Laserfiche WebLink
fn� EwrprN^ �- P P L � C AT 1 O N F O 1. <br />��TM�F CONSTRUCTION <br />everett PERMIT <br />TO BE COMPLETE� IN BLACK INK — PLEASE FRINT <br />everen <br />e <br />BUILDING DEPT. <br />259-8745 � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBIN(i ❑ SIGN <br />OWNER M�IIADDFf55 Ci1V ZiV PHONE <br />�JfRFr L•�A�i�f�+ S(�.IG E�'rnGRr?"YN��Y f��'Kr)T �iQLer 3S3'6YVY <br />�RGNITELIOPOkSiCNtN , /J ' MAIL�I10Nt5ti GiTY tiP PnONE <br />CHiP - /�'�.% <br />4ENEN1lGONfRAGiOR M�IL��OHF.55 CIfY 21P PIIONE LICENSE• <br />/�{1tQa�n Cor» 2(3� IhL.�Wrn F�Hnr y•E�or zSt-�}SuN^cgqcy tSoa., <br />MECH�NILAL CONiR�C10N MAiI �DORlSS GiIY 21V P��ONE IiGEHSF • <br />OA�f QtY+hEi 3Yn aRorrit Btir. �S9-iyto <br />PWMBINGGONIReL10R MMI��DRESS C�LY ZIP f'NUNE ULENSC• <br />ly�(i�r�tY Ft<". 1oIS K2of.rr. F�'r. 2S1-vY9� <br />LUSS O� WORN <br />❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ JEMOLITION ❑ WOODSTOVE/FFPL.INSERT ❑ BUILDING RELOCATION <br />VA�U�1iON OF WpRn �GOSI 01 AI�(IRI�IS VLII] L�8U�1 <br />�2 � O.�„ � <br />OESCRIBEWONR �.�� y_ RFRo���� ��Fti foRw m�v S�tYt R�/�r� �wr • •+� <br />RI'�i-�'CR� F I�fH SK�Rnr� N�✓GAFBi-(Eta�L fr/+� Nf�.. b+Va,rL �ro P��i. ,- N[vCA�Ou�Rf�SN!lG�w <br />use o� eun.ov+u I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />1 HU�s"rs- �C<<tin�n.f�.�� pLICATIONANOKNOWTHESAMETOBETRUEANDCORRECTALL <br />if PNOYkRLY ISNOW <br />{ P'�` <br />c <br />/2��r � rtiro r<<nw�„ <br />PROVISIONS OF LAWS AND ORDINANCESGOVERNING THISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHEH SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROViS10NS OF <br />ANYOTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNFTUFE OF CONTPALfOF OR 4Ui110FIZfD AGENT DATE <br />X�_ N, g�.�L Y- Y-g s <br />PPl IC�N I'S CI1Y BUSINLSS l IClNSC HO <br />� Y 33 <br />AIR COND. ONITS-M P EA <br />REPRIGERATION UNITS-H P. EA. <br />BOILERS-M P EA <br />GAS FIRE� A C UNITS-TONNAGE <br />FORCED AIR SVSTEMS-B T U M <br />WALLNEATEFS-BTL M <br />UNIT HEATERS-8 T U 1+1 <br />EVAPOflATIVE COOLERS <br />CIOTHES DRYEFS <br />VENTILATION FAN <br />RANGEHO00 <br />AIR MANDLING UNIT- C F.M <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />p[Aq SFTB�La <br />N�1`11 <br />TYPE Of GOH$! <br />NO Of SIONIfS <br />FIRE SPRINN <br />AYVLIC�bON �CG Ov <br />V�CANI SitE <br />❑Y!5 /IN0 <br />NO Oi OWEIIiNG UNIIS <br />♦1'PR fON I$$UANC[ f1Y <br />CNCC� NUh18CR <br />E1UIlDING <br />PLUIdBING <br />M[GMANIC<L <br />0711ER <br />PENALTY <br />TOT�I <br />FEFS <br />PLAN CNELB fEE <br />fEE AELE�Pt HO <br />V�LU�T�OM iFE <br />f <br />� <br />z <br />O <br />� <br />t=� <br />m <br />.� .-� <br />—I T <br />.-� -i <br />N 2 <br />v <br />m <br />co <br />m o <br />� <br />O 3 <br />m <br />—� z <br />x -� <br />m <br />.. <br />.o z <br />c <br />a� <br />r x <br />.-� .-. <br />-i N <br />t <br />T <br />O A <br />T D <br />3 <br />-i m <br />x <br />m �+ <br />N <br />O <br />o r <br />�m <br />C N <br />� N <br />m <br />Z ('1 <br />-� r <br />• m <br />D <br />A <br />1 <br />2 <br />p <br />z <br />� <br />x <br />N <br />z <br />0 <br />-� <br />ci <br />m <br />