Laserfiche WebLink
�'pPLICATION FOk'' ��«<n <br /> I�e Everpree^ CO N ST R U CT 1 O N e <br /> cirv aF <br /> everett PERMIT <br /> TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br /> BUILDING DEPT. ���LDING lJ NIECHANICAL ❑ PLUMBING ❑ SIGN <br /> 259•8745 ❑ COMBINATION riwr+e <br /> 21P/'� (� <br /> MPR4�DPE55 rCItV � ( /L�Z�D �SV�O� � f <br /> owvcn i7i�1 �� I 0„ � ' � <br /> � T 1�I �� �i cin z r ri or�e <br /> �, <br /> qnW11IEG1 OR�ES�GNCR <br /> M�L AoonEs9 <br /> ! ' ) LIC[1bE• <br /> MAIL�O�RE55 /Gltt v/./ iIP ���0 PI�QR�C)�JV��q <br /> cu¢nn�cornnncron _ � 9026 .��� . 1 _ <br /> U = C Y�I" U <br /> �7. /• . , ✓ /V� zir a�wr�c uceuse. <br /> � L., a�v <br /> Mnit�ooness � (` �'�S�-Z� ��[�-Q�Z'Z <br /> M[Gu11iCaL COM R�CiOB l <br /> �� `�� ee:� )�F'�c Q ?�111 �'�1"(�� i.�� �cnr ie��c S ziv r or�e L�CENSE• <br /> � Mui eooness <br /> rwuoi�ac n�n�c�on <br /> �-� , <br /> cuss or wonK <br /> ❑ NEW ❑ ��DITION �AITERAt�ON ❑ REPAIR ❑ DEMO�ITION ❑ VdOODS70VE/FRPL.INSERi ❑ BUILDING RELOCATIO <br /> vni.up io�+orwooi�?�naarenuisPiusuooni <br /> 1 �� � � � I � <br /> uc,cmoc pwo K (� (�'.r� � <br /> IC IYIUrL'-C� I �OC� 1 V 1C �� C�L1Cf� <br /> uscorow�oum 1 1 HEREBY CERTIFY AT I H�VE READ AN EXAMINED TNIS AP• <br /> I��I� �,� "`� `���t PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECi.ALL <br /> �ccn�o[scnirn uorvno�_mris��oweoao� OIIRi1PLNF0URGOPIES� ORW�R�W��BECOMPLET�EDWI INWHETH�ERSPECFIEDHERE- <br /> IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> ioi_o�oc�—or GIVE AUTIiOaITY TO VIOLATE OR CANCEI THE PROVISIONS O� <br /> pp 7�HT pERFORMAONCE OF CO STRUCTIONNG CONSTRUCTION <br /> SIGNATURE OF GON111AC70R OR AUi110RIZE0�GENI OAIE <br /> X -� �� .A i: ,/.lD�,�L{Z �3�37av�- <br /> APPUCAN f5 CILY BIl5�NE5S LIGENSE N0. <br /> vnoJ[ctnoo�EsS <br /> �,� w����� �J MECHANICAL <br /> PLUMBINO FEE NO. <br /> T`/PE OF EOUIPMENT FEE <br /> NO. TYPE OF FIXTUPE -- p�q�pND.UNIiS-N.P.EA. �--- <br /> WA7ERCLOSFT�IOILEn � qEFRIGERATIONUNITS-H.P.EA. <br /> ' BA7HTUB BOILERS-H.P.EA. <br /> ' LAVATORY(WASII�ASIN� � GAS FIRED A.C.UNIiS-TONNAGE EA <br /> ' SlIOWER FORC[DAIRSYSIEMS-B.T.U. MEA. — <br /> KITCHEN SINK 8 OISP. y�rp���IEAi____ERS-9�T��� M <br /> � DISIIW�SHER UNIT HEATE____�5_B,t.��M <br /> LAUNDfiY TR4Y � EVAPORAiIVE COOLERS <br /> � CL�iIlES W�SN[(7 �LOIHES ORYERS — <br /> � WNERNEN[R yENTILAiIONFAN�— <br /> � URI1JAl. f1ANGE HOOD <br /> . UP�NKING FOUNIARJ � p�q qANOLING UNIT- C.EM. <br /> � FIOOR DRAIN STOVE <br /> VALUUM BREAKGIiS — � METp�PIR[PLACE 8 CHIIdNEY � <br /> ROOF ORNNS_RAINLEADEfiS � WOODSTOVE/FIREPLACE INSERT � <br /> � SI'JK SERVICE-��R E7C. "-- <br /> SUBTOTAL s — <br /> - SUATOTAL PERMI� <br /> PERMIT s — TOiALFEE s <br /> ,. --—TO1'ALFKE s <br /> ' THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> . PIA�!GII[CH f EC <br /> ' PLPNCHEGNNUMDEq n �E EipIN p <br /> fPONi5E10AGN Rl��^J[,OA�S�DESEtOACN ��// I�� FEE�� 1� �.q )� <br /> A/ W �4_ <br /> 'V FE[5 VAl11AtION FEE <br /> US[101J�. LOf APU VAC�Nf SitE _�� <br /> K' A/'�. OYES�NO <br /> .� �---- <br /> � occurnu rcnoun NO.OFOWElLINOUNIiS ^� <br /> tvrett��rcarvsi. � s�(��•-�• �[.7+�_ <br /> � 'T7r/ /�� �y OUILDINO <br /> ,[•• �T MIX.00C.LOA� <br /> ' S12COfOL06 NO.Of5i0�i[5 , �' � , PWM�INO <br /> �.' � � � MECHANICAL <br /> -� FIRE SPf71NKLERS REOUIRED O YES NO OTHER <br /> . PENAITY �-�- <br /> PL�NSGIIE.HEOOY APPN.FO�ISSURNCEOY r D C <br /> �PPUCI110��A�C.DY TOTAL <br /> ,sT� � L . c — <br /> � <br />