Laserfiche WebLink
i <br /> ! ^ryo.o,»� h�PLICATION FOh ���,�„ <br /> CONSTRUCTION e <br /> � everett PERMIT <br /> ' BUILDING DEPARTMENT <br /> , 259•874F TO BE COMPLETED IN INK • PLEASE PRINT <br /> ❑ DEMOLITION ❑COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑SIGN <br /> OWNER AIAII RD01:455 Cltt 21P PIIONE <br /> �'•ERR� '� �C%R� �1Nl�lic;,1 �?d �i`.�'���.�± � ':. CY(Rli� 4YTi�; S`i5• ��OZS <br /> •RLMITECTOROESIGNEB M��I.RIi0RE55 CiTV 21P PUONC <br /> GENENALLONTRACTOP M�ILaII[IRGSS CITV 21P MIONE VfFNSE• <br /> C�l Q�{'1�k' <br /> MECII�NIWLWNTNeGTOq M�ILR�ORESS ��n" Z�P ���ONE .,. SE• <br /> PLUAIBING CONTRALTOR M�II.ApDRE55 qIV �IP PIIONE IICENS[• <br /> CL�55 OF WORN <br /> d NEW ❑ ADDITION ❑ �1LTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVEIFRPL.INSERT ❑ BUILDING RELOCATION <br /> VA W�TION OF WORK ILOST OF MR[RUlS PI 115 LABORI <br /> �-�sea--- � 9 8 r a=-'- <br /> DESCflIBE WORft I, r / <br /> 1 '�- ' . � � �' .� i�`�V'� �r�l^�' �' :_ ' - C->G <br /> tISEOFBUIL�iNG I HEREBY CER7IFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> GAn�;� PUCATION AND KNOW THE SAME TO BE TRUEAND CORRECT.ALL <br /> IEGALUESCRIPTIONOFPROPERTYISNOWN9ELOWOR�TTAL11F011l1COPIE51 PROVISIONSOFLAWSANDORDItJANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BECOMPLETED WITH WHETHERSPECIFIED HERE- <br /> �or�_eiocK_or IN OR NOT.THE GRANTING OF A PERMITDOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OK <br /> �, y E�, t3e� swecn sn w� ti T�� N i��� �� U'115K�1 Iq tl.�{ ANYOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTION <br /> ) OR THE PERFORMANCE OF CONSTRUCTION. <br /> UN SrRT LN TnP Ov C �.N ��LlT �I ����� �`.1 ��GnF1 N (�'l 5E SIGNAIUREOfCONIRACiORORAl1iHORILEDAGENi DA1E <br /> , i �/ /i S <br /> X ��,�;� ��.! �a�f6 ��i,�S CS8 <br /> �n tncc TH u) A�� S LN LOr 9 5nR � Enc N�� 2c, r,ioi- i <br /> POGEGi�OONESS APPLIGANiS CIfY 6115WESS IIGENSE NO. <br /> �1i� I;r�ir+�cn Da <br /> M��MBINfi MECHIINICAL <br /> i NO. T'PE OF FI%TUAE FEE NO. TYPE OF EOl11PMENT FEE <br /> WATER CLOSET(TOILL AIR COND. UNITS–M.P.EA <br /> B�TMTUB REFRIGERATION UNITS–M.P.EA. <br /> LAVATORVIWASN BASIN� UOILERS–H.P.EA. <br /> SHOWER GAS FIPED A C UNITS–TONNAGE EA _ <br /> KITGHEN SINK 8 OISP. FORCED AIF SYSTEMS–B T.U. M EA_____ _ <br /> DISMWASHER WAU.HEATERS–B.T.0 M _ ___ <br /> LAUNDRYTRAV UNITNEATEFS–B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS _ <br /> WATER MEATER CLOTHES DRVERS __ <br /> URINAL VENTILATION FAN <br /> DFINKING FOIINTAIN RANGE HO00 <br /> FLOOR DRAIN AIR HANDLING UNIT– C F.M. <br /> VACUUM BREANERS STOVE <br /> ROOF DRAINS–RAINLEADERS METAL FlREPLACE 8 CHIMNEY <br /> SINK SERVICE–BAR,ETC.) _ WOODSTOVE/FIFEP�ACEINSERT <br /> i — — — <br /> i — <br /> SUBTOTAL SUBTO�AL f <br /> PEPMIT f PERMIT S <br /> TOTAL FEE f T07AL FEE f ___ <br /> THIS PCRTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> FRONT$[TB�CK —�_ IETB�CK 510[SEIpACM. PLANnLIIE KNUAIBE(1 ^ PlANC11CCRfEE '"7^ � <br /> Z / , � / OV �t7(L�I�1 1 FEE '�`� PELE'iPT N�/ /� <br /> [) 6 <br /> USE 20NE JT FPEA y���NI�IIE <br /> � FEES V�LUATIOH _ FEE <br /> ❑YES�R�O <br /> TYP[OFf�V�1 ST OCCl1Pn'NALYGROUP 110OFOWELIINGL41f5 <br /> `� - � N' � I $� OUILDING f�-� I U <br /> SIZEOFBIDG rvOOFSTORICS MA% OLGLO�D/ <br /> G7Z SF � �•/j � PWM�ING <br /> MECII�NICAL <br /> FIRE SPRINKLERS REOUIRED ❑VCS NO � �` <br /> O7MER ,1 <br /> •4E01LLTY '11I�.� 1 �� �y E ,'� . r i � <br /> APPIIUIIONALG9Y PLANSCII[CNEDOY AVPfifORIS5l1ANCL0Y � �� �� I � <br /> �� /� ��' TOTRL —_—_-- � <br />