Laserfiche WebLink
,�.E,,,o,,,� �PPLICATIaN FO� ���,�„ <br /> ��ry�� CONSTRUCTION e <br /> everett PERMIT <br /> TO BE COMPLETEO IN B�ACK INK— PLEASE PRINT <br /> BUILDING DEPT. <br /> 259•8745 ,� COMBINATION ❑ BUILDINfi ❑ MECHANICAL ❑ PLUMBINO ❑ SIaN <br /> OWNfB MAIL��DNE39 C11Y ZIP FNONE <br /> L/1���!_�hin ?S:rS ci��,S �cN�,, 7-_�/y i3 ��S�i� ly�a..n��l yp��� �uS-y-s�s/-- <br /> •n{:N�eiEGt0110EeiONEN ' M�iI��ONE39 CItY ZIP PHONE <br /> jPM :� �f(��Ls•{al/f� . <br /> ":INtMICONIR�Cfpq M�F.�OOFE6] CIfY IIP PIIONE LICEN4E� <br /> ._ iS��XS,n� ;_Sic �� i ' r�'' S�i.e_ i.�i' .q/,.0 ZNG�VI'1(SG/ �/G7 <br /> utbuwU.Gauip�C�Oq M�II�DONE�! �IiY LIP PI�ONE IICENSf• <br /> PWMRiNOCUN111.G��111 M�IL1100Fk59 CItY 2iP P��ONE LiC[NSE• <br /> 5�.9�,,,�-ck ,9;'�,Nfyh� i S>.o7 Q0�'.�1./1/,t, /�l''Js��![. �-'�':l� <br /> ��.i.g5�,W��K <br /> �� NEW ❑ RDOII�ON ❑ AL7ERATION ❑ REPAIR ❑ OEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ �UILOING AELOCATION <br /> vu u�iwN o�wune�cos�ur ueitnuis��us ueam <br /> yS.:{,J <br /> m suuni wone ! <br /> Sn,, �� - 9».r.�. ��.� _ -- �SU�C'.'L. �?W �J ��nl T$ <br /> us[ar emiolNa <br /> i /'�� / I HEREBY CERTIFY THAT I HAVE REAO AND EXAMiNED THIS AP- <br /> ��"�4. ! / PLICATIONANDKNOWTHESAMETOBEIRUEANDCORRECT.ALL <br /> �[n.i n scnivnonorrnoremrisrww�aeioxoaertecN�ouneonic, pROVISIONSOFLAWSANDORDINANCESGOV[RNINGTHISTVPE <br /> LV�S �J./��� Of WOfiKWILLBECOMPIETEDWITHWHETHERSPECIFIEDHERE <br /> ior�e�oc�_o� rG•�!� INORNOT.THEGRANTINGOFAPERMITDOESNOTPRESUMETO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANYOThIER S1ATL'O!i LO�AL LAW REGULATING CONSTf7UCTION <br /> OR THF. PERFOFMANCE OF CONSTRUC110N. <br /> SION�IUREOfCONiR�GTOROR�Uf110R1 U�4CNf O�IE <br /> X .�'Goc'�'Si�✓ 4,.���;,� �.�'S�<ft� � <br /> PNOJCG� �pp�5�5� �PPIICANI..GIIYBLI51NES5lICEH5EN0 <br /> � �C'`l`� s T.S, L- <br /> PLUMBINQ MECHANICAL _ <br /> NO. TYPE OF FI%TUIIE FEE NO. TYPE OF EOUIPMENT _ FEE <br /> � Wni[NClOSET�TOLLED D AIRCOND UNITS—NP.EA_ _ <br /> BAiHtl1B PEFRIGER0.SION 11NITS—HP.EA <br /> �L LAVATORY Wj ASH B�SIN) U DU BOI�ER$–H.P.EA __ .__ _ <br /> � SHOWER OAS PIRED AC.UNITS–TONNAGE EA _ _ _ <br /> k�ICNENSINN6DI5P. �� FOPCEOAIRSVSIEMS–B.T.U. MEA <br /> DISIIW�SHER WALLNEATERS–BiL. M <br /> IAUNORY TR�Y UNIT NE�TCPS–B.T.U. M _ _ <br /> CLOTHES WASNER EVRPORAINE COOLEq3 _ _ <br /> � WAfERNE�TER CLOTHESDRVERS q�s1�� <br /> URINRL VENTIL�TION F�1N (. UO_ <br /> Of11NNINO FOU'IT�IN AANOE HOOD _ � <br /> f LOOR DRAIN AIR HANDLINO UNIT– C F M _ ___ <br /> VACUUM BRE�I(EN" SiOVE ___ <br /> ROOF DRAINS–R�INLEROERS METAL i1REPLACE 6 CHIMNEV _ <br /> SINN�SEPVICE–BAR.EIC WOODSTOVE/FIREPLACEINSERi —�CUI�(J <br /> - Ud - d - - — . ✓� <br /> PUB iOT�L � BUB TOTAL t '�.�� <br /> P!IMIT t PERMIi ! <br /> _ �_ i.'r"I1L FEE � —�- ' TOTAL FEE ! J �J�.� <br />' THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> IPIIHISE�B�LM 111�11FFIN�CN 91pE9EIB�LN �_�HCIIECN UMBEN PI�HL11fClclff <br /> ,•.:'r� ' -`�� ' G' � ��� 7G� 7 ,�E �3� aE��.�Y�_ <br /> UFI lONI. l01�R[� V .�Ni 911E <br /> R� I E9 ONO fF[! W1LU11TIOM ![[ __'_ <br /> IYI'IUlCON91 fH:CI1P�NGYGAOUP NOOfOWElLINOUNIi9 <br /> � . , �� "�_ —_— <br /> ('� - � � eui�oiNa J��•(1 ?j�j�� UC� <br /> SV!O!HIUG NU Of SfO�IES M�k OGG 10�0 J - <br /> �l� r 1 lyf'1 I PLUMBINO _�{-J �Q <br /> '1 V <br /> MECN�NIG�I J�J � <br /> flfiE SPRINHLERS REOW/i[D ❑ YGS ❑NO / V <br /> OtNER } <br /> -r� <br /> PEN�LTY _��1 LI f1 <br /> u•YUG�INHI1CCBv vl�MSurtl:x[OBY �PPPfON19SU�NGEBY <br /> TOT�L <br /> s� ,Jd � . L Sd � �' <br />