Laserfiche WebLink
the Evergreen <br />CITY OF <br />everett <br />CITY IULL 2598885 <br />EVERETT. W&TRINGTGN <br />992BUILDING <br />DEPT. of COMMUNITYY <br />[a[I OVYFNT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING 0 <br />OWNER MAIL ADDRESS ZIP PHONE <br />eel'?* gyp.. q <br />A •;�� ,�~Y LICENSE No* <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />1+ fit' 'jmi 9« <br />iLiJ^ <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL AOD RE55 PHONE LICENSE NO. <br />W� <br />PERMIT CLASS <br />BUILDING ❑PLUMBING ❑MECHANICAL <br />OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION QVAEPAIR <br />D <br />z <br />~ <br />VALUATIO Wf�,K <br />�%��{�► <br />5 <br />❑DEMOLISH ❑FENCE ❑SIGN []SWIMMING POOL <br />W <br />O_ <br />�yy� <br />DESCRIBE WORK �T,v;r (ctm) D " trJ� C.. s <br />s <br />n �/V ^/ <br />14 44 <br />�1• <br />PROPOSED USE <br />MECHANICAL <br />TYPEOFFUEL ❑OIL ❑GAS• ❑LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF ROPERTY !SHOW BELOW OR ATTACH <br />FOUR COVS) o'.'lirr- ,tZ, =fzs ; )431—N&I.- <br />LOT _-_- BLOCK —OF <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA.REFRIGERATION <br />UNITS-H.P. EA. <br />BOILERS-H.P. EA.GAS <br />FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA.JOB <br />ADDRESS <br />C.At r} j.•;'q� ri•i'WALL <br />HEATERS-B.T.U.M <br />UNIT HEATERS-B.T.U. MEVAPORATIVE <br />COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />1 <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />WATER CLOSET (TOILET) <br />$ <br />BATHTUB <br />SUBTOTAL S <br />PERMIT S <br />TOTAL FEE S <br />I <br />I <br />LAVA TDRY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS A PON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />fq <br />7/ i� <br />X <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-flAINLEADERS <br />SINK (SERVICE -BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />5 <br />TOTAL FEE <br />5 <br />SIGNATURE OF CONTRACTOR OR AUTH.AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />PLAID CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SIE <br />❑YES <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO- OF UNITSDWE��}}��((�� <br />BUILDING <br />a�myyl <br />SIZE OF SLOG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />1 <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />❑YES ❑IJO <br />MECHANICAL <br />SPECIAL CONDITIONS: <br />OTHERI <br />PENELTY <br />SEC. 303 (a) <br />TOTAL <br />yI <br />� y 00 <br />OFTEN PROPE RLV VALEDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />