Laserfiche WebLink
i' � <br />�r+iPPLICATION FO�} <br />'"'E"'°'"" CONSTRUCTION <br />p�Y OF <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK• PLEASE PRINT <br />O DEMOLITION L� COMBINATION O BUILDING �F�MECHANICAL <br />NE�A/R(// ii\I /�/�DF}��1110�RET'�^ViI '!/yHL�"'/_J AV l.��I I <br />`. <br />;lABS OF N^ <br />❑ NEW <br />wT_ <br />L.L➢� <br />�HS ,/�/✓ ��,��/- � <br />rn.a eooness <br />M�IL �ODNE55 <br />C�iV Zin <br />`�v �� z�.L � <br />cm zm <br />coz�� <br />mrr nr <br />i <br />everetl <br />e <br />❑ PLUMBING ❑ SIGN <br />pHONE • <br />�/ ���-aoy7 <br />��� LiCENSE • <br />-'� Gt- <br />LILENSE • <br />�� <br />UCENSE � <br />ADOIiION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSiOVE/FRPL.INSERT ❑ BUIIDING RELOCATION <br />�-L <br />r�aceT�ooneea , / <br />� �`� <br />''LUhHINO <br />� <br />� <br />iRONT SETBI1CIt <br />LL f�Ei�}T�'�- D�' �iS <br />sue ror� <br />►ERMIT <br />TOTALF[[ <br />APE� <br />FEE <br />VeG�NTSrtE <br />OYES ONO <br />GROUP NO.OFUWElLINOUNli9 <br />f01i�55WNCE BY <br />I HEREBY CEqTIFV THAT I HAVE READ AND E%AMINEO THIS AP• <br />PLICATION AND KNO W THE SAM E TO BE TRUE AND CORRECT. ALL <br />PROVISIONSOF LAWSAND OFDINANCESGOVERNINaTHISTYPE <br />OF WORK WILlBE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OFA PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL lAW FEGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. . <br />S�C�N�TIIRE OF CONTRIICTOR OR �UTNORIZED �QENT pqTE <br />X /1�1H �/V�.�/J�e._ ., i�—/�%�� <br />�� <br />MECMANICAL <br />uwa rmev n.0 um i a— <br />FORCED ��R 9VSTEMS — <br />WALL MEATEHS — B.T.U. <br />UNIT MEATERS — B.T.U. <br />WOODSTOVE <br />METAL FIREPUCE S CNIMNEV <br />FIREPIACE INSERT <br />MFATPUMP <br />OAS PIPINO <br />E%MAUSTFRN <br />W/ TOTAL <br />P[IIWT <br />TOTALFLE <br />PLAN CMECK NUMBER � FEE <br />RECEIFT NO. <br />FEES VALUATION FEE <br />BUILDING S <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILOING SURCHAPGE <br />STATEENERCYSURCHARGE <br />PUBLIC WORK9 <br />TOTAL <br />PFOPERN OWNERS AqE RESPONSIBLE FOR DETEf'MINING AlL <br />PROPERTV LINE LOCAiIONS AND RELATED EASEMENTS. <br />