Laserfiche WebLink
'���:►PPLICATlON FO.s' ���,�„ <br /> '«�«"'" CONSTRUCTION O <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259•8745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ]DEMOLITION ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING ❑SIGN <br /> � MMI�DDRE55 L�n' 21P VNpNE <br /> ��� Nl ��'O'i /�� � IS�e c(c:�2 t=V 9�2d I �s-�— c�1c � <br /> �RGNRECTUNOESIONER M�Il�D011E55 GIiY 21P P110NE <br /> :ENEMLGOHfR�CIOR M�II�UDPE55 ❑IV IiP PNOnE ULENSE• <br /> aECH�NIG�LGONTMCiOfl M�IL��ONE55 CIiY IIP PIIONE UCCNSE• <br /> 'LUMlINOCONTP�CIOR MML��ORE54 ��P' 2�P VIIONE UCENSE• <br /> .LASS Of WOHN <br /> ❑ NEW �AODITION ❑ ALiER�T10N CCYREPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCRTION <br /> ��wenoe ov wonK icQst oF���rcnu�s rws ueoni <br /> `��06t9e� ".b <br /> l E WORN <br /> E.P�Of= ni i ..� ' E�s'. <br /> �s uaoina I HEREBY CERTIFV THAT I HAVE flEAD AND E%AMINED THIS AP• <br /> _s ^ �/CC' PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> .EO�lDE11CNIPT10MOfPPOVERTY�SHOWNBELOWOP�T �CMFOURCOPIE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> �,�rt10 �� � f{U(�'u �s. � IIOU�lr� OFWORKWILLBECOMPLETEDWITHWHETHFRSPECIFIEDHERE <br /> o_w�a s INORNOT.THEGRANTINGOFAPERMITDOESNOTPRESUMETO <br /> (31VE AUTHORITY TO VIOLATE OR CANCE�THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> 316NATU OF NTR�CTORORAUIHORIZEDI10ENi OAIE <br /> /'�n . <br /> / '0� <br /> �IqJECT�DORfSS � �PPUC�NBLIiY6U E SENO. <br /> G/ <br /> /e?e��P v�- �. Fl2G� <br /> PLUMlINO ^ MECHANICAL � <br /> �p, T1'PE OF FI%TURE FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn AIR CONO. UNITS—H.P.EA. <br /> BATMTUB REFRIGERATION UNIiS—H.P.EA. <br /> L�V�TORYIWASN BASIN� BORERS—H.P.EA. <br /> $HOWER OAS fIRED AC.UNITS—TONNAQE EA <br /> NITCHEN SINK 8 DISP. FORCED AIH SYSTEMS—B.T.U. M EA. <br /> DISHWASHEH WA��MEATERS—B.T.U. M <br /> UUNDRYTRRV UNITHERTERS—B.T.U. M <br /> CLOiHES WASHEH EVAPORATIVE COOLERS <br /> W�TER HEATER CLOTHES DRVERS <br /> URIN�L VENTILAiION FAN <br /> ORINKINO FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN �IP HANDLING UNIT— C.F.M. <br /> V�CUUM BRE�KERS STOVE <br /> ROOF DRAINS—RAINLEA�ERS METAL FlREPUCE 8 CMIMNEY <br /> SINN SERVICE—BAR.ETC. WOODSTOVJFIREPLACE INSERi <br /> SUB TOT11l 9U8 TOTAL 1 <br /> PERMIT f PERMIT s <br /> TOTALFEE f _ TOTALFEE � <br /> THI; PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> NONIS/EJI�B�GN PE�RSnEIO^�GK SIOESEtO�CK PLANCHEC/�/UM6Ef1 ' FLwMG��EG�KfEeE� <br /> (%�i {�" d�/� �ry�/ �EE���G, RELE�t�y..i '�� <br /> .� � �"V <br /> ISE ZONE LOi MtE� / ywGNi SdE FEES V�LU�TION FEE <br /> 2 � /C � S,+% OVE5�N0 <br /> » <br /> �YFEOFCONSj. OCCUPGNGYGROUP NO.OFOWElUN6UNIt5 <br /> �'N (�-� � euamNc s/0 8� DO <br /> � <br /> -.¢e orv e�oc No.or sroniEs MA%.OCG LOAD <br /> LX�S�'G �L � P��MBING <br /> MECHRNICAL <br /> �IRE SPRINKLERS REOUIRED ❑YES NO <br /> OTNER <br /> PENALTY <br /> �PCL1�1110N�CG.BY PLAt15 GIIECKEO BY APPq.FOR�SSU�NCE BY <br /> � I� � � TOTAL <br /> J� <br />