Laserfiche WebLink
�.PPLICATION FO.= ��e,.„ <br />' ,".`".,°'"" CONSTRUCTION <br /> �,r� � <br /> everett PERMIT <br /> BUILDING DEPARTMENT TO BE COMRLETED IN INK- PLEASE PRINT <br /> 259•8745 <br /> ❑ DEMOLITION Ri rOMBINATION 6}BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> uWNEP-• M�Re00AE5S LITV ZIi' PHONE <br /> , � �v � �IX= y'��� '� 3 <�,3�s".�� <br /> �iit /cinu��Y lrJfc7i ;'..r� „v� S %C ?/'I/,� /� S � fdt <br /> �Pf.HIII C1 UN DLSIG11Efl <br /> M.111�00HE53 Ctt IIP PMON <br /> S JI IY�F. <br /> IiLNfN�I CONIP�GIOA M�II a00f1E55 CILY EIP PHONE LICFNSF• <br /> �� /�'/)��� [. 1F_S�u�f!'/5'01��/ <br /> �������Ni��� �nH�q�� MAILPOONE55 Cltv ZIP PHONE UCENSE• <br /> �;�) �/.f�'F,tIC �4��i�t'- 7"'Of�',Q,rA� f ��l/�l.�G>ctrU 9b'-I�'3 L �?' 9yI `/�ODE/�74L./ll'1 <br /> PlUN9�11�iWNiR�C�011 MAIL�UDNE59 GILY 21P PIIONE LICf SL <br /> .__. ; ��.UMi�I� 'r' � / 2Z -,j""� � llf`f/}'� '�s,3 -/ 7y5=�A 'y�3/1rzY <br /> CI�550 WONN <br /> �}'NEW ❑ AD�ITION ❑ ALTERATION ❑ P.EPAIR ❑ DEMOLITION L�YWOODSTOVE/FRPL.INSERT BUILDING RELOCATIOM <br /> \ WbONOf WOAMICOSIOf MAILB�PlSPLll5lA90111 <br /> ' '��Y U�-C� - <br /> oiscnio[ onx <br /> , .,� �'%6t/ :_ ii 'L�c i 1 ' �'C <br /> usr or emiou+u I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP� <br /> PLICATION AND KNOW THE SAMETO BE TRUE ANDCORRECT.AlL <br /> IfGAL0E5CR�P110NOFPROPEH1Y15NOWN�ELOWCRRITPCHFOURGOP�E51 PROVISION50FLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> �L' (l �N ST-I� �{���� �� OFWORKWILLBECOMPLETEDWITHWHETHERSPECIFIEDHERE• <br /> im{_�owc�-or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONu OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING C'JNSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUflE OF C�NTPAC H OR AUTHORIZEU AGENi OA7E <br /> /� <br /> X : � ,_� '�.� � �8� <br /> � � � <br /> PNUJEG��ODNE55 f �PFLI ANTSCIIY USINESSI�LEN5EN0 <br /> / C� �/ �' 7 �-( �ac'�.J � -� <br /> MECHANICAL _— <br /> PLUMBING --� FEE NO. TVPE OF EOUIPMENT FEE _ <br /> N�O}. TYPE OF FIXTURE _ , <br /> L. WATERClOSEi�TOILE➢ ('J� AIRCONUUNITS-MPyEA. __ �_ <br /> �L BATHTUB b REFRIGERATION UNITS-h P. EA. ____ <br /> LAVATORY�WASHBASIN� BOILERS-H.P.EA. _._ -- <br /> GAS PIREJ AC,UNITS-TONNA�5 EA -__ <br /> SNOWER <br /> KITCMEN SINK 6 DISP___ �O FORCED AIR SYSTEMS-B.T.U. M EA. <br /> I OISHWASHEP W �NFLLHEATEflS-B.T.U. M -_ <br /> LAUNDRYTRAV UNITHEATEHS-ET.U. M ,_ _ _-__ <br /> CLOTHF.S WASHER Lb EVAPORATIVE COOLERS . _-..-- - <br /> — — D CLOTHES DFYERG _--- b� <br /> WATEP HEATER <br /> " VENTlLATION FAN �U_ <br /> URINAL —� _ � <br /> DRINNING FOUNTAIH I RANGE HOOD -- <br /> AIR HANDLING UNIT- C.F.M. ___ --_ <br /> _ FLOOR DRAIN STOVE - -- <br /> VACUUM BREANERS <br /> ROOFDRAINS-RAINLEAUERS METAL��IFEPLACEB CHIMNEY - <br /> WOODSTOVE/FIREPLACE INSERT __.��J�- <br /> SINK�SERVICE-BAR.E1C.1 _ <br /> SUB TOTAL s G� 'S� <br /> Sl1B TOTAL f <br /> PEFMII' S _ PERMIT <br /> __— Q TOTALFEE s � �� <br /> TOTALFEE : �� <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL _ <br /> PLAN GNECN NUMBER PUN CHECh 1 EF <br /> iRUMS[IBACx �ILAntiCIBnCN SIPEFETB�CK nEC[iPfNO <br /> fE[ '? ^ <br /> ��-�- — <br /> u5L tONE �U�A���A VAC/NL SIiE FEES V�lW1��N FEE _ <br /> pYF.S ItNO <br /> IYVEO�f,ON51 Of.C11PPNGVG�OUP NOOFDWEIIINGIINItS _, -- ---7- <br /> BUIL�ING �'� z l� QQ._ <br /> 1;1![UI tlIDU ND UI tiIUlUES M0.%.Of,C.L�JAD ZO QQ <br /> PWM6ING ____ __ <br /> MECHANICpL � S� <br /> fiHE SPRINKLERS AEOUIREU I1 VLS ❑ NO �rM�R <br /> PENRLTY __ _ _ <br /> APPIIGRIIONAf.CBY 1'I.ANSCHECNEOBV •PPRFORISSO�NCfBY � � � L� lj-� <br /> TOTAL `�� <br /> � S <br /> V <br />