Laserfiche WebLink
t .PPLICATION FO1. � C II ��cretl <br /> fMErup�Nn CONSTRUCT�ON � <br /> Gltt OF � <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION G COMBINATION ❑ BUILDING L�MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ��yH�q unitaooness r.in� z�r c��oue <br /> a.M�-lektnDl� �19- Z��i� ��!-. C-��� ,��-��'C'U� 7_J2-��� cJCP <br /> nnumeau��rsirHen Mnn.nnoncs, cnr zu� m�or¢ — <br /> .lNOInLfANiflnGlOfl I.Inll AfRIItF.tiS C��v lll' I iONf UCI.NGF• <br /> MECIIANIf.4L CONIIInf,lO�r� /� �C' AI�I�IOR� ����Q ry� CII�� ����1� _����'��� L����� <br /> 4 l � � tl � <br /> PWMAIN.COY.I �110� �` RIAILaDDPE55 GIY LP I'HONE LiCENSE• <br /> CUSSOi'WORv <br /> ❑ NEW ❑ ADDI�ION AL7[RATION ❑ F7EPAIII ❑ DEMOLITION ❑ N/pODSTOVE/FRPL.INSER7 ❑ BUILDING RELOCAiIOM <br /> vµu/•t�onorworav.�Cos�orniat inl.s��� ��.no�L <br /> �fSCllipt WURK <br /> �n��l���. �-u1�,r�r�, c� � �E�9z b�e� �v- — <br /> � use oCr����i—on�c^—� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> `JI "_ PLICATIONANDKNOWTHESP.METOBETRUEANDCORRECT.ALL <br /> LEGAL�ESCRIPIIOY.OfPPOPERIY�SNON'NOELOWORPiIACHlOI/RCOPI![Si PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILI BE COMPLETED WITH WHETHER SPECIFIED HERE- <br /> ioi_e�oc�—or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO . <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY O7 FiER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. . <br /> sicnnr�ntorcor�r�ncwrionn tuoiazeonc[Hr nn�E � '� � � <br /> ) i <br /> �1,C��� " ��� \ r�l/)" ���'�� �� �'J <br /> ' PROJECI�D�RE55 FfTLI:RNfSLIrvBOSINE 'LiCFItiENp <br /> �lg - 2�� � <br /> PLUMBING MECHANICAL . <br /> NO. TYPE OF F�XTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WAiEN CL05ET(TOILET� A/C—EiHNOLG UNITS—H.P. , <br /> BATH?UB REFRIGERATION UNITS—HP.EA. �, <br /> LhVATORVIWASMBASW� � BOILERS—B.TL./HP. i �pti <br /> SNOWER GAS FIRED A.C.UNITS—B.T.U. ��' <br /> KITCHEN SINK A DISP. FOflCED Alii SYSTEMS—B.T.U. M EA. ; 'i�C <br /> DISHWASHEH WALLHEATERS—B.T.U. M � <br /> _ LAUNORYTRAV UNITHEATERS—O.TU. M i <br /> CIOTHES WASHER EVAPORATIVE CUOLERS � <br /> UfiINPL • CLOTHESDFYEf75 ! ' <br /> URINHING FOUNTAIN VENTILATION FAN I <br /> - FLOOFDRAIN RANGEHOOD <br /> BACKfIOW PREVENTERS WATERHEATER . . <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAF.ETC.) METAI FIREPL4CE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> NEATPUMP <br /> . GAS PIPING <br /> E%HAUSTFAN <br /> . I <br /> SUBTOTAL f SUBTOTAL �. . <br /> PERMIT f PEHMIT <br /> TOTAL FEE f TOTAL FEE �� <br /> NiONi SEtOnf.✓ REnR SEIpPCK 5��[SEiOaf,K � �'L�N CHECK NUM9ER FEE PECEIPT NO. <br /> usezor+e �oranen ypCAN(SR[ FEES VALUATION FEE <br /> ❑VES ]NO <br /> BUILDING S <br /> fYPEO�CON51 OCCUPRNCYGROUF l�O.OFDWFIUNGUNIiS <br /> PLUMflING <br /> SiE[O�'PI pG NO Of StORIES Mn%.00C IOAD <br /> MECHl1NICAL <br /> OTMER <br /> FIFE SPRIN��.LERS REDUIRED ❑ YES � NO STATE BUiLDING SURCHAfiGE <br /> S7ATEENERGYSURCHnRGE <br /> /•VVIIC+�ION ACf, [3v PLM1NSCIIECNED OY /PCR fOR ISSIIRNGE BY <br /> Pl1BLIC WORKS <br /> I <br /> TOTAL <br /> i <br /> PROPF.RTYOWNERSARERESPONSIBLEFORDETERMININGALL � - <br /> PROPERTY LINE LOCA710NS AND RELATED EASEMENTS. <br />