Laserfiche WebLink
�L':a'aT�..n'.¢s�r'i.i�S�T�"�wl�+�t_�.:'::l'�i�'.���:.SY,,i.�J:.C1!�ir�i�.CISS'l\\�l..f�,Fi.�i�M1"�JiS�'tf����u1(i�.l!:wRA71L':"..�'2'S .•...-v�: �.:.r.�c.�rz�r <br />��r►PPLICATION FO�r�� <br />'"'`"'°"'" � , �:� ,: `, CONSTRUCTION <br />��r o. <br />eVerett PERMIT . � <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK • PLEASE PRINT <br />259•8810 <br />❑ DEMOLITION ❑ COMBINATION �BUILDIN(3 ❑ MECHANICAL O PLUMBINfi <br />pWNER M�IL�DOPE55 GITV ZiP FMONE <br />.. ._ �- - .,.., au�i e�,.��,.:t,. .�,..,. E�lr 9A2D.3 3�f7�.2 <br />evercn <br />e� <br />, <br />�.SION <br />.,.,,..,,.�..,.,.. _,_._.._.. <br />. : �, <br />GENERAL LONiP�GiOR M�II AOORE55 CIfY Z�P �HONE uCENSE • .: <br />� i Lv�.,�� ro�sT ,N� P��,c�x s� �s— �v.�Y� f.� s8zo� -? S:L -//3/ ` SuVetr� <br />MECH�NIC�IGONTRAGTOH MAIL�D�RESS dTY ZiP PMONE IICENSE• <br />PLUMBINOCONTP�LTOR M�ILAODPE55 GIN I�P PIIONE 4CENSE• <br />LL�SS OF WOR <br />❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL,INSERT ❑ BUILDIN6 P�LOCATION <br />V�ll1�TIONOFWORN�COSTOFM�TERULSP USLABORI ^� <br />4 �.. n_ _ ___ AD 1 �% � � /'Y�/ <br />�or�e7oiii.: <br />� <br />vno�o� <br />��,�. <br />__ <br />! PLUMSIN6 <br />SINK <br />/� t Ht�u-ouo-v�N-� <br />}k�}a �il 7 O -l7(Y 8 _- G/�l • <br />aao� t�v�aK►��o <br />�WASH BASINI <br />NK S DISP. <br />— B�R, <br />2s � %—S� <br />LOT�RE� <br />_s ,�Wos.F. <br />:ONST OCCUP�NCYGR011P <br />v.-�l C'_� <br />HECNEO BY <br />Ow' <br />� <br />{ <br />sioe sere•c <br />% � <br />V�CANT SITE <br />OYES ONO <br />� ML L-C , . � ;_ <br />I HEREBY CERTIFY,THAT 1 HAVE READ AND E%AMINED,THIS AP• <br />PLICATION AND KNOW THE SAA1E TO BE TRUE AND CORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCESGOVERNIN�THISTYPE>-;;�,_ <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE•i'� �, <br />IN OR NOT. TH E GRANTINO OF A PERMIT DOES NOT PRESUME TO�;� �, <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVI310NS OF'"�: i� <br />ANYOTHERSTATEORLOCALLAWPE6ULATINOCONSTRUCTION�; �j <br />OR TH RFORMANCE OF CONSTRUCTION. ��•.�� <br />SION� RE LONTR�CTOR OR AUTNORIZED �6ENT O�TE ��''��F <br />' :f.Y� <br />X ,�-J � , �-� , � � �a�s/�.P � <br />MlCHANICAL <br />uc - <br />REFRIi <br />BOiLE <br />OASF <br />FOPCI <br />WALL <br />UNIT 1 <br />ino��3 unn a — n.r <br />iATION UNITS — M.1 <br />— B.T.U./M.P. <br />D A.C. UNITS — B T. <br />AIt1 SVSTEMS — B.T <br />�TERS — B.T.U. <br />�TFR4 � A T.11. <br />�TION FAN <br />HOOD <br />HEATER <br />PIPINO <br />1UST FAN <br />PUN C CK NUMBE <br />g8�tq� 3 <br />M EA. <br />M <br />M <br />tUSTOTAL <br />KRMIT � <br />TOML FfE ��-��--- � <br />IFl 1L9�IRE GS� / . <br />BUILDING i�� — (�(,� � <br />NO OF DWELLING UNITS <br />I PLUMBING <br />M�x occ �oeo MECHANICAL <br />OTHER <br />STATE BUILDINO SURCHARGE <br />STATEENERGYSURCHARGE <br />APPR FO/R� ISSU�NGE 9Y PUBLIC WORKS <br />V�JI/ TOTAL � <br />PROPERTY LOINE LOCATIONS ANDNREIATED EASEMENTIg IN6 <br />+l'. <br />