Laserfiche WebLink
,�E�,� ``�APPLICATION FC,``�t �,�,�„ <br /> 1 CONST�'TTION 0 <br /> everett PER <br /> TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br /> BUILDING DEPT. <br /> 259•8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MMLe00R[SS Cirv D�� �'r�o�+[ <br /> 1EFF NARDV l4Dt WLTMORE EVLRETT 9a201 252•091.1 <br /> �NCNREGiONDE510NER M�II�DOPESS CIiY I�1' In10NL <br /> GEHER�LGOHTR�CiOA M�IL�ODRE55 CiIY In` �nUHf'. IiCENSE• <br /> MECH�NiC�LGONTR�CTON MMI�DDRE55 Lnv ]ir ��uONE LiC[n5E• <br /> PLOMBINOCOHIR�CTOB MAIL�DDRl55 qfv :iP 1'110NF IiLLHSC• <br /> CL�550�WORK <br /> ❑ NEW ❑ AODITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLILION � WOODSTOVE/FRPL.INSERT ❑ BUILDIIJG RELOCATION � <br /> WL WTIONy/WOPN�GOSi OF M�iEHULS PLVS L�BORI �y <br /> � OD . � <br /> DESLaiBEw rc <br /> TM RtE SNiTlM— � 5T1NG !'JFIM�6Y Y1ff11 UN[R <br /> useorew�oma � <br /> I HEREBY CERTIFV TH�T I HAVE READ ANO 8%AhtINED THIS AP� <br /> SINGL! F11M1 E PLICATIONANDKNOWTHFSA�dF7nArrnllrqtlD�.��RFn� p�,� MH <br /> �EQelu[stninnOt+Oruarn�m�,�.,.:.vnr�.�w��uerenir+rn•.••nifc� PROVISIONS(1F I �!::....� . • . H '+7 <br /> OF WORK WIIL bL Wtdl Lt 16U WI I H Y�11tIHcH Si-tl.�l 1cL i i_-,. <br /> �or.LT'Jewt�.�YTaor � �' INORNOT.THEGRANTINGOFAPFRMITDOESNOTPRESUMEIO tAy <br /> GIVE AUTIIORITY TO VIOLATE nR CANCEL THE PROVISIONS OF n ��� <br /> ANYOTHERSTAIEORLOCALLtiWFEGULATINGCONSTRUCTlO� � <br /> OR THE PERFORMANCE OF CONSTRUCTION. � <br /> SIGNANPf.OVCONIRnG10ROFAVI11UPtZlUAGENf UA1E � <br /> X � �� ��y 6'' � � <br /> pp0:51t�00RE55 •�'PLIC�NfSI YIUi1HE55116k�'i.Hb � � 'z <br /> � <br /> RLUMBINO MECMANICAL___ � V7 <br /> NO. TYP6 OF FI%TURE FEE NO. T'7E OF EOUIPMEHT __ FEE� � <br /> W�TER CLOSET(TOILE7) AIN CONO.UNITS—H.V.EA. �j <br /> BATNTUB NEf RIGERA710N UNI75_IlP EA_ _ <br /> LAVATORV WASM B�SIN BOILER$-11 P_EA _ � r. <br /> SMOWER GASFlNEDAC UNITS—TONNAGEEn. o N <br /> NIiCHEN SINKQ DISP. FORCED AIR SY3TEIAS—B 1.0 M EA _ � � <br /> OISMWl1$HER WALI.NEATGRS—B.T.0 M _ <br /> UUNORY TRAV UNIi NEnTERS—B T U. M <br /> _ CLOTHES WASNEi1 _ EVAPORATIVE COOLERS _ . � <br /> WA�ER MEATER CLOTHES DRYCAS <br /> URINAL VENIILATION fAN __ _ <br /> DRINNING FOUNTAIN RANGE HOOD ___ � <br /> FLOOR DRAIN � A��HANDLING UHI7— L F M <br /> V�CUUM BREAKERS _ 510VE_ __ _._ <br /> ROOF URAINS—RAINLE��Ef75 METAL FIREPLAC[d CHIh1NEY ___ __ � <br /> SINK SERVICE—BAR,ETC. WOOOSTOVbfIREPL�CE INSERT ____ _ y <br /> i y�o��uRN�se •� �� <br /> --- -- - � <br /> H <br /> — _ � <br /> 6UlTOTAL __SVOTOTAL __ , f _ <br /> PEIIMIT 3 PEPMIT f <br /> TOTAL FEE � _____ TOTAI FEE ___ t _ —U <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEI <br /> fRONISRB�CN AEARSE1B�f.R S�DESEIBACN �'UNL111:GNNIIMOLR �K������«K�« <br /> re[ m�cu,i��n <br /> USELONE LOt�RE� yeC�N�Si�E <br /> FEES V�WPtION fEE <br /> ❑YES ONO -- -- <br /> iYPEO(COHST. OCCUP�NGYGROUP NOOfDWEllIN6UNi15 _ <br /> Bl1ILUING S � <br /> SiZE Of B�-0G NO.OF 510PIES IAeS OCG.L0�0 <br /> PLUMOING <br /> MCCHI.NICRL ) Jy <br /> FIqE SPRINKLERS REOUIFED ❑ VES ❑NO - - <br /> OiHE�i <br /> PEN4lTV <br /> •PPIIC�t10N�CC BY OL�H$GHEC1c[DBY �PPR fOR155li�NL[PY --- - — --- — <br /> ror�i _. -- ------- --�-7 J O <br />