Laserfiche WebLink
,�.E„,,�,� �APPLICATION FC;R <br />°�TM°F CONSTRUCTION <br />everett PERMIT <br />TO BE COMPLETED IN BLACK INK— PIEASE PRINT <br />BUILDING DEPT. <br />259•8745 ❑ COMBINATION 0 BUILDING ❑ MECHANICAL m PLUMBING ❑ SIGN <br />OWNER M�IL�O�RESS Cltt IiP P��ON[ <br />����d. �nr��lev� �,S�o� ok Qd. Sv�a <<F�24L 3�Y <br />♦RGMITEGTOFOESIONER MAI�AOORE55 CIIY ZII� V110N1 <br />saHn e <br />GENER�LCONiR1CTOR M����DDRESS Citt tiP �HONE I�GENSE• <br />u' <br />MELMANIC�IGONTR�CtOq MML�DDHESS CI1V T�n P�iON[ ULt�+SC• <br />[rv r num <br />❑' NEWy^^0 A�DITION � ALTERATION ❑ REPAIR ❑ DEtAOLITION ❑ WOODSiOVE/FRPL.INSERT ❑ BUILDING R[IOCAt�ON <br />•• .+ <br />t <br />�or'�/1/L• §Coc� <br />iRONT SEIB�CN <br />USE 20NE <br />.�-Z <br />TYPE OF �ON`S!/ <br />��/ V <br />Si� <br />syi <br />;Y 3? <br />I �O� <br />1 HEREBY CFRTIFY THAT I HAVE f7EAD AND EXAMINED THIS AP• <br />PLICATION AND ni:OW THE SAME TO BE TRUE ANDCORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNING THIS TVPE <br />OF WORK WILL BE COMPLETED WITH WIIETIIER SPECIFIED NERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CUNSTRUCTION <br />OR THE PERFORAIANCE OF CONSTRUCTION. <br />SIGNRfURB Of CONiqAC10P Oq 4U1110FIZEII �GCNI pql[ <br />lpe9.f� �Xq� <br />Vi5 LIIY tlUS�N[55 LIGENSE NO <br />�NICAL <br />TVPE OF EOUIPMENT <br />A1R CONO. UNIiS—HP. EA. <br />REFRIGERATION UNITS-H:P. [A _ <br />BOILERS-HP [A. <br />GAS :IRED A C. UNITS-TONNAGE EA <br />FORCED AIR SYSTEMS-B1.LL M FA <br />WALL HEATERS-B.T U. M __ <br />UNIT NEAIEflS-U T U. 61 <br />EVAPORAfIVE_COOlERS <br />CLOTHES DRVERS <br />VCNTILATION fAN <br />RANGEHOOD <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />APPLICAl10N �CG. BY <br />�.� <br />-- N.A� <br />IOt�RE� <br />N. � <br />OCCUPANCYGROUP <br />lZ-3 <br />NOAF SLONIES <br />/ <br />J� <br />N0. Oi OWEIIING UNIiS <br />/ <br />MnM.OGC IORD <br />PLAN GNCCN NUMBlR <br />k's <, 6 0 <br />FEE9 <br />oui�ou+u <br />PIUMpING <br />MECIIANICAL <br />OfHfR <br />PENALTY <br />TOTAL <br />,�`,L� '�� <br />V�LU�TION <br />s <br />iEE <br />bJ <br />H <br />N('� <br />�*i <br />H N <br />H '*1 <br />� � <br />� <br />O <br />� <br />� H <br />� <br />�H <br />� <br />0 � <br />[i] M <br />� <br />� <br />. [rJ <br />A <br />� <br />� <br />N <br />N <br />y <br />Nn <br />M <br />