Laserfiche WebLink
- . , , - • . .. �: <br />.- - <br />i,PPLICATION F'O��-� <br />I��Ewrpr..� CONSTRUCTION <br />C�T OF <br />everett PERMIT <br />BUILDINu DEPARTMENT <br />259•OB10 TO BE COMPLETED IN INK- PLEASE PRIM1T <br />n neMO�ITION ❑ CGMBINATION ❑ BUILDING ❑ MECHANICAL <br />evercn <br />� <br />Cl PLUMBING ❑ SIGN <br />� <br />i <br />p�I�MBIN.CGNLHAGIOR AIAIIADflRESS "IIY LV Pu�IYC I�CL�SE� �� <br />cO55NE�C�n❑ AODIiION ❑ ALTERATION L9' REPAIR ❑ DEA10LI110N ❑ WOUOSTOVE/PRPLJNSERT ❑ AUILDING RLLOCATION <br />vnw.norv or wonn ico:i or m>¢nieis nus i.anne� <br />x /S, oa� _ - — <br />wr_ <br />OpOILCiRODF[9 <br />'` lO .3/� <br />PLUMBING <br />ryp, r— TYPE OF FIXTI <br />WATER CLOSET �TCILETI <br />BATMTUB <br />LAVATOHVIWASHBASINI <br />SNOwER <br />KITCIiEN SINK S �ISP <br />0 <br />fli f%/i. �iG� �(/N%'c���Y� <br />LAUNDRYTRAY <br />CIOTHE$ WASMER <br />URIN4L <br />DRINKMG FOUNTAIN <br />FLOOR �RA�N <br />DACNFLOW PREVENTf RS <br />ROOf ORAINS — R�INL: AD[ <br />SINK ISERVICE — DAR. E �G 1 <br />i ��Dr�i SEfPeGn <br />I HEREBV CERTIFV THAT I H�VE READ AND EXAMINED THIS AP� � <br />PLICATiONANOKNOVJTHESAMETOBETRUEANDCORHECT.ALI � <br />PFO':ISIONSOF LAWSANDORDINANCESGOVERNINGTNISTYPL <br />OF WORK WILL Bfl COMPLETED WI I H WHETHER SP�GIFIED NERE- <br />11J OR NOT. THE GRAN7ING OF A PERAtIT DOES NOT PRESUM,E "fQ � <br />GWE AUTHORITY TO VIOLAIE OR CANC[L THE PROVISIONS OF . <br />ANYOTHERSTATFORLCCALLAWREGULATINGCONSTRUCTION ' <br />OR THE PGRFOR�dANCE OF CONSTRUCTION. <br />SIG 1 <:UKIf1AGIGNOIlAUi110RIII�O•�GfNI 1:4iL <br />� ��� /�?�'�ia��� ��/�� <br />Alal'111:41� t 1 f:l l'r �I l:.ifll �:l 1 i� . <br />� MECHANICAL <br />ITEM FEE NO. TYPE OF EOUIPMI <br />AiC — A-�iN�LG UNI�S — M P <br />REiRIGEPATION UNITS — N P EA <br />OOILEPS — fi T U/N P <br />GASFIRGDAC UNIT$—BTU <br />FO(iCED / �� SVSTEAIS — B T U <br />WAIL IIEATEf'S �� B i U <br />I/NIT IIEAIERS — 0 T U <br />CVOPORATIVECOOIERS <br />CLOTHESDRYERS <br />VGNTIIATION PAN <br />lIANGE 1100❑ <br />' — WATCR HEATER -. <br />W 000 STOVE <br />AIETAL fIREPLACE 6 CIIIAWEV <br />FIREPl�1GE INSERT <br />MEAT PVRIV <br />GAS PIPING <br />E%��AUST FAR <br />SUUTOTAL <br />PERMIT <br />TOTALFEE <br />RE�R SCi�PCh <br />Q� <br />�I <br />�1 <br />:� <br />SUOTOTPL <br />PERM�T <br />—r TOTALFEE <br />I <br />PLAN GHECNNUMUER IFEE <br />use �o�s i.oi nne♦ veenrrt sn� FEES <br />CYLti �JNO <br />�I IILCING <br />ttPEOFGONST OCCUP>NCYGROIIP rvOOipwELUYG111UL5 <br />PLUMBWG <br />��Q[ OF plpt: NO Of StOai[5 Mnv DLL tO�D MECNANICAL <br />OTHEfi <br />FlRE SPRINh�ERS PEOUIRED ❑ VES ❑ NO STATE DUILOING SURCMARI'i <br />STATE ENERG� SUFCNAI7GE <br />:r�wiCnppN:..0 rir 14ANSGQcn[Dav 4nnN rnR�55uANCLur <br />rueucwonKs <br />� TOTAL <br />5 <br />M EA <br />M <br />M <br />FEE <br />HECEIPT NO <br />FEE <br />PROPEfiIY OVJN[RS ARE REdPONtiI�LF FOR DETEHMIVING ALl <br />PqpPEH1YI.INELOCATIONSAN� RELATEO EASEMENTB. <br />