Laserfiche WebLink
i-.PPUCA�TION FOl.�' e��«„ <br /> fns Ewr9��^ CO N ST R U CT I O N 0 <br /> ��r.a. <br /> everett PERMIT <br /> TO BE COMPLETED IN BLACK INK- PLEASE PRINT <br /> BUILDING DEPT. <br /> 259•8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> 01YHER M�IL�OOPE55 GITY 21P P110N[ <br /> Ir,n;�tl3�� �ora.v �zz7 w�r un� e_ Fv�.,�'��i v�'�sN .�s y -�yf 3 <br /> �nuuircronoe <br /> �r+en u�a�ooa[ss citt av r��orvE <br /> .�_' <br /> �----� <br /> G[NEML CON111A�fOR <br /> MAILAOURE55 CIIY IIP PIIONC UCENS[• <br /> "-- M�II��OPESS Clrv ZiV P��OrvE LIL[��S[• <br /> lIEGI�NIG�I CONiP�Lt08 <br /> ^� �� <br /> ��Ty I�p PIIONE LICENSE• <br /> 1`LUMBINOCONiPeCtOP M�ILAOORE59 <br /> CLP55 Of\YOPN � <br /> ❑ NEW ❑ ADDIiION ❑ ALTERATION � REPAIR ❑ DEMOLITION ❑ WOODSTO\'E/FRPL.INSER7 ❑ BUI�DING RELOCAiION H <br /> VAIUAIIONOfWO�KIGO510f1AA1CNALSPLU L�80R� � <br /> � lf���� /t�-��.���l � I a n <br /> � Z c�t�� , � T„nl�� bc��,s uNnc�� S � S f vd <br /> ocscniet wonK �C/ c-('_.. /%�(���'.`} OS'-5 ��f{0 U ��! X S <br /> c.eNcReT <<-ii�' . CC � T� 3�e[ � nse•�e.n:r w L <br /> useorewiou+a Ya �G i.�r'���G.O A S �� � ��'-���T'���� I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS AP• <br /> CL� S/�' � �+�� LICATIONANDKNOWTFIE��METOBETRUEANDCORRECT.ALL y � <br /> l@KOE3CRIPTONOFFPOPEPt 6wOWNBELO ORATT�CNFOURCOPiES� ��ROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OFWORKWILLBECOMPLEIEDWITHWNETHERSPECIFIEDHERE- �� � <br /> ioi—eioc�—oF INORNOT.THEGRANTINGOFAPERMITDOESNOTPRESUMETO_ � <br /> �/ I v �O � GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY JTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION � <br /> ! � OR THE PERFORMANCE OF CONSTRUCTION, y <br /> /� � /.� �"(� SIGNRTUREOFCONiRRCiOR0�4UTHORIZEDAGENt D�IE d <br /> 1 L J <br /> X � c �� � � <br /> �PPLiC 5 IIVBUS ESS�iCEN5EN0. / � "� Z <br /> PpO�ELt�DD�E55 � � y <br /> oZ 7 � s <br /> � <br /> MECHANICAI — y <br /> i PLUMBINO FEE � <br /> Np, TYPE OF FI%TURE FEE N0. TVPE OF EOUIPMENT � <br /> WATER CLOSET(TOILE A�A COND.UNITS-H.P.EA. -- � <br /> BATHTUB REFRIGERATION UNITS-N.P.EA. _ � <br /> LAVATORY 1 WASN BAS�M BOILEPS-H.P.EA. _ N <br /> GAS FIRED AC.UNITS-TONNRGE EA _ N <br />' SHOWER � r <br /> KIiCHEN SINK 6 OISP. FORCED A�R SYSTEMS-B.T.U. M EA. f� <br /> OISHWASNER H'A��HEA�ERS-B.T.U. M <br /> ��UNORYTRAV UNIiHEATERS-B.T.U. M . � <br />� CL0IHESWPSHER EVAPORATIVECOOLEPS _ — <br /> WATER HEATER CLOTHES PRYEPS — <br /> - VENTILATION FAN — <br /> URINAL r] <br /> ORINI(INCa FOUNTAIN RANGE NOOD - Z <br />� FWOpORAIN AIRHANDLINGUNIT- GF.M. - Z <br />� VACUUM BREANERS SiOVE - � <br /> ROOF URAINS-RAINLEADERS METAL FIf7EPl ACE 6 CHIMNEY —�- <br />� — WOODSTOVE/PiREPLACEINSERT — � <br />, SINN SERVICE-BnR.ETC. z <br /> 1 -- a <br />( — A <br /> I -- � <br /> SUBTOTAL SUBTOTAL s <br />� — PEPMIT t PERMIT f — <br /> I _ T0T11LFEE ! TOTALFEE s <br /> THIS PORTIt�N TO BE COMPLETED BY BUILDING DEPT. f'ERSONNEL —_ <br />� pL�NGB[GHNUMOER — PL�NGIICCNlE[ <br /> fnpNi5E1BSCK PEnR SLiB�CN SI�ESE1BeCN <br /> iEE n[C[in1N0 <br /> USE20NE LO���E� y�CPNi511E FEES V�W�TiON FEE <br /> OVES ONO <br /> tYP[OfCONSf OCCI11'AN:YGROUi' NO.OFOWELLINOUN119 --- <br /> B111L01N0 S � � <br /> 5�2[O�OlD6 NOOf510RIE5 M�%OCGl0�0 <br /> PLUMBINQ <br /> MBCII�NICRL ___ <br /> FIRE SPRINKLERS REOUIRED ❑YES ❑NO O1NEn <br /> PEN�LIY <br /> APRIC/.�IONACGOY PUNSGBECNEOBY �PPR.fORI55U�Nf.[!IY <br /> TOTAL _ <br />