Laserfiche WebLink
��i�1PPLICATIOf� FCi1 everetl ' <br /> '".E",°'"° CONSTRUCTION e � <br /> arr oF <br />� everett PERMiT <br /> TO BE COMPLETED IN BLACK INK- PLEASE PRINT <br /> BUILDING DEPT. � <br /> 259-8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUM�ING � SIGN � <br /> pWNEfl MRILADDNES$ CIIY ZIP �'��O��C <br /> �'r�FF��R� s,oiCr�s- {n/G ;� �.�sr t���f�=r� :'�'"� _ � <br /> �RCMRECTOFUESIGN R '/ y!ILAC ,E55 C'I/IY ZtP �'MOpC <br /> -�Q/1J,F'1'Ntiii=ST NrCN £/�/v9.S',�C �N�-. �iS�=��N.�i l�'�',��.��✓O %,rr�_.3 ��.�-�:�:,�n . <br /> GENEMI CONTRACTOR AIM:�DORESS d�V )Iv PI�Ot1L LI�FNSE� �� <br /> / I( (/ r� � I/ <br /> ll �� R l f / �.�,1/�/�!/�r, �'J r07- , <br /> MEGH�NICAL GONTRACIOH M�IL��ONE55 Cliv LP FHONE LICENSE• <br /> PItIMB�NGCONiRAG10R M�IL��DFESS CItY IIP P��ONE L�CENSE• <br />, r,•a,350i WONK , <br /> � NEW ❑ AD�ITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSEfiT ❑ BUILGING RELOCATION <br /> z <br /> i V�LU��IOHOFWORN�COSTOFMRTEFIALSVWS�ABORi w� � � <br /> [�'f�V� / � <br /> n i <br /> ' .,.aw�..—. — . - m <br /> uJ"%f�L.�- EGF_CT�/f /�OLi? Silr/J <br /> �. .., <br /> i U':r�•rAWI�W�i <br /> I HEREBY CERTIFY THAT I HAVE HEAL� AND EXAMItdED TtIIS AP• -'� T� <br /> PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL ,..., � � <br /> LEG�L�ESCRiPT10NOFPPOPERTYISNOWNBECOWOPATTRCNFOURGOPIE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE � _ <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED fiERE• m <br /> 0 <br /> �or_e�oc�_oF IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO c o <br /> GIVE AUTHORITY TO VI6LATE OR CANCEL THE PROVISIONS OF m n �� <br />, ANYOTHERSTATEORLOCALLAWFEGULATINGCONS7AUCTION o3 <br /> OR THE PERFORMANCE OF CONSTRUCTIOM. <br /> i SIGNAiOREOFC N1fiAfTORORAU.H011V.@OAG[Ni DAIE i0•"3�-pS! 2� <br /> m <br /> .� <br /> X � i AZ <br /> C <br /> �. n -a <br /> pROJECiApORE55 J A44'L�CANi>CtIYpU5�trt55lIL[NtiE110 r S <br /> 1--� 1-w <br />� //03/ /�' � � - �r�`/ _ �� <br /> -„ <br /> MBING _ MECHANICAL ___ _-- � D <br />� NO. PEOFFI7RUHE--- FEE NU. TYPE OF EOUIPMENT FEE _ <br />' WATEFCLO`+ET�TWLEn nIRCOND. UNITo_'aP.EA. _ _ Sm <br /> BATHTUB REFRIGERATIO'J UNrtS=M-P EA. _ m � <br /> N i <br /> LAVATORYIN'ASH BASIN) _ BOILEP.S_H_P.EA __ _ � <br /> or <br /> i SHOWER GAS FIRED AC. UNITS-TONNnGE EA _ n m <br /> FORCED AIH SYSiFMS-B i.U. M EA. 3 V� <br /> KITCMENSINK6DISP. -- — <br /> DISMWASHER WALLHCATER3=0.TL. 61 _ 2 C� <br />� LAUNDRYTRAV UNITHEATERS-�TU. M_ _ .i �r*t <br /> CLOTHE$WASHER _EVAPORAiIVE COOLERS_________ _ ._ n <br /> A <br /> WATF.R HEATER _ CLOTHES DiiYERS — � <br />' UHII�\L VENTILATION I'AN _ _�� <br /> D <br /> DRINHING FOUN7AIN RANGE HOOD — Z <br /> FLGOR DRAIN _ AIR NANDLIt�G.UNII- C F�d ___ _, _ . <br /> r VACUUM BREAKERS STOVE _ — - "" <br />�� MEiAL FlREPL�CE 8 CMIIANEV � <br /> ROOf DRAINS-RAINLEADERS - <br />� SINK SERVICE-BAR.ETC. WOODSTOVE/FIREPLACE INSERi _ __ Z <br /> O <br /> ' _ ,-i <br />. __ � <br /> i n <br /> ---- m <br />� — — ----- -- — <br />� SUBTOTAL ____SUBTOTPL _____,S <br />� PL"RMIT f --- _'_'_PERMIT __ S _ <br /> TOTAL FEE 3 ___ _____ _ T�TAL FEE _ f <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />� LRO4i SELp4G1( REAB SEi9ACN $�OE SEiBACN P�AN G�FCM tlU41HLR �'LF1!G�EGN fl.0 <br /> I fE[ HLCE��LNO <br />� <br /> USE20NE LOT�RE� YTf�NlSiLE V�LURT�ON FEE <br /> FEES <br />' ❑VES UNO <br /> i TYPEOFCONSi. O�CUPRNLYGROUP NO.OFON'ELL�NGUNIIS __ _ _ <br /> ❑UILDING S <br /> SiZE OF BLOG. NO.OG S10R1E5 MA%.OCQ lOAD '-- <br /> PLUMOING <br /> �IGCNAHICAL <br /> FIRE SPRINKLERS REOUIPED �YES ❑ NO <br /> OtHER <br /> PENAUY � <br /> APPLICAiION�CQBV PLPNSCMECNEDDY �P�� fORI55U GF�O� -- ��, <br /> ��.t�, rora� ----r-- -- — . <br /> � ---- � <br /> � ; <br /> ;,� --- <br /> , ., � : <br /> � - �l(�(�.,�, <�e:� 7i.'nF'�'r� i <br /> �/f�?�S - j <br />