Laserfiche WebLink
� <br />� F <br /> `��`:' PPLICATION FO� ���,�„ ': <br /> �«"' CONSTRUCTION ' <br /> NI�I�N <br /> everett PERMIT � � <br /> BUILDING DEPARTMENT <br /> 269•8745 TO BE COMPLETED IN INK• PLEASE PRINT <br /> O DEMOLITION 0 COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑81�N <br /> OWNE MMI�ODNE39 CITY 2iP PMONE <br /> i�Anld' �i'Lu �7h5 /��l inrt�c �' �,'���k � ,yS2. — C>3 (/ ' <br /> MGNI CTONOESIONER MAIL���RE89 Cltt LIP PHONE . <br /> 1 <br /> OEN ICONTRACTON M�IL�UDNESS Gltt 21P PHONE / S-1 LICEN9E• <br /> " , y�'�-C'�, �5:...ckc.n }�Y �•SL��J cM�y.r��uP 1i7a .Ik�znl>j zaKl� c <br /> �.^ 1-1-Se.,—��' �S L �,�' <br /> EGMANIGALCANTMCTOq MAIL�ODNES9 CITY Z�P � PMONE 4CENBE• � <br /> � <br /> MUMl�N6GONTRI1CiOR MIIILADORE53 CITY 21P PNONE UCENSE� j. <br /> � <br /> CLABBUF WORI( <br /> � NEyy ❑ ,ADDITION ❑ ALTERATION REPAIR ❑ DEMOLITION ❑ WOODSTOVEIFRPL.INSEHT ❑ BUILDINO RELOCATION i <br /> VALIMTON OF WONN�COBT OF M�TENI�L9 PLUB,I�eORI � <br /> � d Aa! l <br /> L'� � <br /> i <br /> 0[�:N .� � � <br /> �� 2F�ii� i(r's•.t.�-� cc •.,,t�,tp -Q �' J�� �1�. Q2c /��� /- � � 714yM <br /> r <br /> ussoc�w�oir+o � 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PUCATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL •� <br /> IEO�LQElLRIPTIONOFPROVERTY�9MOWNBELOWORATi�GNFOURGOP1E51 PROVISIONSOFLAWSANDORDINANCES�OVERNIN6THISTYPE {�� <br /> �^'� OFWORKWILLBECOMPLETEDWITHWHETHERSPECIFIEDHERE ;� <br /> �Dr b e�oo�_or_Y � ''� INORNOT.THEGRANTINGOFAPERMITDOESNOTPRESUMETO <br /> n � GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OK '� <br /> �L �"1�"" �1IG /.lG.� �L�V ����� ANYOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTION a <br /> OR THE PERFORMANCE OF CONSTFUCTION. '/� F; <br /> SIDN�TUHE OF CONTRACTOP OR AUiNORIZED�GENT DATE S/ � <br /> X . � �C�c�.,� `. <br /> ,. <br /> /IIOJECT�OORED! �P 1C NTSCITYBUSINESSIICEN9EN0. 1 <br /> . ( <br /> �� // /Lt v+' �� _ A. <br /> rLUM�IXO MECHANICAL ( <br /> NO. TYVE OF FIXTURE PEE NO. TYPE OF EOUIPMENT FEE � <br /> WATER CLOSET TOILE AIR COND.UNITS-H.P.EA <br /> BATHTUB �REFFI(3ERATION UNIT3-H.P.EA � <br /> . LAVI"`?Y WASH BASIN BOILERS-M.P.EA C}' <br /> ' SHJW°P OAS FIRED AC.UNITS-TONNAOE EA I, <br /> KITCMlN SINK 6 DI9P. FORCED AIR SYSTEMS-B.T.U. M EA. � <br /> DISHWABHER WALL HEATERS-B.T.U. M _ <br /> LAUNDRYTRAV UNITHEATERS-B.T.U. M � <br /> CLOTHES W�9HER _ EVAPORAi1VE COOLERS <br /> WIITER NEATER CLOTMES ORYERS <br /> URIN�L VENTILATION FAN ( <br /> DRINKINO FOUNTAIN RAN4E HOOD ' <br /> FLOOR ORAIN AIR HANDLINO UNIT- C.F.M. � <br /> VACUUM BREAKERS SiOVE I <br /> ROOF OMIN9-RMNLEADER9 METAL FIREPLACE 6 CHIMNEV I <br /> 91NK BERVICE-BAR ETC. N�OODS70VE/FIREPLACE INSERT � <br /> � <br /> � <br /> � <br /> BUBTOTAL 8UBTOTAL • � <br /> PERMIT t PEPMIT • <br /> TOTALFEE t TOTALFEE f t <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> PUN CHEGK FEE � <br /> FRONt9ETBACK REARBETBACN SIDE9ETBACK PUNCMECKNUMBEB I <br /> � - - FEE RECEIPTNO. . <br /> U8E20NE IOT�RE� y�C�NT5ITE <br /> FEE! ��1U11TION FE[ i <br /> OYES [1N0 �, <br /> TYYEOfCONBT. OGCUPANCYGROUP NO.OFDWELLINUUNITS ' <br /> BUILDINO = , <br /> 61LE 0I BIOQ N0.OF STOPIE9 � M�K OCC.LO�D . <br /> -� PLUMBINO '. <br /> MECHANIC�L <br /> FIF P INKLERS REOUIRED ❑VES ❑ NO OTHER <br /> PENALTV <br /> �PPLICATION�CC.BY PL�NS GNECNED BY 11PPR.FOR ISSUANCE BY <br /> / � ' TOTAL <br /> / <br /> L-- ' <br /> _ .,.�-.-a•_---�.—,..-.�—ce-r—x-��_c:�t�."-•;.,.t.lq-;'_. . -"rn- ."'--:r.. . ._-,^,�.+J - � . a::i�. r. �':�l�i <br />