Laserfiche WebLink
,�11PPLICA�ION FG .t <br /> �`°��" CONSTRUCTION "e; <br /> everett PE R M I T <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPT. <br /> 259•8745 ❑ COMBINATION 0 BUILDING U MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OW m M�IL ADDFE55 CILY IIP 1•IIt�N1 <br /> d�p /'/el4Ns 93.� /Sri9vcS� �i��rr}} 9$Qof� 3�/7- `f2 �U <br /> �ACIIIIlG1GFDE5IGNEP MAIL�OORE55 LIIY ZIP 14u1N1 <br /> GENlP4LONifl�CTOR MAIL�OOPE55 Gltt I�P PuaN1 ��LENSE• <br /> �3C- 1�s'�o�u>7�, /u 9z9 .S�w� � S � � 9� <br /> / �vere 20f/ 3�7-/y9/ �U-'EcriSucn. <br /> MlCu�NiC�ICONTR�CIOq MML�O�NESS Cllx I�P PUOuI iIC[NSF• <br /> PI�IMBIN�CONtPApOR MAIL�OORE55 �Itt ZIP PnnNl IICENSE• <br /> L1e550F wOPR <br /> ❑ NEW �I ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ FUIL�ING RELUCATION <br /> VeLU�IION OF WONN�COST Oi M�I[PULS PIUS UBOR� <br /> �SSDo <br /> oescame woAK <br /> 3 0 C�a �-i �c%i�in�v <br /> U:A OI IIUIIDING <br /> 1 HEREBY f,ERTIFY THAi I HAVE READ AND EXAMINED THIS AP• <br /> e'S i`��"t"C PL�CATION AND I(NOW THE SAME TO DE TRUEAND CORRECT.ALL <br /> LLGq.�ESCRiPIIONOLGHOPEflTY�SHOWNBEIOWOR�itACNiOURCOPIE51 ,,µ pROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> �or�e�oc�or N r� � � �rL� "r� OFWORKWILLBECOMPLETEDWIThiWHETHEFSPECIFIEDHERE• <br /> IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> �^ � GIVE AUTHORITY TO VIOLATE OR fANCEI THE PROVISIONS OF <br /> Ci �C.� �' ANYOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTION <br /> Ofl THE PERFORMANCE OF CONSTRUCTION. <br /> �<<'� # �8'0= -on�/- d/3 - O Z07 SIGNATIIRE OF C Nr PCIO�Ti AU7MUflILE11 AU!NI UATE <br /> - �. « ZS� /95'� <br /> PNOJECL�OOPE55 nPPLICe ❑v0U IESSUGkNSFNu <br /> y'33�� /Sr/���- ��' / /?3�8 <br /> PWMBIN6 MECHANICAL _ _ _ <br /> NO. TVPE OF FI%TURE FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEfl CLOSET�TOILET� AIR COND UNITS—NP.EA. <br /> BATMTUB R:FRIGEFAiION UNITS—HP.EA. <br /> LAVATOflV�WASH eA51W BOILERS—H.P.[A. <br /> SMOWEF GAS FIREO A C.UNITS—TONNAGE BA <br /> _ _' _—_.'"____'.—'_'..__.. .__ ._ - . .— _ _ '_ <br /> KITCNEN SINK 8 OISP. PORCED AIR SYSTEMS—U i.0 M En <br /> OISNWASHER WALL HEATERS—B.T.U. M � <br /> LAUN�RY TRAV tINIT HEATERS—B T.0 TA <br /> LLOTIIES WASMER EVAPORATWE COOLERS <br /> \VATER MEATER CLOTIIES ORVERS <br /> URINRL VENi1LATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> P�OOfl DRAIN AIR IIANOLING UNIT— C F IA <br /> V�CUl1M BREAKERS STOVE <br /> ROOF DRAINS—RAINLEAOERS METAL FIREPIACE 8 CHIMNEY � <br /> SINN�SERVICE—BAR,ETG WOODSTOVE/FIREPLACEINSCR7___ _ <br /> S09TOT�L SUBTOT�L_ _ __ _f _ <br /> PEXMIT i PERMIT_____ _.'__S __ -- <br /> TOTRL FEE t TOTAL FEE _ _ ___f __ <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PEfiSONNEL <br /> IBONISEIOACM BUOSEi��CK SIOESEi�ACN PI�NC LCNNURIOER �'14Nflllln111 <br /> noF� 20�'- fai-'7 /�/�� .-- «<���,'.9J ����.���'<S ��- <br /> us�.:nr�e ior�nu y�C�N15RE � ---�— --- – <br /> i .r ❑YBS INlO� FEES V�IU�IION —fEE _ <br /> I1PEOfCONST CCLIIPANCYGPOUP NOAFOWElLIN011NII5 <br /> `�— lI d DAIJ rt� � Al11LDING yfr�-�� � -- <br /> 9:C Of�L�G 110 OF STOflIES AIA%.OLC.L04D ��---=--- ---- <br /> ALL� ) ,_}/Sn :� t f �.,+� PLUMBING __ <br /> Ct <br /> � � MECIIANICAL <br /> FIRE SPRINKLERS REOUIRED ❑YES f7 NO <br /> Oi11EP — <br /> PENALIY <br /> PPPLIf.AiIONACCOY PLANSCII[CNEDBY �PPP.FOHISSU�NLEBY -- — -� -- <br /> TOT�L <br /> H�rrn L-. C , ---- — <br /> ��-/Y L��.IE -t� � <br /> 1�r-t��- ��vr��3 �'v �� �16G,ry�sJ� ���tc� ra <br /> ��bA'.li� ii.� .I'Y+rs. /) /./, r�I��r�/ //M/�� �rk !1L. 1r7/%/%���/� <br />