Laserfiche WebLink
�-.PPLICATIt7N FO1� <br />t�s EverOrron C O N S T R U C� I O N <br />u*� or <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259-88�0 TO BE COMPLETED IN INK• PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION O BUILDING ❑ MECHANICAL LUMBING <br />.�.,,��� � M4L AU�PL55 f.iLV )�P PMONf <br />evcrrtl <br />� <br />❑ SIGN <br />�,��%�71�1/.�''� �C?cc�7 :/�7G� 5° =��0 � �- (/� ��S7c.i ? S�� ��!�, <br />cpU1rt�[,tOROtS�GNEH MA�IADOFE55 biY ZI� CnONC I <br />4tNCMl GONiRPCTOA M�II AOUNE55 G1Y 1��' �I�ONE ��G6NSE • , <br />•/CCM�N�G>�GONiN4iOR Mell �ODnESG Gliv 2rt v�101�C nLCNCE • � <br />� I <br />PiUM91ryGCONiP�yjOR MA4ApORfSi CIiY LIP PIIONE IICENSf• <br />II <br />c�n550<<'/OAt � <br />❑ NEW � �DDITION ❑ ALTERATION ❑ REPAIR ❑ OEMOLITION ❑ WOGDSTOVE/FRPLJNSERT ❑ BUILDING RELOCATION II <br />vRIUFi'ONDV V/OP✓�CO`_1O�MAiERIAL5Pl115UBOHi I <br />wJnn <br />or eun.oiau .�/ <br />��fr YUY ffE/R!'li <br />�� nrcramnnHoroao��[arrisHowr�e[�owoen�r>u� <br />in�_o�oCK— <br />vuoitci<ona[ss <br />PLUMBING <br />TYPE OF FIXTURE OR <br />WAT[P CLOSET �TOILET� <br />AATMTUB <br />LAVATCRVIWASNDASINI <br />SNOWER <br />KITCNEN SINK S DISP <br />DISHWASMER <br />LAIJNDRY iRA\ <br />CWTHE$ WASHEF <br />URiNAL <br />DRINKING FOUNTAIN <br />FLOOR DFAIN <br />fiOC�f DRA;NS — RA�NLE4DER5 <br />SINK �SER\9CE — BAR. ETC � <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />. ll:i yFiO>Cn REAR SEi9ACN <br />ISk 20Nt 1.01 <RER <br />rvvE Of CON51 OCCUP�NGV GPC <br />.. .`� 9lCG NO O:StORiES <br />FEE <br />]IUI::�Llnnl.n <br />VAGNT SrtE <br />❑�ES CNO <br />NO Oi nWELLING UNIiS <br />MnN OCC LOAO <br />APPP �JR ISSUFNCE 9V <br />I HER[BV CEi7TIFY THAT I NAVE READ AND LXAMINED THIS AR <br />PUCAiIONANDKNOWTHESHMETOBETRUEANDCORRECT.ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS 7YPE <br />OF WORK WI:.L BECOMPLETED WITH WHETHER SPECIFIED HERE� <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PREoUME TO <br />GIVE AUTHJRITY TO VIOLATE OR CANCE� THE PROVISIONS OF <br />ANY OTHFR STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PEPFORMANCE OF CONSTRUCTION. <br />SiGNAtUREO�GONrPnCiG��o�Ruir�OnVE�aGEtir tiniE <br />x_��ti � <br />=, ,/„/�� <br />.oasHt;s��ci��sc .o <br />MECNANICAI <br />NO. TYPE OF EOU <br />HEFRIGERATION UNIT$ — M P EA. <br />DOIlERS—BTU�MP <br />GAS HRED 4 C. UNIT$ — � T U <br />FORCED AIR $YSTE'A$ — B.'• U. <br />WALI FiEAiERS — �S U. <br />UNIT HEATERS — 8 i U <br />EVAPOPATIVEC�10lER$ _ <br />CLOTFIES ORYERS <br />VENTI�ATION FA1! <br />RANGEHOOD <br />WAT@FHECTER <br />WOODSTOVE <br />METAI FlFEPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />MEAT PUMP <br />GAS PIPING <br />E%H>USTF�N <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />i'LAN CHECK NUM�ER I FEE <br />BU�L(11NG S <br />PlUM81NG <br />MECHAN'CAL <br />OTMER <br />STATE BUILDING SURCHARGE <br />STA'EENERGYSURCMARGE <br />PUDLIC WOQ✓S <br />TOTAL <br />M EA <br />M <br />M <br />ree <br />RECEIPT NO <br />PROPEflTY OWNERF ARE RESPONJidLE FOR DETE,� MINING ALL <br />PROPERTY LINE LOCATIONS AND RcLA1ED EASEMF.i�^S. <br />