Laserfiche WebLink
�.G:.7RlBB • {qMi <br />EII. fVlfp/Plll <br />CONSTRUCTION <br />DI <br />everett <br />PERMIT <br />cveretett <br />' <br />CITY HALL 2599742 <br />IVFq[TT, WA BB7D1 <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />UnNLfl <br />MAIL AUDHLSS lIP / <br />YIIUNk <br />G L NL HA L CUNT RACT OR <br />Sf- <br />K/-Jv&-A'wv�-'L3[/— <br />MLCHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICL NSE NO. <br />TTo'es pl/ Ali" -le ?? 4/-/Tz?4 <br />PLRMIT <br />❑ COMBINATION <br />�413UILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />C�K <br />Ip.NEW ❑ADDITION ❑ALT _RATION ❑REPAIq <br />VALUATION OF WORK <br />�pD A5fi7t�, QiJ <br />❑DEMOLISH [IF ENCE ❑SIGN ❑6WIMMING POOL <br />DESCRIBE WORK <br />/ S <br />I'HGPOSEO USE <br />MECHANICAL <br />LEGAL OE SCRIPTION OF PROPLRTY (SHOW BELOW OR ATTACH <br />IOU?R COPIES) <br />LOT. L BLOCK./ --OF 14 UR L <br />II CYT91 <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />AIR CONO. UNITS-//.P. EA. <br />S 1 <br />REF gIGE RATION UNITS-H.P. EA. <br />_I <br />J —t^ <br />BOILERS-II.P, EA. <br />) <br />FORCED AIR SYSTEMS-O.T.V. MEA, <br />JOB ADDRESS i <br />�•/�- <br />PLUMBING <br />SPACE h WALL IIE ATE RS -B.T.U. <br />UNIT 14EATE RS-R.T.U. <br />EVAPOR/.TIVE COOLERS <br />1 <br />T <br />[LOTHES ORYERS <br />VENTILATION FAN <br />/.7 <br />RANGE HOOD <br />NO.I <br />TYPE OF FIXTURE CR ITEM <br />FEE <br />AIR IIANDLING UNIT- C.F.M. <br />f J <br />BATH TUES <br />I 5 -7- <br />---- <br />WATER NEATER _ <br />- <br />/5 <br />CLOTHL5 IYASHER <br />I ZCJIUti <br />N�DRIIN <br />DISH WASHERS <br />I v <br />Y.ING FOUNTAINS <br />1 <br />fAC. BUILT FIREPLACE K CHIMNEY <br />GAS. SYSTEM: No OP OUTLETS <br />G <br />FLOOR DRAINS <br />I <br />KITCHEN SINKS N OISP. <br />ro 1iJt7 <br />SUBTOTAL S <br />- •1' <br />BAR SINKS <br />Jr) <br />PERMIT S <br />ROOF DRAINS - HAIN LEADERS <br />7U fAL FEE S <br />YG.; <br />/S <br />SHOWER BATHS <br />20100 <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUr1fORILED IS NOT COMMENCED WITHIN 170 DAYS, OR IF <br />CONSTRUCTION OR WORK. IS SUSPENDED OR ABANDONEO FOR A <br />PERIOD OF 170 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />1 HEHLIY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP. <br />PLICf.TION AND KNOW TIfC SAME TO OE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK Wit BE COMPLIED WIT14 WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTIN a OF A PERMIT DUES NOT Pq LSV ME TO <br />GIVF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />' Uil1ER STATE OR LOCAL LAW REGULATINGCONSTRUCTION <br />If1E PERFORMANCE OF CONSTRUCTION. <br />X <br />-7 <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />G <br />l'iATER CLOSETS <br />� 4 �,��, <br />"—� <br />/� <br />_WATER HEATERS -ELECTRIC <br />1:' <br />WASI4 BASINS <br />LAUNDRY TRAYS <br />.rN IL <br />ILT. <br />�' N•, •�� P' <br />SUB TOTAL <br />PERMIT <br />i <br />TOTAL FEE <br />ViATER <br />SERVICE SIZE BLDGSUPPLY <br />S12E <br />sc1f <br />. <br />i+T ATE <br />SILL YANUSLTBACK <br />HLLTSLTBACK R <br />� <br />FLUT <br />E A H Y A R O SL 7 It AC 1 <br />PLAN CI It CK NUM) R <br />//% Fn <br />PLAN CHLCK IEE <br />TEE RECEIPT NO. <br />-j%( S�� <br />s - 3 7 <br />VLL'LNk <br />R- 3.l�o <br />AREA VACANT <br />2, ;1 '� �! <br />SITE <br />YES NO <br />❑tl <br />FEES <br />VALUATION <br />FEE <br />1L OF C <br />'ic+'•�, YPr7• <br />OCCUPANCY GROUP <br />Pam/ $ 1>t.� UNITS <br />ND.OF DWE LLIKG <br />SILL OF BLDG. <br />x �J <br />NO. OF STORIES MAX. <br />LU <br />OCC. LOAD <br />nn <br />BUILDING <br />7 J�J Ifs(? <br />PLUMBING <br />I IIIC ONE <br />/I <br />_ <br />El71 NT FII1F5 <br />RI <br />r-'s <br />HINKL 11 <br />t1UIRLD <br />AYES ❑NO <br />MECIIANICAI. <br />M'LCIAL CONDITIONS' <br />0711f R <br />I <br />-- <br />I[Nn ITY <br />TOTAL <br />Sf C. JO]OI <br />T <br />I <br />— <br />!G <br />----- ' Pt nMII VAL IUA IION <br />.. _ _YIB]1JLLIIW' 1L.T.. VALIUAI <br />