Laserfiche WebLink
IN EmplNn <br />GIfY OF <br />everett <br />BUILDING DEPARTMENT <br />259�8745 <br />`,-�.PPLICATION FO��� <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION Q7BUILDING � ❑ MECHANICAL <br />❑ PLUMBING <br />everetl <br />� <br />� S�GN <br />ovnrtn ��eiuuur�ess .^ �= <br />���.f c u C����s f. � i�..,—�7G/f� /5 i< /J£ Sea�2 �l �/5 ) .3G�3 -G'� / G• <br />•uCru�l.f.tono[s�cN[n Me�l:npm.�y c�n i�v rHonE <br />4lN10C.1t W�1IMGIOR M�I� ApDf1E55 CI�Y 21P VI�ONE LIGENSF • <br />�..JCC ����e <br />iAl(:IIANIUICONlII�C�08 MML�pORE55 ptV ZIP i'110NE LICCNSf• <br />PLUMpnUi�ONIfuGIOB M�II�ODHE55 CIfY 21P PIIOME LICENSI+ <br />�O✓ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUIL�ING PELOCATION <br />. v.iuy)ov or wonn icos� or M+mm�is rws �noon� <br />� <br />,/�?_i . <br />n1 scnie[ wo��'c <br />Ilti! <br />ll.GAL OILS/CRIP110N OF PpOP[RIYISIIOWN <br />10�./�/�IILOf�_O� ��! <br />nHUJLG1nODNE55 <br />io s�G 4>H <br />L <br />riaon <br />I HEREBY CERTIFY THAT I HAVE READ A�ID EXAMINED TIiIS AP� <br />PL�CATION AND KNOW THE SAME TO BE TfiUE ANDCORRECT. ALL <br />iOUPCOPIE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />�� e OF WORK WILL BECOMPLETED WITH WHETHERSPECIFIED HERG <br />IN OR VOT. THE GRANTING OF A PERMI7 DOES NOT PRESUA7E 1 O <br />GIVE AUTHORITY TO VIOLATE OR CANC[L THE PROVISIONS Of <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />— OR THE PERFORMANCE OF CONSTRUCiION. <br />$IGNRiIINE Of GONIlinCiOR OR RUiHORIZEU AGENI ' OA1[ <br />//_��C� ���i1// '/L�I�/ --� �/v��L <br />5•� • <br />�rs cnr ousiNess ucey <br />� <br />NICAL <br />TYPE OF <br />AIR COND. UNITS—H.P <br />REFRIGERATION UNI7: <br />OOILERS—H.P. EA. <br />GAS FlRED A f,. UNITS <br />FORCED AIR SYSTEM; <br />WALLHEAIERS—B.T.0 <br />UNIT HEATERS—�.T.U. <br />EVAPORATIVE COOLEI <br />CIOTHES DI7YER5 <br />VENTILATION FAN <br />RANGEHOOD <br />nio ueum iun nurt— <br />r+o <br />���vc =�`13GC7. <br />M <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSOIJNEL <br />IILAl1F�_IOPLN SIOESEIBAC!N PLANCNCp'NNUM9E(1 �iANC11CCK <br />1 1 � / /' / � �� fEE ._ ./ �iitREC[�II <br />u�a ruH[ �mnnte vn �NrsuE <br />l"� E$ ONO <br />� <br />�VnCOfCO�ISI OCCOPTIICYGROIiP NO.OFOWEILINQUHi15 <br />�_— 1�- � <br />•,v� � uwu - �o or tiiomes M4%.00G.IORD <br />l33 Jr. <br />_ nt� • 3s� �.� <br />FlRE SPRINKLERS REOUIREU ❑ YES ❑ Np <br />'IiU�ION�CC Ov <br />�.� <br />1`LANSGICCNEDBY l�vl'111U11155U <br />,--. � _ L. . c, <br />v� � �1�+ <br />� -- '" <br />�6 /,6D <br />FEES <br />BUILOING <br />ri.un+nu+c <br />MEC.IIANICAL <br />OiHER <br />PENAUY <br />TOTAL <br />s 33c9�L�. <br />'Z O Co <br />� _I+., <br />