Laserfiche WebLink
�,�,,, ;'°`�,PPLICATION FO� � <br /> �^°� CONSTRUCTION <br /> everett PERMIT e <br /> � BUILDING OEPARTMENT <br /> � 258-8745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> a O DEMOLITION ❑COMBINATION ❑ BUI�DING ❑ MECHANICAL O PLUMBING ❑81(iN <br /> i <br /> � pYMEII MML�DDIIESS CITY 2�P PHONE <br /> � DE(I MAR �F,U6C.oPcM.A,�; P v. �ac 3/.,3 M 4,�0 ��>,4 98.?75' 7�l�2- S'G 7� <br /> d11CNITECTUIIUEBIONEN M�ILADORE84 � L�iY 21P pqpryE <br /> : OENEML CONTMCTOR MML�DURE59 GITY 21P PNONE LICENBE• � <br /> � MECM�NIGM.CONTR�CTOq MI11L�OORE53 CtT' 21P PMONE 4CEN6E• <br /> ; s�E M�i�odf <br /> , ►LUM�INOCONTIUCTOR M�IL�DDRE99 CITY 21P PNONE <br /> uCENBE• <br /> �oQF/iAl� /��F .4ANi n� idlr". ll7 - � 'I7 fl dL% Sf11TI /� p�/a.f 7G s� �00 <br /> � a�a.or wo�� <br /> . �Y NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDINO RELOCIITION <br /> V11L iIONOfW011K�COSTOfM�TER��L3PLU9L�BOlp <br /> .'f 004 � <br /> � DE�C11 WORIt [S <br /> `� <br /> U�EOi�U1lDIN0 � i• <br /> �' � e I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AF , � ' <br /> �� PUCATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL '�'`.`'� <br /> LEOKDElCRIPTIONOFPIICFEpTY�BNnWHBELOWOP�TT�CNiOURCOPIE9� PROVISIONSOFLAWSANDORDINANCE3GOVERNINQTHISTYPE <br /> �� OF WORK WILL BECOMPLETED WITH WHETHEq SPECIFIED HERE �� <br /> �� �or_s�oc�ar INORNOT.THEGRANTINGOFAPERMITDOESNOTPRE3UMET0 <br /> �� GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O� <br /> ANY OTHER STATE OR LOCAL LAW AEOULATI N(i CONSTRUCTION <br /> ' OR THE PERFORMANCE OF CONSTRUCTION. <br /> � SION�1Uq CONTRACTOR AUTMORIZEO�OECT DATE <br /> l X / / <br /> � DU�G� �G �— —� <br /> : PIqJECT�DDIIEl6 �PP�I ANT9CITYBU91NE8lUGENSENO. � <br /> C � !J / <br /> � rlU �INO M[CMANICAL <br /> TYrE Of FII(Ty11E PEE NO. TYPE OF EOUI►MENT �E <br /> ' WATEA CIOSET TOILE AIN COND.UNITS—H,P.EA. <br /> � <br /> lATMtUB REFRIpER�TION UNITS—M.P.EA <br /> � LAVATORY WAS�4 B�SIN BOILER9—H.P.EA. <br /> � NIOWER OA8 FIRED A.C, UNITS—TONN�OE EA � <br /> J KITCNEN BINK{DIBP. FORCE�AIR SVSTEM$—B.T.U. M E�. <br /> � DI{MW�DMER WALL HEATERS—B.T.U. M � <br /> �� LAUNDqYT11�Y UNITHE�TERB—B.T.U. M <br /> 1�� C�OTNES W�BNER EV�POMTIVE COOLERB <br /> E�TEp CLOTHES DRYEN9 <br /> UIIINAL VENTIL�TION FAN <br /> '� DIIINKINO FOUNTAIN pANOE MOOD <br /> `� FLOOP DRAIN 1 AIN HANDLIN�UNIT— C.F.M. <br /> : <br /> +� VACUUM lRE�KliRB STOVE <br /> � IIOOF DMINB—FlAINLEIIDERS METAL FINEPL�CE�CHIMNEY <br /> �, BINK BERVICE—AAq,ETCd WOOOSTOVE/FIREPL�CE INSEFT <br /> .i <br /> I <br /> � <br /> � <br /> l <br /> � �U�tOTAL fU�TOTAL t <br /> � ►EIIM17 t PEIIMIT � <br /> � _ TOTAIFEE { tOTALFEE t <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> , FRONT BET0�1{ REAR BETB�GN BIDE SETBIICK PL�N CNECR NUMBEA PL�N CNECN FEE <br /> � iEE qECEIPT N0. <br /> . U!E 20NE LOT�RE� y�C�NT 91TE <br /> i ❑YES ONO fEE� V�LU�TION FEE <br /> T'VEOFCONlT. OCGUP�NCYGPOUP NOAFOWELLINOUNITB <br /> �� BIIILDINO { <br /> !RE Of llDO. NO.Of 9TORIEB M�X OGL.LOI1D <br /> ; PLUMBING '] <br /> ! <br /> ' MECNANICAL (_' <br /> I PRINKLEHS REOUIRED ❑ YES ❑ N <br /> J <br /> ' OTHEH <br /> PEN�LTY <br /> � �PPLIG11ilON�CC BY PL�NS CNECRED BY �PPp.fOR I86U�NGE BY � <br /> � . TOTAL �!_ C!� <br /> I �U ,�lL <br /> , <br /> :� <br /> a <br /> ', <br /> ' . .}.T,..t.!'. 'S r .. .. . __... , : -.. . . . . <br /> •,• '-.�: :r•, <br />