Laserfiche WebLink
,�.E�,o,„� APPLICATION FvR ���,�„ ; <br /> °�TM°F CONSTRUCTION <br /> everett PERMIT e ! <br /> TO BE COMPLETED IN BLACK INK- PLEASE PRINT I <br /> BUILDING DEPT. � i <br /> 259•8745 p COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OKNFR MPILADpRLSS Cltt 21P PnONE <br /> JERf2`! v; IleLeri O:�S 4314 R�Dc,eriuNT D�i. Eve�ETT ',�3•zo3 <br /> ♦PGNiiEL10R0ESIGN[R IAAiLn�ORt55 Cirv Z�P PnONE <br /> .�qriN .a•:r.1c'� •L`J.71 '�� �7E�v i11 F_v�=QETT '�320 1 2°.>8 3210 3-IC.1 <br /> GENERALCONtPACTOR MeI�n00RE55 CiTV ZiP PMONE LiCEHSE• <br /> � L�J�1�1 ,� J Gunl. lg♦ <br /> ��»l �T�I 13�=�1,�7�=�-� 2�d"3'� �Uc�11 i L E EVc2F_TT 90.204 33l '1`�'�O ri <br /> MEGN�NILALGONiNAGtOq MAIL�pDR[SS Litt ZiP PNONE 1.ICENSE• � <br /> PLUM6ILGGONiR,1G10R IAAILepUR[55 GiY 21P PMONE IIGENSE• <br /> Gu5,5OF WORN <br /> .� NEW ❑ ADOITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOOOSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> W LU�IION Of 1YORN IGOSI OF IA4I[RIFLS PW$L/OORI <br /> I2 Ooo <br /> �ESGRiBE WONK <br /> hlE�v iin�a/nr..�- �>�f�vEwn �t�2ic��i4 ���< . ��•�LL � z <br /> ❑S[OF OOILOiNG � <br /> ��. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAM�NED THIS AP- <br /> Vrliy�e.�p c�,�„=�e.� .� PLICITIONANDKNOWTHESAMETOBETRUEANDCORFECT.ALL I m <br /> LEGAL�ESCRIPhONGFPR'.iPERIY�SMOWI10lLOWOP�T7�C�IFU0000Pi6� PROVISICNSOFLAWSANDORDINANCESGOVERNINGTHISTYP[ •• <br /> �-�AfLP�i2 V�E��� Ai.�.-� ,.`v� OFWORKWILLBECOMPLETEDWITHWHETHERSPECIFIEDHERE• I <br /> ior�_eiocn �--or INORNOT.THEGP,ANTINGOFAPERMITDOESNOTPRESUMETO � <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O� .=i T <br /> VO�. � 1 c_,� ��L.�j S ���,E -U' I ANY OTHER STATE OR LOCAL LAVJ FEGULATING CONSTRUCTION � ,� <br /> OR THE PERFORMANCE OF CONSTRUCTION. y= <br /> SIGNATURE OF CON7RPCTOR OR nui110PIZE0 AGEN7 D�TE m <br /> . O <br /> C O <br /> X 1 i r., o <br /> � �`'+— a —'���- F— 3— ' —�� <br /> PRUJ[CT�DURt55 �Nr4.iUNiS Crtv pU51NESS LiCCNSE NO � ' <br /> � m <br /> I -i Z <br /> 4�i4 Rloc,er-ior� i 2. E e2i- .v,Y-�J I m � <br /> PLUMBIN(3 MECHANICAL � ,p � <br /> NO. TYPE OF FI%TURE FEE NO. TVPE OF EOUIPMENT FEE C <br /> a-i <br /> WATERCLOSET�iOILET) AIRCONDl1NITS-HP.EA i r � <br /> BATHiUB RGFRIGERFTION UNITS-11P.EA. I '""� N <br /> K <br /> LAVATORVI�Y/SH BASIN) _BOIIERS-HP.EA. + � � <br /> 9/OWER GAS FIRED AC.UNITS-TONNAGE EA 'Tl � <br /> KIiCHEN SINI(8 DISP. fORCE�FIR SYSTEMS-B.TA. h1 EA -{ m <br /> �ISHWASHER WALL IIEATERS-B.T.U. M = <br /> m � <br /> LAUNDRVTRPV UNI7MEATERS-BT.U. M N <br /> _ __ p <br /> CLOiHE514A5NER EVAPORATIVE COOlERS O r <br /> — c-� m <br /> WATE(7 HEAT[R CLOTM[5 DRVERS C N <br /> _ - � N <br /> URINAL VENTILATION FAN m <br /> ORINKING FOUNTAIN F.1NGE HO00 I -Zj r <br /> PLOOR DRAIN AIF HANDLING UNIT- CF.M. � y <br /> VACUUTABREANEPS STOV[ A <br /> ROOF DRAINS-RAINLEADERS A7ETl+L FlREPLACE d CHIhINEV � <br /> S <br /> SINN�SERVICF.-PAR.ETC.) WOODSiOVE/RREPLPCEINSERT D <br /> __-_ _ _ _ — z <br /> - �-:��2F.J1SfiL-�i. — -- <br /> -i <br /> 2 <br /> '_'_ _ _ N <br /> __ '_ Z <br /> SUBTOTAL SUBTOTAL S � <br /> - — --I <br /> __ PERMIT S PERMIT S � <br /> _ _ TOTALFEE S TOTALFEE 3 I m <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> fPON/i 5f[itl�CN HUH/SJE�LO�AC�H `���` SIOE 5[IUAGK PLAN CIILGN HUMOLR PI�N CNECR FE[ <br /> ` 4O�''� L�--"T � pF�la( �r �4y//J� `�� FEE�� �3 RECEIP�.[NO <br /> ll ( � � .a�� <br /> USL 20NC �Ut A�L� yq(:�NT SrtE — <br /> �� OVES IIFO FEES VAWATION FEE — <br /> TYPFOfCONST1. OCLl1PRNLYGROUP 110OFOWLLLIN�]UNIIS - <br /> -�- 'V � — �111LDING f IZ�Q�- 4 Z 5^Q <br /> SIipE Of OLOG 110 OI S10qIC5 MA%OLC IOAD <br /> OG� S.� I � 1'LUMPING <br /> � � MlCIIAN�CAL <br /> FIRE SPRINKLERS REOUIRED ❑ VES �1'NO <br /> O111ER <br /> i <br /> �. PENALtY - I.. <br /> ♦PPlIC�110N/.CC BY PUNS LHEGNED BY AI'PR (pq ISSU4NCE OY � <br /> TOTRL O Z �� <br /> JT� ����� �- G i <br /> � <br /> , <br />