Laserfiche WebLink
r <br />AMICATION FOR`:.:; <br />BVP�IIFII <br />' <br />CONSTRUCT10" <br />Cl"rpnen <br />GTY OF <br />everett <br />PERWT <br />BUILDING DEPARTMENT <br />TO BE COMPLETED IN INK - Ft -EASE PRINT <br />259-8810 <br />0 DEMOLITION o COMBINATION ❑ BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />❑ SIGN <br />r.1n11 nbUllEsfi C.TV IN. <br />O11NEn <br />AUT90PIfY 140I popL4K EVrm--cr °1 Zol <br />PIIONE <br />-L•58-9z22 <br />6veaeTT 1ADLISMd <br />Anc1INEc1 OR DLSIGfIFT <br />MAIL Aoontss CITY rn, ee <br />"'D2 p MITT 5 UITE �� GT/ER.EIT "IOZOI <br />room. <br />L5q-31(o1 <br />3%(' <br />DY9F 1iAA,Q AW U11FCf 1 <br />( . !II' <br />1'PUNf <br />GENE MLCON nJApOn <br />MAI1. nUIJI1LSS <br />U0j 8 — /3`�tKQ A/f hP VN-10 &J r1 9PQu <br />S' �J-Ji-60C7 <br />%'PUnNf <br />DCrV SC1L&ERG <br />A. <br />I ..1 1 e <br />M![JUrnf.A1 cO111Mr,T9n <br />MAIL ADORL..9 <br />I` ^ <br />QU <br />-T <br />— <br />env LI{' <br />1'l Il1NE <br />- l <br />"if I'll <br />CLASS OF WORN <br />❑ NEW ❑ ADDITIUN )(ALTERATION ❑ nEPAIR ❑ 0EM01.1110N ❑ WOODSTOVEJFnPL.IN.. BUILDING ItELOCA710F1 <br />YALUANONOF YrORA,EOST GF l41 LI4111- 1I EIJS LAOOiO <br /># gvj 000100 — <br />DE/. rW VIMI(L SIDINCa , uEW CAN'•yoy-H� CaU �TERS # F.IEVJ ExT. DooRS <br />DIM <br />nJD <br />LOT — <br />Iq2 <br />PLUMBING <br />WATER CLOD <br />BATHTUB <br />LAVATORY IWASH BASIN) <br />KITCHEN SINK A DISP <br />LAUNDRY TRAY <br />CLOTHES WASHEn <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOn DRAIN <br />—,BAR. ETC I <br />SUB TOTAL <br />PE I11 <br />TOTAL FEE <br />TPUNI SEID•b^ <br />USE LONE <br />I <br />I", Of CONST <br />S,LE Or BLDG <br />FIRE SPRINKLER; <br />i <br />APPLICAIIOIIA.0 By <br />IA <br />i I <br />I HEREBY CERTIFY TIIAT I HAVE READ AND EXAMINED "HUS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL. <br />AHAculouncunNs PROVISIONS OF LAWS AND ORDINANCES COVE RNING TII IS TYPE <br />OF WORK WILL BE COMPLETED WITH WHETI IER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES 140.1. PRESUME TO <br />GIVE AUTHOPITY TO VIOLATE OR CANCEL THE PROVISIONS 017 <br />OTHERANY OR THE PERFORMANCE OOF CONSTRUCTION. <br />NG CONSTRUCTION <br />SIGtIA1LIPEOr C(1IN1IACIGIIOn AURIOnIzm AGENT Onlr 2T•l9•b13 <br />ra> <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT <br />—�--- <br />qrC - A4INDLG UNITS —H P. <br />ITEFnIGERATION UNITS — HP EA. <br />BOILEIIS — O. T.0 IN P. <br />_GAS FIRED AC. UNITS — 0.T U. <br />FORCED NR SVSI ELI I — 0 T <br />Vlgll HEATERS — 0 T.U. M <br />CA <br />lulIT HEATER5—O.T U. M <br />1 VAPOIIATIVE COOLERS <br />I;LO THES OnYERS <br />`JENTILATION FAN <br />RANGE HOOD <br />WATEn HEATER <br />WOOD STOVE <br />METAL FIREPLACE N CHIMNEY <br />FInEPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />-- SUB TOTAL 'I <br />f <br />—EnMIT TI <br />f <br />TOTAL FEE _ fI <br />f <br />SIDE 3[IOAGn <br />PLAN CHECK NUMBER FEEZ RECEIPT NO. <br />p- <br />o <br />� <br />FEES VALUATION FEE <br />VACANT SITL <br />S <br />LIVES UNO <br />BUILDING <br />IP NO. OF UWLLUNG UNITS <br />PLUMBING <br />MAX GCC LOAD <br />MECHANICAL <br />OTHER —�.-- <br />STATE BUILDING SURCHARGE <br />3 NO _ <br />—�— <br />STATE ENERGY SURCHAnGE- <br />BY APpll foil ISSUANCE By PU8LICWORKS <br />IL) <br />TOTAL <br />ALL <br />LINE AND NnELAI ED EASEMENTS - <br />PROPERTY LOCAIONS <br />