Laserfiche WebLink
IME�+rpmn R�ACONCATION F(�� eV�,�„ <br /> "TM°F STRUCTION <br /> everett PERMIT e <br /> TO BE COMPLETED IN BLACK INK- PLEASE PRINT <br /> BUIIDING DEPT. <br /> 259•8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MMLtDDFE55 �ilY 21P �IIONE <br /> QoN ,�(,pCr,oPe't�.c /O i 3 i Fi�r D S� v�c rr r7S'7✓w 3rs s�a o <br /> •RCHITEC70ROESIONER . M�IL�OORE55 CITV 2iP pr�ONE � <br /> OENFRAICONTq1CtOR MMLFDORE55 LIIY ZII' 14�Ot�i[ �ICCt15E• <br /> F�PsZ.r= �..v��' Z3Y/G o%7, t� �S'��7,�se clJv/2 >HS�-1�79y- I'7�IrrC/LMc.s. <br /> MECH�NIC�IGONiMGTOq . MML�OOFE55 CIfY 21P PHONE LiCp�SE+ <br /> PWMBINOCONTP�CTOR u�IL�UDPE55 f.11v ZIP PI�ONE UCENS[• <br /> CUSS Oi WORN — � <br />. � NEW ❑ ADDITION ❑ ALTEPATION ❑ REPAIfI ❑ �EMOLITION C� WOODSTOVE/FRPI.INSER7 ❑ BUILDING RELOCATION � <br /> V�W�TION OF WOflK�GOSTOF M�TERUlS iLUS LABOfl� <br /> DESCRIBE WORK <br /> �v � Vv v � � C�] <br /> S/ L F�v,�,� r�'s . .. <br /> useorewim�+, <br /> � ���` I HEREBI'CERTIFY THAT I HAVE RE�;D AND EXAMINED 7HIS AP� <br /> PL ICATION AND KNOW THE SAME TO BE TRUEANDCORRECT.ALL <br /> lEO�LDESC IPiIONOFpROPENiY15NOWNBELOWORATT�CMiOURCOP�E51 PROVIaIONSOFI.AWSANDORDINANCESGOVERNINGTHISTYPE y � <br /> /J Sv�+ozc.� ��/ No / OFWURKWILLBECOMPLETEDWITHWHETHERSPECIFIEDHERE <br /> �o*�e�ocK_or INORNOT.THEGRANTINGOFAPERMITDOESNOTPRESUMETO H � <br />� GIVE AUTHORITY TO VIOLATE OR CANCEL THE FROVISIONS OF N <br /> ANYOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTION � <br /> I OR THE PEFFORMANCE OF CONSTRUCTION. <br /> SIGHAIUREOFCON1R4CiORORAUINORI2E�AGENT DAIE y <br /> d <br />, � - I3- - X � ,.z��� �� - � <br /> iV(10JEGT�OOqESS �PPII Nt5CI1Y0U5ME55L�CEHSFNp � � p.� <br /> � Z <br /> I F N y� <br /> I PLUMBING MECHIINICAL � i..� <br /> I NO. TYPE OF FI%TURE FEIi NO. TYPE OF EOUIPMENT FEE �rrr��� � <br />� �. WATERCLOSETITOIIEn AIFCOND. l1NITS-H.P.Ep. � � <br /> BATHTUB REFRIGEf7AilON UNITS-H.P.EA. � <br /> I LAVATORV�WqSH BASIN BOILERS-N.P.EA. y.T. <br /> SHOWER GAS FIRED A C.UNITS-TONNAGE EA C7 N <br />� KITCHEN SINK 8 OISP. FOPCED AIR SYSTEAIS-D.T.U. M EA. <br /> __L D�SNWASHER LL NEATERS-B.i.U. 1.1 �j <br /> _ IUUN�RYTRAV _ UNITHEA7ERF-BS.U. M Uj <br />� ICLOTHES WASHER BVAPORATIVEGOOLERS <br /> I� WATER HEATER CLOTIIES ORYERS � <br /> URINAL VENTILAiION FAN � <br />' DRINKING FOUNTAIN RnNGE IIOOD � � <br /> FLOOR DRAIN AIR HANDLING UNIT- GF.M <br /> r VACUUM BREAKERS STOVE <br /> I ROOF DMINS-RAINLEAOERS MEV,L FIqEPLALE d CNIMNEY � <br /> ISINK SERVICE-BAR E7C. WOODSTOVE/FIFEPLACEiNSERT O H ' <br /> - — y <br />( _ _ � <br /> IBUB TOTAI SUB T0TI1L _ S __�� �O � <br /> VEqMIT { PERMIT 3 » <br />� _ TOTALFEE { TOTALFEE S (� '�j� <br />� THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> FpON1�A�,.f RF����� sme�PT PlRNC11BCHNUMB[fl P��Nf.nEGMff.E <br /> l <br /> I �'s 5�7.� FE�� ;;. ,�« �PC,��y/ <br /> WEZONE �piAREA y�C�NT5ILE <br /> I ��,` �M[5 ��N� FEES V�LU�TION iEE — <br /> TV{'EOFCONSI OCCUP�NGVGROOP NOOFOWElUNOUNITS <br />� V-N K 3, M 1 -- -- - - � <br /> 512EOFBL�G HO.OFStORIES M,1x.00CL0�0 B71L�ING {�(y.M� �yD�'f O <br /> FL3- 1�8 S.F. ;c� i c <br /> M = 4A 5. � S PLUMOINO — 20 ^ <br /> ti� <br /> MECHANICAL 22 5b <br /> FIRE SPRINKLEFiS iiEOUIRED O VES 6"F�10 <br /> O7MEP <br /> PENALTY <br /> •FFIIG�➢ONeCC.BY PLANSCNLCNEOBY APPp.FORI55UANCEBv I <br /> � � .o,.� ----- --- -_��9 so I <br /> � - � <br /> 11 <br />� <br />