CERTIFY THAT I HAVE REFD AND E%AMINED TfiIS AF• I <br /> a _ 5 • PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> IEO�IG!lCI11►110NO��AOYEM1Yi5NOWN8ELOWOR�Ii�LMfOURGOP1E91 pqOVI510NSOFlAWSANDORDINANCE540VERNINGTHISTYPE <br /> OF WORK WILL BE COMPIETED WITH WHETHER SPECIFIED HERE• <br /> ioi—e�oc�—o� IN OR NOT.THE GRANTING OF A PERMIT OOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL lAW REGULATI NG CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTFiUCTION. . I <br /> SIONATURE Of CONTR�CTOR OR AUTHOR12ED�6ENT Os1E � <br /> X ���� � <br /> � �-��- �� ! <br /> OROJECf 11DOAElS L �PPLIf.�NTS GlrvlUSINE 99 L6EN3E NO � <br /> /$ZO fj�Lw/�7f � <br /> PIUMSING MECMANICAL <br /> NO. TYrE OF FIXTURE OR ITEM FEE NO. TY7!OF EOUIVMENT <br /> FE! <br /> � WATEP CLOSET�TOILET� (� A/C—NHNOLO UNITS—H P. � <br /> NEFRIGEP�TION UNITS—H P.EA. <br /> BATHTUB <br /> / IAVATORY�WASMB�SIN1 BOIlEPS—B.T.U/MP. <br /> 6AS FIRED A.C.UNITS—B.T.U. <br /> SHOWEN <br /> �3 KITCMEN SINN 8 DISP ' FORCEO AIR SYSTEMS—B.T U. M EA. <br /> DISMM�115MER WA�LHEAiERS—B.T.U. M <br /> � LAUNDRV TRI1Y UNI7 MEAlERS—B.T.U. M <br /> CLOTHES�N�SHER EVAPORATIVECOOLERS <br /> CLOTHES ORYEFS <br /> UNIN�L <br /> VENTILATION FAN <br /> DRINKIN6 FOV NTAIN <br /> RANGEHOOD <br /> FLOOR DRI11N <br /> BACKFIOW PNEVENTERS W�TER NEATER <br /> ROOf DHAINS—NAiNLEADERS �"/OOD STOVE <br /> SINN�SENVICE—BpN.ETCJ METAI FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> HERTPUMP <br /> OAS PIPING <br /> EXNRUSTFAN <br /> SUlTOTAL f � fUlTOTAI <br /> iERMIT s U KIIMIT <br /> TOT11LfEE f S�C TOTALFL! <br /> �PONtSE�B�tK AE�RSEIBACK SIpESETBl1CN <br /> v�AN CMECK NUM6ER FEE AECEIM NO. <br /> usc zonc io��n[� ��c�Hr site FEES VALUATION �E <br /> orEs oNo S <br /> BUILDING <br /> rvVEOLGON51 OCGUO�NCVGPOUP NOOFDWFLUN6UNIT5 <br /> PLUMBING <br /> s�iE or Bio6 �+o or Si0A�E5 M�x OCc.loAo MECHANICAL <br /> OTHER <br /> FIRE SPRINY.LERS REOU�AED ❑ YES ❑ NO STATE BUILDING SURCM.>RGE <br /> S7ATEENERGVSURCHARGE <br /> �PCULAiION�CCBv PVNSCNELItEDOY �PPP(ORISSWNGEBY PUBLICWORKS <br /> TOTAL a' <br /> pqppERTYL�INELOCATION5AI�NRELATEDE SEMENTS�NOALL <br />