Laserfiche WebLink
fN Evs.pre�n <br />tin or <br />everett <br />BUILDING DEPT. <br />259•8745 <br />�-.FPLICATION FQ�� <br />CONSTRUCTION <br />PERM�i <br />TO BE COAIPLETED IN BLACK INK - PlEAS[ PFIIJT <br />❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />�nc i <br />cn• <br />r.ercn <br />� <br />❑ SIGN <br />a=_r+enn,.cu�+rancroa n����coo�Ess cn. z�r• �uo�ir. i�cn+s�. <br />��InNI[pL CO��IRnCiO� <br />vsroMl�'i�G �2P• <br />Ma�il pooa[Sti rih <br />. i r v A% inn � fr.a.,, <br />;m r��rn+[ � <br />r 9gi�i s�za•u86 <br />PWNBMGCONiRAL10R Mt.tApO�E'vS Giv :IY t'��OHL L1CVtiL• <br />CLA550� J�'OPrc <br />� N[1V ❑ MDITION ❑ �LIENA�ION ❑ I�EPAIR ❑ D[tAOLIIION ❑ I400DSTOVE;FRPL.INSEF7T ❑ DUIIDING P[LOCAil0�1 <br />VALUU IpN Of WORN IGOST O� A�AtCR�<l : 1'LUS tRG W+i <br />i 1Y0(IK <br />7�9f/R,R�v� <br />PROJfCrRppRE55 <br />/%ZO sc•r i <br />PLUMBING <br />ND. T� <br />v l4AT�5L11' <br />Tt <br />DISP. <br />_ InUNORYTRAY <br />_ CLOTHES\5'ASHER <br />WnTER HEATEF <br />DRINKING <br />iyinwcn <br />z<Nt y <br />FlxttlflE <br />rJ <br />I HEREBY C[RTIFY TFIAT I HAVF READ AND EX�A11N[D 7�fiIS AP- <br />PLIC�710NANDKNOW TII[ SAId[ lOF3f iRU[ �NDCORR[Cf.ALL <br />PHOVISIONSOf L�lVSA1JDORf)IILINC`_SGOI'1 qMIN(. f IIIR IYI'E <br />O�V� JHK WILL UE(:UF.11'LLIEC)�1'I1H WI1E111f_fl Sf'CClfl[U HE-H6 <br />IN OR NUT. TIiF GRANiWG OF A PFNMIT DO[S NO1� PRFSUME 10 <br />GIVE AUTHOIlI7V TO VIOLATE OR CAtJC[l 111E PROVISIONS O(- <br />ANY OiI lER 51�1 [ OR LOCAI L:�1Y REGULATIPlG CONSTRUCTION <br />OR TH[ PERFOR1.1�fJCE OF GONSTNUC110N. <br />S�GNAIUfICOFCOtlIuf.GIORONAUIH0��7[11Nif:4 ❑.�iF <br />XGi.c taa.r ti1P�, Q' �� 4'- � � 7 2�4- <br />qrP��Cnr+fS G�ly OUSW[SS I iCU+S1. ryU <br />� /6 f-Sb � <br />_ �"- �NO.....-'-'-�' 1YPEOF_EOUIPMENi _'__ '____'_FEE . <br />_ _ AIR COND UNI15-N P. EA _______ _,. <br />qEFRIGERA710N UNIIS-M V. EA ___ __ <br />'— --- UOILERi-11 P. EA — -.. <br />G�5 FINfD AC UIJI7S-TOqNAGE EA___ __ __ <br />�—.. __ _ _" _ _ _ _ "' . _' <br />lOHCLOAiRSYStEMS_O1.U_MFA _____,_._ _ <br />IV�LL116IIER5_0_TU. M __'__. <br />� �UNItHFnT[RS-OTU M ____ <br />1 evnPo��nnv[ cooi.ens - —___ � �" <br />CLO7HG5 �f7YGRti_ <br />_ � V[NIILAIIOH FAN _�, D��� <br />� nnuuei�000 -----�F' ���� <br />/ AIRHANDLVIGUNIT— GFM. ______7 �`�." <br />SIOVE <br />� --- MCi4l19REPLhCER CHIIdNEV ._.— _. �...� <br />_ _�1NOODSTOVEiFIREFLAC[ INSE�iT_ _. _ _ __. . � <br />_" _-- —_-- —_' -_— __ _—. _ _V-- <br />suerorn� . 9 <br />SUOTOTAL_"__'_ 5 <br />__'_PEf7MIT 5 --- �_- � . _PEnMIT________. S� �� G�t) <br />_ _ _ —_ __—_ ._ <br />"_— —" _. _ — "_'__ ' <br />TOTALFEE SI _______"___"_ __"_ TOTALFEE_______'_S�"__._'S3_ -�' - <br />THIS PORTION TO BE COMPLET�D BY BUILDING DEPT. PERSONNEL <br />fRONi5Et9ACN fVEAA5E10>GH SIDC3EiBALh PLRNCI�6CnNpMO.R ����a��������' �« <br />ree ntc�im nn <br />❑SE204@ IOt�R[A V�C<y�5rt[ FEES --- V�W�T10�—_- FEE � . <br />^V['l I:NO <br />f,N�1Ui` NOO�OW[t <br />SiZE O� ��pG <br />FIFG SPFINKLERS REQUIRED ❑ �ES ❑ ��O <br />�n<� xc <br />PPPUCTLCIIAGC9Y I�LAhSCMtlKF0I11 I<I'P�1�Of1155UAlICEI1! <br />OUILDINC <br />PIUMBiNC <br />�dEC�lOYiCAI <br />piHFB <br />FL W.11 Y — <br />TOTAL <br />5 <br />H'~ <br />� � <br />O <br />IC'l t <br />� <br />�f <br />�; <br />C� <br />�� <br />� <br />'. <br />� <br />1` <br />C <br />� <br />