Laserfiche WebLink
�neEver9�een `'��r�PPLICATION FG-�t evcretl <br /> everett CONS RMi TION O <br /> PE T <br /> TO BE COMPLETFD IN BLACK INK— PLEASE PRINT <br /> BUILOING DEPT. <br /> 259-8745 ❑ COMBINATION � BUILD;NG ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWbff1 MPRAD�NESS CILY ZIP PIIONC <br /> Oc' Sc�TT,77 �_f9/7 kiGSTl7�2 �vc,erTT 3-53-�-��9 <br /> � cmimronocsir,r�en unnnooness citt :iv rr�oHe <br /> ��UU OC_ ���.C:U EC�C,Dcc –�v�<� <br /> GI.IIEPALCONiRAL10R MFIL��fiE55 CItV ZIP PIIONE UCFNSE• <br /> ,Fnc�hr• (��ti.c�7' Go .S'-Bs`� /i9 '`iyr/e_.�'c L/�Sieven 9&,.s"�s�v-9.z�z. <br /> GCCIIANIGAICGNfRAL10A MAIL�OORESS CIiY ZIP PHOIIE UG[NS[• <br /> PLUTAORl6CUNIRAGIO�� MRIL�O�RE55 CIIV 21P PIION[ IICENS[• <br /> CLASS OF WCNK <br /> I� NEW ❑ ADDITION ❑ ALTERATION ❑ FEPAIq ❑ D[MOLI710N ❑ WOODSTOVE/FRPL.INS;RT ❑ BUILDING RELOCATION <br /> VALUF�IONOf WO0NIC05�0! IA�iC(IIAlSPLI�$LR90fi� <br /> /��j� . /' L>CJ <br /> V <br /> OLiG111[1_ /OqN <br /> v7/t Z . O STd . .� v� �i0� <br /> USE O�Al11LUIf10 <br /> I HERECiY CERTIFY THAi I HAVE FEAD AND EXAM�IJED 7HIS AP- <br /> • �C"'/1//+ � 10 SIiO PLICATiONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> ' iecnio[scni�nor+orr��orenrv�snnwi�eeio oannna�rounwmcsi PROVI510NSOFLAWSANDORDINANCESGOVERNINGTHISTVPE <br /> OF WOHK WILL BE COMPLETED WITN WH[THEfi SPECIFIED HERE- <br /> ioi—ntocK—ar IN OR KOT.l HE GRAN7ING OF A PERMIi DOES NOT PRESUME TO <br /> � � / GNE AUTlIORITY TO VIOLATE Of7 CANCEL THE PROVISIONS OF <br /> ��L,� �� y�/ .L n0 G,C�f' ANYOTHERSTATEORLOCALLAW'REGULATINGCONSTRUCTION <br /> - OR THE PERFORMANCE OF CONSTRUCTION. <br /> �• SIGNAIUHEOFCONiRACiORONAUf110qIZEDAG[Nl UAIC <br /> lvi., e_ i — <br /> ��� .S � �s— <br /> � <br /> 1'fiOJWfPpORl55 RPPLG N SGIYBU3INCSSLICE115EN0. <br /> s`1� 7 Gc�e_sT D2 =li�i� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIKTURE FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSEi�TOILET) AIliCONO. UNITS–H,p,EA � <br /> BAl11iU0 REFRIGLRA710N UNITS–Ii.P EA. <br /> LAVAiO(iV�WA511 BASIN BOILERS–H.P.EP. <br /> SHOWEfl GAS FIRED AC.UNIiS-70NNAGE EA. <br /> NITCNEN SINK 8 OISR FORGED AIR SYSTEMS–B T.U. M EA. <br /> -- -OISHW�SHER WAIL HEAT@PS–D.LU. M <br /> LAUNORYTRAY UNITHEAiERS–B.T.U. M <br /> , CLO711LS WASIIGR � EVAPORATNE COOLERS <br /> WNER MEAI[R CLOTHES ORYEf75 <br /> URIN4L VENTILATION FAN <br /> DpINNINGFOUNTAIN RANGEIIOOD __ <br /> FLOOR DRMt! Alfi IIAN�LING UNIT– C.EM. <br /> V�CUN.IORE�K[RS STOVE <br /> RUOF�RAINS–RAINLEAOERS METAL FIREPLACE 6 CIiIMN[Y <br /> SINK�SERVICE–BAfi,ETC. WOODSTOVE/FIREPLACE IN5EPT <br /> SUBTOTAL SUBTOTAL S <br /> � PERMIT S PERMIT 3 <br /> � TOiAL FEE S TOTAL FEE f <br /> THIS PORTION l"O BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> fOO1115C1�4f,K R6�B5[IBAGN SIOESETOI.CK PL�NGNEGNNIIMBEp �J �LANCHCCHfEf <br /> �7� �D � fEE / � �CLE�i'INO <br /> Cl� ;�S � 7� 6'' � -�'�-�i�- <br /> ' USE20f1[ LOtAHEA ypCANt3,tE <br /> ' P� / pY[5`,/�NO FEES VRWRTIDN �EE _ <br /> ♦1 <br /> . lYP[p(COIlSf occurnr+cv�nour NOOFDWEIIINGUNILS <br /> . ��� M'/ � BUILOIHG S'y��'� � � /�v '— <br /> � SVC Uf pllptG �IO Of 510111E5 IARN.00C LORO -- <br /> ISO S� _ 2 �� PLUMBING — � <br /> MECH4NIC�L � �� — <br /> , FlRE SPRMKLERS RGOUIRED ❑ YES NO � <br /> OiHER <br /> PENPLTV <br /> �PPIICAIION�CC OY PLANSCHECNE�OY nPPRFO1i155UANCEBY Q� -- <br /> • �- � TOTAL � ' <br /> �_-�� J� <br />