Laserfiche WebLink
APPLICATION FOR ���,�„ <br /> ��'°'"" CONSTRUCTION O <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259•8745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> O DEMOLITION O COMBINATION O BUILDINO O MECHANICAL ❑ PLUM8INO ❑SIGN <br /> pWHER M�IL�DOPESS CiN ZIP GNOHE <br /> �e.�� �vCnS QDb l.�k'J�rr���iS�eP �'lrc�r £ac7C� ��HL�.� Z�' 3�4aa <br /> MCMRECTOROElIONER M�IIApOPE9! Cltt 21P PMONE <br /> OENERI1lCONTP�GTOR M�IL�UDRE53 ' ��n' I�P PHONE LICENSE• <br /> � �Whe� <br /> MELN411C�lCO�iMCfOq MML�OURE59 Ci1V ZIP CIIOHE UCENSE• <br /> RUMlINOCOHiP�CTOR MAIL�OORE95 CI1V 21P GIIONE LICENSE• <br /> CUbSOf WOPK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> W LWTION Of WORN�COSi Of M�iCRILl9 PLU9 L�BOPo <br /> DElCIUlE WOPN . ' <br /> — � (�n e c � Ser <br /> uaeoreuaoina I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> S IY 4 � C4;cIh pLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> ieo����r*� NOFPROP TV�SHOWNBELOWO ��1�CNFOURCOo�'S PROVISIONSOFLAWSANDORDINANCESGOVERNIN6THISTVPE <br /> OF WORK WILL BE COIAPLETED WITH WHETHER SPECIFIED HERE- <br /> �or_e�ocK—or IN OR NOT.THE GRANTING OF A PERMIT OOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL iHE PROVISIONS OK <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTHUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTIO�7. <br /> $IONIITURE OF CONiR�CTOR OR AUTHORI2ED AGENT URTE <br /> X .X� ut F� Z Y 8 <br /> PNOJEGT�ODRE89 �PPLIC�NTS GITY BUSMESS UCENSE N0. <br /> � �nS{c� n,(e �ue�t'E{ <br /> O W e�S' <br /> ►LUMBINQ MECHANICIIL <br /> NO. riPE OF FIiTURE FEE NO. TYOE OF EOUIPMENT FEE <br /> WAtER CLOSET TOILE RIR COND.UNITS—H.P.EA <br /> BATHtUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORY�WASH BASINI BOILERS—HP.EA. <br /> SHOWER QAS FIRED AC.UNITS—TONNAGE EA <br /> KITCHEN SINK 6 OISP. FORCED�IR SYSTEMS—B.T.U. M EA. <br /> DISHW�SHER WALL HEATERS—B.T.U. M <br /> LAUNUPY TRAY UNIT HE�TERS—Bi.U. M <br /> CLOiNF.S WRSHER EVRPORRTIVE COOlti15 <br /> WATER HE�TER CLOTHES DRVERS <br /> URINAL VENTIIATION FAN <br /> DRINKIN6 FOUNT�IN RANOE HO00 <br /> FIOOP DR�IN nIR NANDLING UNIT— C.F.M. _ <br /> VACUUM BFEANERS STOVE <br /> HOOF DR�INS—FAINLEADERS METAL FIREPL�CE 8 CHIMNE'! <br /> SINK-SERVICE-9RR.ETC. WOD�STOVE/FIREPLACE INSERT <br /> SUBTOT�L 9U�TOTAL t <br /> PERMIT 7 PERMIT f <br /> TOTIIL FEE f TOTAL FEE ! <br /> THIS PORTION TU BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> iRONi5E1B�LN �[ARSEIO�CN SIDESEI6�CN PL�NCHEGNNUMBER - tt�NLN[LKFEE I <br /> iEE AECEiPTNO. <br /> USEZONE LOi�HE� y�G�Ni51TE <br /> FEEB VI111111TION FEE <br /> OYES ONO <br /> tYPEOFCONAi. OCCUFPNCYGNOIIP NO.OFOWELLINQUNII$ <br /> BUILOING f <br /> SRE Of BL06. rv0 Of SlOaifS M�x.OCC.LO�O , <br /> PLUM�IN6 'I <br /> MEGHANIGAL I <br /> FIRE SPRINKLERS REOUIREO ❑ VES ❑NO �, <br /> O7HER <br /> PENRLTY <br /> �PP�ICAfION�CL BY VLPNSCIIECNEOBY ��PA �ORISSUANCEBY � <br /> TOTAL <br /> i <br />