Laserfiche WebLink
,ME..,,,�� APPLICATION FOR <br /> ""°' CONPERMIT�ION °"°�'�"' <br /> everett <br /> BUILOING DEPAFTMFNT <br /> 259-s�as TO BE COMPLETED IN INK • pLE.4SE PRINT , <br /> ❑ DEMOLITION ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBIN(3 ❑ SIGN <br /> V����EA N�il�00RE55 CiM1 bP PI�ONE <br /> �0.r u � r� .i Ct,.rf'is � Y�7 - � UO �i ST• > l.d. �.�Krc f1' 9P1oy <br /> �Hp�rtECl Oq Uf ti ER M�q 1pOAk55 C rv IIP <br /> P��ONI <br /> G[NEP�L COrytq��tOF M,1rt�ppRF55 Ofv IIP P��ONE <br /> —��^ 1 p ` I � p ^ llf,t'NSf• <br /> �v � Aer � NsTl4a.I"r o �/�/U - F/QIh1Ay I� �V /d.lV 3 3`1P � �� / S�/��f�6 <br /> !C NC CON LOq M IApDNF55 Cin Z�P PIIOHE L�CENti� . <br /> �WMB�H.CONfR�C�OP M11L�DORESfi Cih 21P PIIOHE <br /> llClNSk • <br /> CL SOF WO N <br /> NEW �4DDITION ❑ ALTERATION G REPAIR ❑ DEMOLITION ❑ WOODSTOVE�FRPLJNSERT C� BUILDING RELOCATIOH <br /> W W�IION Oi Wpfu n nSi Of M�IERU�S PLUS I�BURi <br /> '� 2lo0G . >o <br /> OESf.qiBE WONK <br /> CCW Jr t ��,�c �j'a�yJ <br /> u5t Or BUR AG <br /> -- ---� �� ' �� I HEREBY CFRTIFY THAT I I�AVE READ AND E%AMINED THIS AP- <br /> ' "�r -�� PLICATIONANDKNOWTHESAIdETOBETRUEANDCORRFCT.ALL <br /> IEG�LDESCRiPbONOIP UPER1Y19��OWHBELOWOR111�CNi0URCOPiES� pqOVISIONSOFiAWSANDORD�NANCESOOVERNINGTF:iSTYPE <br /> � ' OF WORK WILL BE COMPLETEO V.ITH WHETHER SPEGfIED HER6 <br /> ����� ' �1OC1"—OL IN OR NOT. 1HE GRANTING OF A PERMIT DOES NO'PqESUME TO <br /> ��l �l��l :� OIVE AUTHORITV TO VIOLATG OR CANCEL THE PR0I�ISIONS OF <br /> ANV OTHER STATE OH LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTFUC710N. <br /> SioN�TURE or coNrnaCtop on eutronilco�crNr pa�F <br /> r <br /> Pao�ccr�ooncss ��' 'e� • -�'� ( <br /> ��PUC�N�SCrtYBU5iNE55 iCENSENU <br /> � � ��a" 1 It�� ��.1� ._;� ',� � � <br /> PLUMOINO MECHANICAL — <br /> NO. TYPE OF FUITURE FfE NO. TYPE OF EOUIPMENi —�— FEE <br /> WATFR CLOSET�TOILETI AIR C011D 11NITS-MP. E� <br /> B�TMTUB qEFpIGERAlION UNITS-M P EA � <br /> LAVATORV I�YASN BASIN� BOILERS-HP. EA. � <br /> , SHCWER O�SFIREDA.0 I1W!5-TONNAOEEA <br /> _ NITCHEN SINN 8 DISP. FORCED AIR S�STEMS-B T.U. M EA. <br /> _ 019NW�SHER WALLMEATERS-BT.0 M - <br /> , LAUNDRV iRAV UNIT HEATERS-B T U M <br /> CLOTMES WASMEN EV�PORATIVE COOLERS <br /> WATER HEATER CLOiHES DRYERS <br /> URIN�L VENTIlAT10N FAN <br /> _ DRINKINf3 FpUNTAIN R�NGE MOOD <br /> FLOOR DRAIN AIR MANDLING UNIT- C F.M. <br /> VACUUM BIIEAKERS STOVE <br /> __ HOOF DHAINS-RAINLEAOERS METAI FIREPLACE 6 CHIMNEY <br /> _ SbJKISERVICE-BAR,ETC WOODSTOVE/FIFEPLACE INSERT <br /> lUdTOTAL BUBiOTAL t <br /> PEqMIT f PERMIt � <br /> _ TOTALFEE � TOTALFEE { <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> rnpNiSEfB�C• qE�RSEiB�Ce S��ESEIB�CK P���NpUFC NIl`M,9En cUNC��EGnfEE /"� <br /> x ��I X� J 1 iEE �,�J pECEIPi N0� J n//'lO� <br /> USE 20NE LOf�REA �--J (Ci �J _� CJ("1�J <br /> V�C1N1�5'IE f[[� V1ILWTION iF[ _ <br /> -�� '�J/:>_ OYES^0 _ <br /> nrE Of�t � OCCUG�NCV GROUP NO O�pWELLINO uN1�5 <br /> � - / � BUILUINO S ' � , *-�• � GY � � <br /> SilE Os BIDG NO Ov S�ORiE9 M�K OCC iO�D <br /> 38d � / N� PLIIMBINQ <br /> MECH�NIC�L <br /> FIRE SPRINKLERS REOUIHED ❑ YES NO <br /> OTMER � ) . <br /> �. <br /> PEN�LTY <br /> •✓�9n;n�iON�CCBv P�ANSCNECIlEOBY ♦POqppq�SSWNLEBv <br /> � <br /> TOT�L �l <br /> �:y��� /,� G • G - _-- --- -- --=-� - <br /> , . <br />