Laserfiche WebLink
. �PPLICATION FO.. <br />M�EH�pINII CONSI'RUCTION <br />LITY OF <br />everett PE RM IT <br />BUILDING DEPARTMENT <br />259-8745 TO BE COMPLETED IN INK • PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />� <br />�RCNIfELT OR DESIOHEH <br />GENE <br />M,111 �O�NE55 <br />� dnk ��/ 7 <br />�Vf.C£7 Q�J <br />tin zic <br />CitY IIP <br />e�eretl <br />e <br />❑ PLUMBING �SIGN <br />❑��ONE <br />� t-�Cr)( <br />P�IONE <br />❑��ONf �IL[NSE • <br />�:24� `��['irV�51 r SH D K <br />n��oHE ucrwsr. <br />PIUMBINOCONI'�CIOB M�I��DDRE55 Qtt 2iP PIIOrvE UCENSE• <br />CU55OF WOFN � <br />NEW ❑ ADDITION ❑ ALTEHATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUIL�ING REIOCATION <br />VA�U NOfWOFMICO5i0lMAIENULSPLUSL�BOfl� <br />v�d� <br />OCSCRiBE onK � UA/T A On/ AC/9 r= UiGO;A;Cs <br />�7".USTA!( (�/ S.il%rF L.91_�_r'� .t/nt)-.iCi:�Mi.t.�RT�i1 �n/1,� � ii. �....�/1 .Sii'_.� <br />USE O! BU <br />�DO <br />�RONiSEiBA�N <br />OF PROPENiY15NOWN OEIOW OR <br />WASNER <br />I HEREBY CEHTIFY THAT I HAVE READ AND EXAMINED TI115 Af • <br />PLICATION AND KNOW THE SAME TO BE TRUEANDCORRECT. AlL <br />F'ROVISIONS OF LAWSAND ORDINANCES GOVERNING THIS 7YPE <br />OF WORK WILL BECOMPLETED WITH WHETIIERSPECIFIED IiERE� <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHOHITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTqUCTION. <br />SIQNATUFE OF NTRACiOR OR AU7MORIZED GENT OATE <br />X ���i� �� � _ v �� �C� <br />NTSCIiY BUSINE�9 LICENSE NO. <br />�lo y0lv <br />1NICAL <br />TYPE OF EUUI <br />AIP COND. UNITS-H.P. EA. <br />REFRIGERA'ION 11NITS-H.P <br />BOILERS-H,P. EA. <br />GAS FIRED AC. UNITS-TONi <br />FORCED AIR $VSTEMS—B.T.I <br />WALL'IEATENS—O.T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES ORYERS <br />VENTILAiION FAN <br />TO7ALFEE !I I I I TO7ALFEE 31 <br />7HIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />•REA <br />OCGUPnNGYGROUP <br />o� <br />FIRE SPRINKlEf7S li[OUIRED ❑ VES '� <br />ePPI�CAl10N �CC <br />VACANi SItE <br />❑YES ONO <br />N0. OF OWELLINO <br />�o�o <br />FEES <br />BUILDING <br />PLUMBING <br />AIECHANICAL <br />OTHER <br />PENFITY <br />TOTAL <br />r �„� nr <br />, 'GL'-)/ <br />iEE <br />f <br />OIAN C�1[CM f CC <br />RCCCivi NG <br />VALO�tION fEE <br />CG <br />5 ��/v <br />