Laserfiche WebLink
� <br />... �: ..,.. . ,.., _ . . . .. .. _ _ _ : _�� �,:.�xs .,._. •. . . . �..... _.,.. _ . <br />�;s5;;; <br />APPLIC��'ION FOR CONSTR4�'i.TION <br />PERMIT <br />tM Evnprosn <br />cirv oF <br />everett <br />BUILDINO DEPARTMENT <br />I TEN/Jli M�ILAODRESS <br />�� <br />� <br />I� <br />everett <br />e <br />; :��' .� . ' � <br />� <br />MECIUNICALCONiflACTOR cvu�nvoncaa _. . �. . <br />RUMlINOfANTRAC70R M�ILAUOPESS CITY ZIP PHONE LICEN�E• � � <br />GA!lOFNORI( <br />❑ NEW ❑ ADDITON ❑ AITEfUTION REAAIR ❑ DEMOUTION ❑ WOODSTOVE/FRPLINSERT ❑ BUILDINORELOCATON �' • � '.�) � � <br />�E14W71MPROVEMEMOR IHIENIIXi NEMOOEL ONLY� CONTACT PEPSON /�ND PHONE NQ ,�, <br />� t_ <br />WNIMC7MICEOFWORK ��•: � ♦ <br />DElCM�ENOIINAND90UMEfOOTME NVOLVED �• � '':�;�J�.�+"�:; <br />�wP P�(� - -- ----;�r'.�;;i� <br />/LUM�INO <br />O NO <br />ON <br />S <br />S <br />5 <br />O YES O HO <br />u <br />FORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV TME OWNEN OF�. , <br />AND I COMP VTNTHRTME 8TATE CORNTRACTORSMLAWLI 29 NRCW AND����� � <br />298.Z00 WAG /� /� P� . <br />SIONATUIIEOFCONTPl1CT0110PAUfN EO ENT U�IE <br />�PPLIC�NTSqT U9INESS ICEN9ENO.ANOB1191NE89NAME <br />MECHANICAL ��� <br />NO. TYPEOFEGUIPMENT �E ,;�;�;�� <br />A/C — NMNDL4 UNITS— H.P. '�'�' <br />t'�✓ <br />FORGED AIR SY9TEMS— &LU. M EA 7,l�`y�]' <br />FAN <br />H <br />CHIMNEY <br />SUBTOTAL s <br />PERMIT S <br />TOTAL FEE S <br />BUILDINO <br />PLUMBINO <br />MECHANICAL <br />OTHER <br />STATE BUILDIN� SURCHAR�E <br />STATE ENER6Y SURCHIIROE <br />PUBUC WORKS <br />TOTAL <br />� <br />