Laserfiche WebLink
( fhr Everyreen <br /> ���� ��F CONSTRUCTION everett <br /> everett PERMIT <br /> ��,v�a<< �,yd��, <br /> ��t��,� �a��,��,�� <br /> �.�� <br /> °`°' °� `°MM`�"' BUILDING MECHANICAL PLUMBING <br /> JEvkLLrI:1EiY <br /> OWNEP MAI!A� RE55 21P PHONE <br /> 011a �rot:�irs Iuc. p,:�. t;oA ?1?5 ?esreit an3rg ast_�7:: �:4-T' � <br /> AHCHITECT OR O SIGNER MAIL A.,DRFSS PHONE LICENSE NO. <br /> Ira��r�,�s�oa :�esign yoat»*, '•romdway 353-32;3i} <br /> GENEHALCONTRACTOR MAILACOPESS PHONE � LICENSENO. <br /> �lin i�pE�s s�rothera <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PMONE LICENSE NO. <br /> PWM8INGCONTRACTOR MAILAO�HE55 PHONE LICENSENO. � <br /> �tt'� P2natri.nq m <br /> � <br /> PERMIT �LASS OF WOflK � <br /> M Z <br /> y�BUI�DING ��.PLUMBING �MECHANICAL y--, 1- <br /> '?JNEW ❑A�OITION ❑FLTEPATION ❑REPAIR � <br /> VALUATION OF WORK � <br /> $ �1�s�iR, �� ❑OEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCAIQ,�(�(J4�KP3�E1ilY i�<'B,S�.d�tki�IL'0 _-_ �V T� <br /> :ltsy 1 <br /> PROPO ED USE T <br /> si�nqla Fac�ily #i+3C�$�12Ci MECHANICAL <br /> LEGAL DESCRIPTION OF PROFERTV (SHOW eELOW OH ATTACH T�PE OP FUEL �OiL �GAns. �LPG. �ELEC. <br /> FOUqC�vifi6j a4 �13t0�11S�g� �f i�i `t� NO. TY?[OF eQUIPMENT FEE <br /> / O <br /> lOT BLOCK—OF _ <br /> AIR COND. U'J�TS–H.R EA. � $ I <br /> FEFFIGERATION UNRS–H.P. EA. <br /> BOILERS� H.P. EA. I <br /> GAS fIRED A.C. UNRS–TONNAGE EA. <br /> FORCE�AIR SVSTEMS–B.T.U. M EA. I <br /> JOB AODRtlE$$xA WALL HEATERS–B.T.U. M <br /> 2�IV fi�s1��S� X�/�aji� UNIT HEATER$-B.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING c�orr+es oareas � <br /> VENTILATIONFAN <br /> RANGEHOOD <br /> N TYPEOFFIXTU9EORITEM A�AHANDLWGUNIT-- C.F.M. <br /> WATERCLOSETITOILET) g INCWERATpR _ I <br /> BATHTUB --'— — <br /> LAVATORV (YtiASH BASIN) � <br /> SHJWER <br /> KITCHEN SITIK& DISP. SUB TOTAI S � <br /> � DISHWASHcR _ — :cir�'v➢iT > � <br /> LAUNDRVTFAV TOTALFEE $ I <br /> CLOTHES WASHER THIS PERMIT BECOMES NULL AND \'OID IF WOFK OR CONSTRVG <br /> WATER HCATER .r. TION AUTHORIZED IS NOT COMMEhCF_O WITHIN 120 DAYS, OF IF <br /> URINAL CONSTPUCI"iON OR WCRK i5 SUSPEVDED OR ABANOONED FOR A <br /> ORINKING 1'OUN�AIN PEP!OD OF 120 LnVS AT ANV TIME APTER WORK IS COMMENCE�. <br /> FLOOft–SINK Oft,DRA1N 1 HEFEBv CERTIFY THAT I HAVE RF.AD ANO EXAMWED TiilS AP- <br /> VACVUM BREAKERS PLICAT!ON AND KNOW THE SAME'O BE TP.UE ANU CORqECG A�L <br /> ROOF �RAIN5–RAINLEADERS �--' PROViSi.NS OF LAWS AND ORpINANCES GOVEFNWG THIS l VPE <br /> OF WORK W" BE COMPLIEG WITH WHETHER SPECIFIED hEFEIN <br /> SWK(SERVICE–BAR, ETCJ Oft NOT, � �RANTING OF A VEPMIT �OES NGT PRESUME TO <br /> GIVE AUTl���r'ITV TO VIOIATE OA CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OR LOCAL L4W REGUTATIhGCONSTRVCT�ON <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SUBTOTAL <br /> PERM!T $ <br /> — --=A rEE g � 6es/�� <br /> X <br /> � SIGNATUftEOFCONTRACTORORAUTH.AGENT DATE <br /> SIDEVAFDSETBACK STREETSETBACK REARVAROSEYBAC PLANCHECKNUMBER PLANCHECKFEE <br /> y� ZQ� y �a� 77133� FEe RECEIPTNO. <br /> USE ZONE LOT AREA VA,yCANT SITE � <br /> R"� L}vEs ❑No FF€S _ VALUATION FEE <br /> TVPEOFCONST. OCCUPANCYGHOUP UNIOSDWELLING � <br /> z <br /> s�3Qz4�oc. �o.oFSTiies nt.nx.occ. �ono aui�o�N� s 1�� �•��� _��i �� <br /> --�— <br /> PWMBIN6 � � <br /> FIFEdp3NE BA� � FIRESPRINKLERS <br /> FFQUIRED ���_ <br /> [�VES �O MECHANICPL 1 <br /> _ _—y— I <br /> SPECIAL CONDITiONS� OTHER � <br /> I <br /> — __' —T_ <br /> I __ --"------- -- PENE�. ' SEf.. 30J(al � <br /> TOTAL ` 1�- <br /> PFAM7T V A.40ATION <br /> _ _.---- � WHEN PROPE4LY VAL�CPTED �il� TH155PACE�THi515 VOUR PERMiT � � <br /> _ — _. I <br /> ppn�lCn�'nY.pr�FFTPDBV' ✓LANSCH�(E�M IFGqOVEDfO�KSunNCF9v � <br /> � .� a . . ' <br /> I � I <br />