Laserfiche WebLink
,.PPLICATION FO._ � <br />a `«°'""' CONSTRUCTION <br />everett PERMIT <br />BUILOING DEPARTMENT <br />259-8745 TO BE COMPLETED IN INK • PLEASE PRINT <br />O DEMOLITION ❑ COMBINATION ❑ BUILDING QT"MECHANICAL <br />❑ PLUMBINQ <br />❑ SION <br />OENEH�I CONiP�GTOR M�IL ��pRE55 CIIY 21P VNCNE LiCENSE • <br />MECN�NIC�ICONiR�GTOq MMLIIDORE55 CITY 2iP PMONE L'IFL�NS�' v� <br />C�1Lr1, /n.�ST✓r �`f1��n0+�D„✓,lii �!/ ffl�dl 259-�G�/_ �'i�o� <br />P� B�NO�,R CIOR F M�IL� R�5•u CItY 21P � vNDNE IC �IS <br />Cl�SS Oi WORNm! <br />❑ NEW 1(Y ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />V�W�fION OF WORRICO41 Ci M�IEPi�LS VLUS L�BORI <br />ior_ <br />S�NN <br />� <br />I HEREBY CERTIFY iHAT I HAVE READ AND EXAMiNED THIS AP• <br />PUCATIONANDKNOWTHESAMETOBETRUEANOCORRECLALL <br />BELOWOR�TT�CN:OURCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNiNGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHEH SPECIFIED HERE� <br />IN OR NOT. THE GRANTING OF A PERMIT DOFS NOT PRESUME TO <br />GIVE AUTkORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OiHER STATE OR LOCAL LAW REGULATING CONSTRUCiION <br />OR THE PEFFORMANCE OF CONSTRUCTION. <br />516N�TURE OF CONTRRCTOR OR PUTHORIZED AGENT DRTE <br />x .��..-� � � <br />APFIIC�NiS CITY BUSiNE55 LICENSE NO <br />MECHIINICAI <br />NO. TYPE OF EOUIPMENi <br />AIR COND. UNITS—H.P. EA. <br />REFRIGERATION UNITS—H.P. ER. <br />BOILERS—N.P. EA. _ <br />GAS FIRED A.C. UNIiS—iONNAGE E <br />FORCED AIR SYSTEMS—B.T.U. M E <br />WALL HEATERS—B.T.U. M <br />UNI7 HEAiERS—B.T.LL M <br />EVAPORATIVE COOLF.RS <br />CLOTHES DRVERS <br />VENTIlAT10N FAN <br />qANCEH00U <br />AIRHANDLINOUNIT— GF.M. <br />STOVE <br />NFTAI FIRFPI Af'F A CHIMNFV-L. � <br />7- 9- <br />TOTALFEE fl I I I 7o7�LFEE s�_ <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />PE�P SELO�GN <br />OCGUP�NCY <br />SKEOiBl00. <br />�OP�IC�LION 11CC. BY <br />SIOESETB�GK PL�NCHEGRNI <br />VAC�NT SITE <br />OYES ONO <br />NO.OF OWELLINO UNIT9 <br />BUIlUIN6 <br />MAIC OCG LORD <br />PLUMBING <br />MEGHANICRL <br />OiHER <br />PENRLTV <br />�VPR.fORI55UANCE BY <br />TOT�I <br />iMBEF PUN CNECK %E[ <br />�EE AECEIPI NO <br />FEES V�LU�TION FEE <br />f <br />