Laserfiche WebLink
APPLICATION fOR <br /> `"'`��°"'� CONSTRUCTION �e <br /> ��n o. <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259-BBtO TO BE COMPLETED IN INK - PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ,�w�,�a � �..�„�,�,�,�v, ,,,, ,�� <br /> n rnoq� <br /> i1L l�l9lG'E /1�.�7—/C�U� ��Lv, FcF,c'FTT ' 11 I� _ �( "•�� <br /> u�r�ort���u�v���,an� M+�� .noNrss ,n. ''�:��� � — <br /> �Nn�ri <br /> GlycnLLt�JNnuCran Mu� �nrinE55 i . 1iP �nuNt iictYSl . <br /> �flte�.E,�. <br /> .n i�u.,�-..� cnH+r,.�inq .n.n enoncss u�r rin rv�oNi irt,rNsi� . <br /> VLIIMfl�qqCpNlRCiIJB Mb� 1pOP(55 i..lr hl' P�WNF lulr6� . <br /> u nss o.wonr <br /> ❑ NEW � ADDITION ❑ ALTERATION ❑ HEPAIR ❑ DEMOIITION ❑ WOOOS70VE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> ..in.noNOjwua. cOSinrr,uqau�tir�u5��flnR� — <br /> '/�f� l�J <br /> �i <br /> Uf5CR�tlL WJRn <br /> ADD%�✓b r�c,t� P lf .P <br /> Wf O�fli:ilOrNG <br /> 1 HEREBV CERTIFV THAT I HAVE READ AND EKAMINED THIS AP� <br /> DFCK� � � PLICATIONAN�KNOWTHESAMETOBETRUEANDCORRECT ALL <br /> ���-�+�nesrairno�+n�ono�� r�sr�owHeetowon�rtec�rouncowes• pqOVISION50FLAW5ANDORDINANCESGOVERNINGTHISTVPE <br /> GA�,�-u� �ST{�TE� OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE <br /> n���einc��r �.-- INORNOT THEGRANTINGOFAPERMITDOESNOTPR[SUMETO <br /> GIVE AUTHOFITV TO VIOLATE OR CANCEL THE PROVISIONS O� <br /> ANVOTHER S7ATE OR LOCAL LAW HEGULATING CONSTRUCTION <br /> OR TNE PERFORMANCE OF CONSTRUCTION. o <br /> sGNnrunrnrcnr�n�nr,rr;aunnuninn�tronctHr t��me e7 '���'� <br /> X =L�i�/'/ T'v� L (fJ - <br /> i�H'�IL t I�pflHkSti •PI+I if1H�5 f,ItV PVSINI SS 1 ti!N•if Nf� <br /> � — C�c�r�'.S �r� <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE Of FIIITURE OR ITEM FEE NO. TVPE OF EOUIVMENT FEE <br /> W�TER CLOSET ITOILET� A-G -4�HNOLC UNITS-N P <br /> BATMTl1B REfPifERATION UNIT$-li P EA <br /> UVATORV IWASN B�SINI BOILEAS-B T U�H P <br /> $MOWER (pA5 FIREO A C UNIT$-B T U <br /> NITCHEN SINK 6 OISP FOPCED AIP SYSTEMS-B T U M EA <br /> DISMWASMEH WALt MEA7EF5-B T U M <br /> � LAUNDFY TRAY UNIT HEATERS-B T U M <br /> CLOTHES WASMER EVPPORATIVE COOIERS <br /> URINAI. CLOiHES�FVF.RS <br /> DRMKING FpI/NTAIN VENTIIATION FAN <br /> FLOOR ORAIN PANfE HOOD <br /> BACNFLOW PREVENTEH$ W��ERMEATER <br /> ROOF OR�INS-R�IN�EADERS WO00 STOVE <br /> SINR ISERVICE-BAR.ETC I META�FlREPUCE 6 CHIMNE� <br /> FIqEPIACE INSERT <br /> HEATPUMP <br /> OAS PIPING <br /> E%Hr1U5T FAN <br /> /U!tOTAL t !U!TOUL <br /> PERMIT 3 PCRMIf <br /> ♦0T111 FEE f TOT�L F[f <br /> �����a�tiFr � ✓LAN�MEC NUMBEH FEE. RECEIPTNO <br /> P���� RF�A�F�B�Gr SIOESfiB�CK �� ( <br /> /�� �'� ��'(�..�' ' �� `�<<' __ < �('r C�'� _ <br /> ���tn,.�e w�•nt• ����y� �� FEES VALUATION FEE <br /> ..�J f �i�a�S �f� y4a 8 :JrES o BUILDING $G'�F�� L L/l/ <br /> '���L ���S� nCfiIMNCvGR9�P NOO OWKLM���HRS <br /> N r J �b PIUMBING <br /> 1If UI h Dti�1 Nq Ui S�OPiES M�� OG; �O�p <br /> .'PT i0�'� .4�'I'• � .. / A MECH�NICAL <br /> •V /T <br /> OTHER <br /> fIRE SPRINNLERS HEOUIRED ❑ YES NO c <br /> STATE BUILOING SURCHAFGE � <br /> STRTEENERGYSURCHARGE <br /> -��'i�� :r���',�',:� N. �V 1iCNECnEDB� �vvn �pPi95u�NCtBr <br /> PUBLIG WORKS <br /> ;4,-t�l I✓'- L •� ' ?OTAL �j�,J <br /> PROPEAIV OWNERS ARE NESPONSIBI E FOR DETERMINING ALL <br /> PROPER�VIINELOCATIONSAN�REIATEDEASEMENTS <br />