Laserfiche WebLink
m. e..,o,»� <br />cm or <br />everett <br />BUILDING DEPARTMENT <br />259•8810 <br />❑ DEMOLITION <br />un n� <br />�.PPLICATION FOI.-' <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK • PLEASE PRINT <br />❑ COMBINATION <br />A1�11 1n�1R1':. <br />f �;r�+ff <br />everetl <br />e <br />BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ S�GN <br />Giv ]ir ruONt <br />� /()�/,.�G� Sa �l.Yo2n 7f" <br />6lHEPALGONIR�GlO� M�II�f�U�f55 f.��� !�P iY�NIF IiCENSI• <br />MEGUNiULCON11UdpR M�il.10PAES5 ❑M1 IIP rv1ONF UCENSE• <br />PIUMBiN.f.UHI��G�011 M�q eppR[55 Cilv tU� P�NNE I�CENSE • <br />cuss o� woi�� <br />❑ NEW ❑ �DOI110N ❑ �LTERAIION ❑ �FPAIR ❑ DEMOLI7ION WOODSTOVE/FRPLJNSFRT ❑ OUIL�ING RELOCATION_ <br />vuu•��nr�or w�n. �cUsl,nr r.unnws ruizt�noru <br />,� a .�� <br />nr scn�x�. wniu <br />M /a �� <br />m��ON U� <br />iu�_niock— <br />nn • 1 ub� <br />t� 1'� ��l )" f r s. s j, e,_ � t i" . <br />PnpJE t DOqE55 <br />PIUMBIHG <br />NO. TYPE OF FI%TURE OR <br />W�TER CLOSET �TOILET <br />BATHTUB <br />UV�TORY IWASH B�SIN� <br />NITCMEN SINN 6 DISP <br />DISHW�SHER <br />UUNDRY Tt1AY <br />CLOTHES WASMER <br />ORINKINO FOUNTAIN <br />FLOO� DRAIN <br />B�CNFLOW PREVENTEPS <br />ROOF DAAINS — R�INLEn�ERS <br />SINN �SERVICE — ���. E�C 1 <br />iun.��sr�n�r. - <br />IISC IUNI <br />CONS� <br />u ni <br />6UOTOTAL <br />PERMIT <br />TOTAL(EE <br />nr u� sr rn.i.. <br />l01 ARI.♦ <br />OCCU1'AIIGY GHOUf <br />N� OI 510Bif3 <br />9ED tJ YES Cl <br />ri eq5 CnECnfp N• <br />FEE <br />,�ve �cin.�.. <br />WCuI� Srt! <br />11YF9 I1N0 <br />NO Of OWFLlIH6UNIIS <br />n� <br />I HER[BV GERTIfY TViAT I HAVE READ AND E%AMINED THIS AM1 <br />PUCATIONANDKNOWTHESAMETOBETRUEANDCORRECTALL <br />PROVISIONS OF LAWS AND ORUINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLETED WITH WNETNER SPECIFiED HERE• <br />IN OR NOT. TNE GRANTING OF A PERMIT DOES NOT PR[SUME 70 <br />GIVE AUTHOfiITV TO VIOLAtE OR CANCEL THE PROVI!ilONS OF <br />ANV Oif1[R SiA7E OR LOCAL lAW REGULATING CONSTqUCT10N <br />OR THE PERF RMANCE OF CONSiRUC710N. <br />SIGN�IUtIEOf ' NIfInCfOfiOp fNOR�IfPAGENi 14IC <br />X 1 r�Gilti. a��� /' // • d'l <br />OVSM[QSt1CF119E NU <br />MECHANICAL <br />TYPE OF EOUIPME <br />��C — A/HNULO UNI f 5— H P <br />nFFRIGEPATION UNITS — H P EA <br />DOIL6�5 — B 1 U/H P <br />6ASFIRE�AC 11N1T5—BTU <br />FORCE� A�R SYSTEMS — B 7 U <br />WALL IIEATE�9 — B T U <br />UNIT 11FATERS — O T ll <br />EVAPOPnTIVE COOlE�S <br />CLUT11E9 O�YERS <br />VENTII pT10N F�N <br />nnNOE ��000 <br />W�TERHF.ATEn <br />w000sTove <br />METAL fIt1EPLACE 6 C111MNE� <br />FlREPIACE INSEfiT <br />11E11T PUMP <br />G�S ��PINQ <br />ENH/USIt�N <br />SUB TOT�L <br />P[RMIT <br />TOT�LiEE <br />P�ANCMECkNUM9E� �FEE <br />flU�IDING 5 <br />PLUMBING <br />MECIIANICAL <br />C1NER <br />STI17E OUILOWO SUfiC11Af1GF <br />STnTE ENEIIGV SURC�iARGE <br />PUALIC WORKS <br />TOTAL � <br />M EA <br />M <br />M <br />PECEIPT NO <br />PROPERTV OWNERS ARE RESPONSIBLE fOR DETERMINM� ALL <br />PROFERTv I.INE LOCA710N5 AND RELATED EASEMENTS. <br />