Laserfiche WebLink
i'i'-:_E I <br /> PPLICATION FO, _ ���,�„ <br /> '".`"'°'"" CONSTRUCTiON � <br /> cin or <br /> everett PERMIT <br /> BUILDING DEPA�TM[NT <br /> 259 elas TO BE CdMPLETED IN INK • PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING f�MECHANICAL ❑ PLUMBING ❑ SIGN <br /> q�j.�cn r.un •nnntss r,�n nr rnro¢ <br /> � I�i� �r'� � r� ,`�l:i �� li � ,�,_i .�,.;I� �J�r ,� ����..�� ilr��� � � �-� rrl �ff;l�)I '��1'1-�11�11�1- <br /> .ni.�nrcnonmscN[n M.n .nnnts; c�rv zir r�nnHc <br /> m.u[u+i co�+tn.cron r.uu .nnn�ss citt zm i•�mrrt ucu�se• <br /> �jI611NICH CONIR�CIOR ra+u �PP111ti5 f11Y f zm w�or�e ur.��N/sc. <br /> �A ��t�.l �' �.�Illll� � �i� � ��'�[� i���� � �l ���� �'�(�����' '�J�/ ��� �'��� � r-������ d'�n���d_ <br /> ub� nnnnl.55 c.itr 1�P rI1eNG uCCN -. <br /> PI UMB�N.�.JNI 41p� , <br /> CUSSOi WORN <br /> ❑ NEW Q ADDIl10N ❑ ALTEfiA7lON ❑ F7EPAIF7 ❑ DEMOIIIION ❑ WOODSIOVE/FRPL.INSER7 ❑ BUILDING RELOCATION <br /> • w u��+orwnu ico.ion.u�ua�isr�u:i•uon� <br /> � �'� ��% ��� - <br /> ors P�eewoaK <br /> t `�I C� � 1 � ;' l_�'� i �r-1 1 t' i 7!'(t E c' I <br /> us�oreunonm I NEREBY CERTIFY THAT I HAVE READ AND E%AidINED THIS AP• <br /> < �-- -� ,'��:-��(�I( 'j1 �((; ( PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> �ccs� ncscnirunecrrnor�n�a�v�owr+nuowo���tt�a�rounr.orrcs PROVISIONSOFLAWSANDORDINANCESGOVEFNINGTHISTYPE <br /> OF WORK WILL BE COMPLETEO WITfi WI IETIIER SPECIFIED fiERE• <br /> io�--n�ocr._or_ IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTH0f7ITV TO VIOLATE OR CANCEL THE PROVIFIONS O� <br /> ANY OTNER STAlE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR TI1E PERFORMANCE OF CONSTRUCTION. <br /> SIGN�/URL OF GONIHACIOH OR AlIi110HIZ[�AGENI OAIE <br /> _� \ <br /> �_ �r �� � l � �.���r� �P�.e.�Q �(� J�;, /�-, <br /> •rrup��rs cnv nusu+[ss urti+sE uo <br /> rna[cr.onnc ss � - <br /> ��r)I�� ��t't c a''a'�,';.�_. � �-,�", l = ' '� j <br /> PLUMBIN6 _ ___ MECHANICAL _ _ <br /> NO. TYPE OF FI%TURE __ FEE _ _ NO. ___ NPE OF EOUIPMENT FEE <br /> WATEPCLOSET�TOI�E71 __ __ AIRCON� VNIIS-IIP EA __ � <br /> — IIEFRIG[RATIOtJ UNITS-11 P EA <br /> 6ATMTUB —-- --— — <br /> UVATORVIK'ASH9RSIN) _ 001(ERS-IIPEA <br /> '_�"_"____ —_ <br /> — GAS FlREO A.0 UNITS-TONNFGE EA. <br /> SIIOWEP _ - -- <br /> KiTLMEN SINK 8 DISP. _ _ ____FORCED/+iR SVSTGMS-B.T.U. M EA.__ <br /> -- WAILH[ATERS-�T.0 M _„_ <br /> DISMWASHEN _ — — -- <br /> L/UNDRV TRAV _ ___"_ l'NI7 MGAIEfiS-OS.0 M ____—"_ <br /> CLOTMES W/SHER _ __ EVAPOHATIV[COOLERS <br /> WATER NERT[R CLOTHES DRYERS <br /> VENTIIATION FAN _ <br /> URINAL -- --- <br /> DRINNING FOUNiAIN _ RANGE IIOOD _ - <br /> AIR HANOLING U�1�T- C F M. <br /> FLOOR DRAIN — -- -- <br /> VPCUUM BREANER3 __ ___ STOVE — <br /> ROOF DRAiNS-RnINLEADERS __ �AETAL FlREPIACE 8 GHRANEv <br /> SIKKISERVICE-BAR ETCI _ _ _ �'✓OOUSTOVE/FIF[PLALEINSERT <br /> ---- <br /> __L_ .�l 1 f!_ZrLC11 �'� ---- "r'—� <br /> -- L)LL`:_�t�.111_lif— <br /> --- -- ---- — <br /> �-- ----— —-- <br /> -- ---- �_ <br /> _ _ — ���///'''��� <br /> — -- SUBTOTAL —_ __ . .__ . .-- . SUBTOTAL __—.. . S -_ . .� � � <br /> —_ PERMIT ,. __ _ __ -- PERMIT _ f _' __ <br /> — <br /> '-- TOTAI PEE'___ S _._ I <br /> _—"—_ TOTAI PEE S _ ' ___ _ . ._ _._______. —" —""__ ' <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL - <br /> PI�N CI�LCK NIIMBER PI���CIIEf,K(CE <br /> fRONi SfipRLfl O[\R SElOAC✓ SiOL SCLOACN REC[IPi NO <br /> (fl <br /> u5[ZONE lOi�RE� y��;eNi Srtl FEES V�W�TION _ FEk __ <br /> IIYlS IJNO — <br /> 1VPCOGCONiT OCNP�NCYGROUP NOOfOW[LLIN6UNIT5 -- <br /> BUIL�ING f _ <br /> SIZ[G�BLOG NO Of STORIES M+% OLC IGAD <br /> plUAlOING _ <br /> MELMANICAL �1,f <br /> FlRE SPHINKLERS REOUIRED O YES O NO pTHEN <br /> PENRLIY <br /> /.PPIICeiIONPLC dY 1'UNSGM[f.NCDBY AfPH IOBISSIIANLLOY — -- —�� <br /> TOT�L <br /> _—____ �_ _--___. _' — <br />