Laserfiche WebLink
p E�,� �t�PPLICATION FO�.' �Y�,�M <br /> everett CONPERMI TION 0 <br /> BUILDING DEPARTMENT <br /> 259•8745 TO BE COM� LETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBiNATION �iBUILDING ❑MECHANICAL ❑ PI.JMBINfi ❑g�pN <br /> JWHE M�IL�DDRE�D LI� ZIP��'^� PMON� ��/O7O <br /> ER�'T ��• e� 6�' �✓�aeE � Tr ; <br /> RCMTECTORDES NER UDOPE99 • Cltt ZIP K, pN NE <br /> �VG�fissoc. i,�z S'`' ,q�/r ,�/ `t�xrf'cE 9�io9 �i-�o3o <br /> IENEMLCOHTR/iCTOR MML�DORESS CITY '"73H-3dsP1ONE _ � �>. �¢H9E• <br /> �iPnn �n ro-.tc�ur�i��.. 7Nr PO. �.., i7n L3P/l�d�Lsr.i. /ri�� 7-E.y7�C T!7 <br /> •RMAHIC�LCOl�RTiOq M�ILAOORE9! GIIYI IIP PNOHE LICEN • <br /> 'LUMBINOCONTR�CTOR M�IL�OORE53 CRV 21P P��ONE LIGEHSE• <br /> :LAS9 OF N'ORR <br /> . ❑ NEW ❑ ADDITION �ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDINO REIOCRTION <br /> '�LU�TIOHOi 11RICO�f OF M�IERUL!PLU�I�SOR1 <br /> ��l 7�i DOO <br /> ESLPIBE WONN <br /> Ficc-:�/ goFiv �f� �tc�z r;u10E' of �xiJr�;. ,j J ,Q�/ �" ,. - <br /> � r.�i ,T <br /> ise or em�oiNa <br /> ��s,� �1.J I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> PLICATION AND KNOW THE SAME TO BE TRUEANDCORRECT.ALL <br /> � EO�LDESCPIPf1ONOFPqOPEPtY�9MOWN8ELOWOP�TT�GNFOURCOPlE31 pqOVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> � or_eioc�_ov �FWORKWILLBECOMPLETEDWITHWHETHERSPECIFIEDHERE- <br /> IN OR NOT.THE GRANTING OFA FERMITDOES NOT PRESUME TO <br /> r' GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANYOTHER STATE OR LOCAL LAW REdULATIN6CONSTRUCTION <br /> #' OR THE PERFORMANCE OF CONSTRUCTION. - <br /> SIONATUREOFCONTR�CTORORAJTNORIiEDAGENT OATE <br /> � X l�/'_ � 3� <br /> , ROJECT�DDRE,9I3'a��J� � �PPLIG�NT9CITVBU NESSL ENO. <br /> P� {'�G/i'��ifi <br /> 'LUMSINO MECHIINICAL <br /> NO. TYPE OF FIXTURE FEE NO. 7YPE OF EOUIPMENT FEE <br /> WATER CLOSET TOILE A�R COND.UNITS—H.P.EA. <br /> B�TMtUB qEFRIGERATtON UNITS—H.P.EA <br /> UV�TONV WABH BA9�N BOILERS—H.P.EA. <br /> SHOWER QAS FIRED AC.UNITS—TONNAGE EA <br /> NITCMEN SINKB DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> D19HW�SHEH WAIIHEATERS—B.T.U. M <br /> _ L�UNURV TRAY UNIT 1'E�iERS--B.T.U. M <br /> CLOTHES W�SHER EVAPOMTIVE COOLERS <br /> W�1ER HEAIER CIOTHES DRYERS <br /> URIN�L VENTILATION F�N <br /> � DRINKINQ FOUNTAIN fiANGE HOOD <br /> �t FLOOR DRAIN AIR HANOLING UNIT— GF.M. <br /> V�CUUM BREANERS STOVE <br /> ROOF DRAIN9—RAINLEADEFS METAL FlREPLRCE 6 CHIMNEY <br /> SINN 9ERVICE—BAR,ETC. WOODSTO"E/FIqEPLACE INSERT <br /> 9U8 TOTAL BUB TOTIIL � � <br /> PEPMIT f PERMIT � <br /> _ TOTALFEE � TOTALFEE � <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> IONi 4ElBeLN pEAR SE:4�LN SIOE SEI9ALK PUN LNEGN NUMBER - VL�N CNECK iEE (� <br /> -- N.A • —J C�� � � � FEE I �S I �Z AECEIPT N0 }y/C/ / <br /> iE20N�� LOTARE� J v /(y {p <br /> ".� �•�. V�CANT$ilE <br /> �V OYES}jN0 FEE6 V11W11TION FEE <br /> PEOFCONST OCCJPANCYGPOUP NO.OFDWELLIN�UNITS - <br /> �' I NR, P:.L O ew�niNa = 70 UGD`� / d- SO <br /> tE Oi BLDO. NO.Of s�pplE9 MA[.00C.l0�0 <br /> ?j S� 3 3o PLUMBIN6 <br /> MECHANICAL <br /> RE SPRINKLEFS REOUIRED ❑VES 24 NO <br /> JTHER <br /> PEN�LTY <br /> TLIC�IIpNACCBY PUNgCMECNEDBV �PPR.fpq155UANCEBY - <br /> TOT�L <br /> �-W� � JEF. L .c . ��� � <br />