Laserfiche WebLink
in. Fr.ron�^ <br />cin or <br />everett <br />BUILDING DEPARTMENT <br />259•8810 <br />�,�PLICATION FO1.� <br />CONSTRUCTION <br />PEf�MIT <br />TO BE COMPLETED IN INK- PLEA:iE PRINT <br />I7 D[MOLITION ❑ COMBINATION <br />�BUILDING ❑ MECHANICAI. <br />,)hHiP M+IIeUDRC55 LIIY Z�P PNONE <br />�_k�T,;., $p�D �a�,�ti TN a�05 u�u, sr C✓ra^en- wr� �JSZoi o?59-�3�5 <br />�qJ�11LOOPD!$�ONER M�I��pD�[55 CI1V Iio P11pN[ <br />❑ SIGN <br />'lNCP�I CONiR�ROR M�IL 1pURL55 CI1Y 21� �IIONE UGEN$E • <br />RoF1�G Cs�.���.cc�oa Sutiae u��_ 9Y8-6om i QoH8te.3osoz <br />MLCN�N�ULCON1q�C10N ti�����DDNE55 Cirv ZiP PMOME ��CENSE• <br />CLUMBINGCOY1Gi�C'PR M�IL�..i•uf5.'+ <br />IiCENSE • <br />CL1$SO� WCRq _— �� <br />❑ NEV7 hD.lilON I�, ALTF.RATIUM C� REPAIR ❑ DEMOLITION ❑ WJODSTOVE/FRPL.INSERT ❑ BUILDING AEI OCA110N <br />WLWiONO'���- �C^vFiOiMU�:nuL5�LU5L�BOR1 <br />Sf�Ci,°� ,_ - <br />OESLRiEE MDu� - _ _ . <br />PELJN OR aTT�Cn i011a �C�iE9 <br />�p0.'R �DORESS ' <br />��al1C r�lAf 1 CY Q��t'X�ii W1a q�' 20 � <br />RiUM81NG <br />µp, T'PE OF fl)(TURE OR tTEM FEE <br />�' WATER CLOSET ITOILETI <br />g,�THTUs <br />lAVA70RY (WASM BASIN) <br />S�:ONEN <br />NITCMEN SINK l DISi. <br />013NWASHER <br />LAUNDRYTRAY � <br />CLOTHESWASNER <br />URINFL <br />�RI i G <br />O p � <br />B lOW PRE�ENTERS <br />ROOF DRAIN$ — RAINLEADEAS <br />SINK �SERVICE — B�N. ETC_I <br />SUlTOTAL f <br />PERY:T 3 <br />TOTALFEE f <br />•AONTSEiB�CK AE�R SETB�CK S�OESETBtCK <br />NA' _ <br />Z <br />�� <br />S <br />— ores�+o <br />OGCUPQ�NCYGqFOVP NOOFpWEIIINGUNliS <br />�J �G �' <br />NO Oi STORIES MAY OLG IOAO <br />/ _� <br />�UIRED ❑ �ES F�NO <br />P�ANSCMELNEDBY �PPRfOF155UANGEDY <br />� L•G <br />1 HEREBY CERTIFY THAT I HAVF READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BETRUE AND CORRECT.ALL <br />PROVISIONS OF LAWSAND ORDINANCrSGOVERNINGTHISTYPE <br />CF \YORK VJILL BE COMPLETED N'ITH WHETHEF SPECIFIE� HERE• <br />'N OR NOI�. THE GRANTI�;G OF A PLRMIT DOES N0T PRESUME TO <br />GNE hUTHORIT'I TO VIOLATE OR CANCEL TF,E PROVISIONS OF <br />AD!Y OTHER STATE OR LOCAL LAW REGULAT�NGCONSTRUCTION <br />OR THE� �PE�fiF'ORMhNCE OF CONSTRUCTION. . <br />SIG���TUNt V� FaNTp4CTOA UR AUTHOF�2EU �GENT �4TE <br />n0 <br />MECHANICAL <br />TYPE GI' EOUIVMENT <br />A/C — �/KNOLG UNITS — N P. <br />REFRIGEAATION UNITS — M P. EA. <br />BOilERS — B.T.U.IM.P. <br />GA$ FIRED A.G UNITS — B.T.U. <br />FOPCE� AIR SYSTEM$ — BSL. M EA. <br />W�LLHEATERS—BT.U. M <br />UNIT HEATERS — B.T.U. M <br />WOOOSTOVE � <br />METAL FIREPUCE 6 CMIMNEY <br />FIREPLACE INSERT <br />NEATPUNP <br />GAS PIPING _ <br />FYH�l15T FAN <br />SUlTOT�L <br />PCNMIT <br />nTpry Cli CK NUMBEP <br />l l / ���� I C <br />ou,�o�r+c <br />PW b�L11NG <br />MECHANICaI. <br />OTMFF <br />.�� <br />STAfe BUIIDMG SURCMARGI <br />SihTC-ENEPGYSURCHARGE <br />PUBLIC WOPNS <br />TUTAL <br />aECEIM NO. ^ <br />FE��D I ��� / <br />5 <br />PROPEFTYLINELOCATONSANDNRELATEDE SEMENTS.INGALL <br />