Laserfiche WebLink
� <br />i;� PLICATION FORJ <br />« `«°'"" CONSTi RUCTION <br />' everett PERMIT <br />; BUILDING DEPARTMENT <br />i 259•8810 TO BE COMPLETED IN INK - PLEASE PRINT <br />� <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />� p�yHEp M�IL�DORE55 ��1Y ' ZIP <br />X <br />I <br />C�f'/ <br />CIIY <br />cin <br />❑ PLUMBING ❑ SIG <br />PNONE <br />_ nj��-O� �i3'LTi <br />PNONE <br />u <br />NEW ❑ ADDITION ❑ ALTERA'ION ❑ REPAIR ❑ DEMOLITION ❑ WOOOSTOVE/FRPL.INSERT ❑ BUIlDINO RELOCIITION <br />WONK <br />zso <br />nuM�iNa <br />WATERCLOSET <br />lATIITU! <br />� <br />� <br />iU�TOT�L <br />►E11MIT <br />TOTAIfEE <br />RE�p SETB�CR <br />`�''qNA <br />�,UPIINGY GROUP <br />M- / <br />OF SiONiE9 <br />� <br />�� <br />V�C�Ni SITE <br />OYES�RO <br />NO.OF DWEILI! <br />�-- <br />M��t OCC. lMC <br />N,4 <br />iOR <br />�i f� c�'�Lc o�n� GT� /� <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED <br />PLICATIONAND KNOW THE SAME TO BE TRUEANDCORF <br />1'ROVISIONS OF LAWSAND ORDINANCES60VERNINGi <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFI <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVI; <br />ANY OTH ER STATE OR LOCAL LqW RE6ULATING CONST <br />OR TF+E PEfiFORMANCE OF CONSTRUCTION. . <br />516N�TURE OF CONIR�CTOR OR �UTHOnqEO �C[NT OeTE <br />X�.�,� / i .. � i . � /� <br />MECNANICAL <br />NC — AMNDIQ UNITS — MP. <br />REFRICE��TION UNITS — M P. EA. <br />BOIlERS — B.T.U./II.P. <br />OA9 FIRED A C. UNITS — B.T.U. <br />FOi10ED AIq SY$TEMS — B T.U. M EA. <br />WALLHEATERS—B.T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOIERS <br />WATERMEATER <br />WOODSTOVE <br />METAL FIREPI,ACE 6 <br />FIqEPLACEINSERT <br />MEATPUMP <br />�AS RPINO <br />E%MAUSTFAN <br />PLAN CM K NUMBER FEE RECEIPT NO. <br />87�1937� (��3f `�3�iZ4 <br />auaon+c sg o y <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCMARGE ' <br />STATEENERGVSURCHARGE <br />PUBUCWORKS <br />TOTAI <br />PROPERTY OWNERS ARE RESPONSIBLE FOR OETEPMININO AlL <br />PROPERN LINE LOCATIONS AND RELA7ED EASEMENT3. <br />