Laserfiche WebLink
, <br /> �hsE�.,`�..� ACONSTRU�T10�� <br /> CITY OF everen <br /> everett PERMIT � <br /> BUILDING DEPT. TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br /> 259•8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> o�vur.n Meaeooness cm zir rr�or+e <br /> .�v�.eFir �A�iFit yc rE'� EvP.ee� 3 3 7 3 3 3 <br /> nnp11�CC10f10E5101lER M�LIIDDRESS CIIY ZIP PI�ONE <br /> GCNfpntC0�1IMCION MM�A�DRE59 GItV ZIP PNONE LICENSE• <br /> l�rh r.y �'��vs r,eacr/cw <br /> iAf.Cl�nt�iCAL COIlIMGIOq MAII�DONES9 CIN 21P FHONE IICENSE• <br /> ST �V.e h7ECNAMtRC �/3i9• / Qo CF <br /> �wr.mrtrocorirnndion �vTNeL ry�0/2 7Tp(U•��/0,07 <br /> M�Il�00RE5S CIIY 21P PHONE IICENS[• <br /> T� � �CviN6/�vG y /%• /S'D E �oTA�eG 4do/� �/D3 3St/ TTPtU1/oa7 <br /> i 55 or wonK <br /> ❑ NEW ❑ ADDITION I� ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSiOVE/FRPL.INSERT ❑ BUILDIN�3 REIOCATION <br /> �^ui�noNo�,�'n�Cosr�rEn�srmusueorp _ � <br /> / <br /> `� .J <br /> i Fscn no wonK� n <br /> ��� � • �T� <br /> BA I' cv.s,�.+vc . 3 w .r.c�f-ss Sr r �,:. /!/ F E(',,,,, <br /> u.^,cornwimHo <br /> � rCG � HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED TNIS AP- � <br /> PLICATIONANDKNOWTHESAMETOBFTRUEANDCORRECT.ALL <br /> L[(inlOF.5WiP110NOFPROPENtY�5110WNBElOWORAtt�CHFOURCOPIES� pqpVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> tor_a�nc�_or OFWORKWILLBECOMPLETEDWITHWHETHERSPECIFIEDHERE• y .~r� <br /> IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF �"� � <br /> ANYOTHER ST�TE OR LOCAL LAW REGULATING CONSTRUCTION � <br /> OR THE PERFORMANCE OF CONSTRUCTION. � <br /> SIONATUPEOFCONiRACTORORAU7110{iRED�GENf UAIE <br /> X �/22�.� � <br /> 1'1101f.CI�OORE55 APP�IC�NTS CItY BUSINESS IICENSE NO � <br /> :3 I 0 S ��/,,�-c z <br /> PLUMBINO MI CHANICAL � "�' <br /> NO. TYPE OF FIXTURE FEE NO. TYpE OF EOUIPMENT FEE � ~ <br /> WATER CLOSET�TOILEp - y <br /> - AIRCO4D.UNITS—H.P.EA. <br /> BRTNTUB qEFFIGERqTION UNITS—H.P.EA. � � <br /> Z LAVATORY�W�SH BASIN� 901�EF5—H.P.EA. — <br /> SHOWER GAS FIRED AC. UNITS—TONNAOE EA � <br /> __ K1ICNEN SINN 6 D�SP. .2 FORCED AIR SYSTEMS—B.T.U. M EA. N <br /> __ DISHIYASIIER WALLHEATERS—B.T.U. M - � <br /> LAUNORVTHAY UNITFIEATERS—B.I.U. M <br /> CLOTHES WASHER EVAPpRqTIVE COOLERS <br /> _ WA1Efl HEATER CLOT{/ES DRYERS . � <br /> URINAL VENT�LAiION FAN <br /> DRINNINO FOUNTAIN RANOE HOOD __ C�_ 5'C <br /> � FLOOR ORAIN AIR HANDLING UNIT— C.F.M. � <br /> VACUUM BREANERS S70VE <br /> _� ROOF ORAINS—RAINLEADERS METAI.F/FEPldEi[�CHIMNEY <br /> SINN�SERVICE—DAR,ETC. WOODS�OVE/FIREPLACEINSERT � �j�U y <br /> — � <br /> F�I <br /> _— _ -- (J <br /> _ y <br /> I+7 <br /> . SUB TOTIIL SUB TOTAL f <br /> _ PERMIT ! PERMIT S <br /> _ TOTALFEE • TOTALFEE _ <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> If10NI5Et0�CN ItE�f15El0�CR SwcSEfBACK PI�NCN[CNNUM�EN PLnNpRCKfCE <br /> fEE R[CEIPINO <br /> IISL IONE �OI�RE� <br /> WC�Nf SIIE FEE9 V�LU�TION <br /> OYES ONO �EE <br /> IVP[pfCON51. OCLUP�NCYGROUP NO.OfDWELLINQUNIIS <br /> ^�lC Uf pLUG NO Of SIOf11E5 M�%,ppQ LO�O BUILDING 5 <br /> PLUMDINC <br /> MECN�NICAL <br /> FlRE SPRINKLERS REOUIRED ❑ YES ❑ NO <br /> OTMER <br /> nl'PLICALON�CC Ov PL4N9 CII[CNED OY APCR.f00155U�NGE�Y PENqLTY <br /> TOT�L� <br />