Laserfiche WebLink
9 1`u9ET TAXES I E..rFR <br />the Evergreen <br />CITY OF <br />ever0t <br />CITY HALL 2690745 <br />EVERETT. WA 98201 <br />CONSTRUCTION <br />PERMIT <br />40 <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />everett <br />L A <br />UWNE / MAIL AUDHLSS ZIP PHONE <br />76 10 -f// �dc,e .4 ra&/ -69 <br />—AD <br />n HC111TECT 0.9 DESIGNE IT MAIL 11 CC,5 P11ON[ LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />bILCHANICAL CONTRACTOR MAIL ADDRESS PI10N1 LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADOHLSS PIIONE LICLNSE NO. <br />PERMIT <br />❑COMBINATION <br />BUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADUI TION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />�7�-11 '» <br />i / V v <br />:— <br />❑OEMOLISII 91 LNCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE <br />:'�0CX-- 441lt? e <br />PHOPOSED USE <br />MECHANICAL <br />TYPE OF ENERGYL. L]OAS ❑ELEC. <br />LGAL DESCRIPTION OF PROPER( (SHO BEL TOFF ATTPCII <br />I OUR COPIES) <br />LOT -� BLOCK—OF-i <br />NO. <br />_ _ _ _ TYPE OF EQUIPMENT <br />AIR CUND. UNITS-II.P. EA. <br />REFRIGERATION UNITS-11.✓. FA, <br />BOILFIIS H.P. EA. <br />FEE <br />E 1 <br />1 <br />FORCED AIR SYSTEMS -ELT V. MEA. <br />JOB ADDRES.Sn <br />//T/ /?W�f'l/T✓�•�{/��7��0� <br />SPACE & WALL HEATERS - B,T.U. <br />UNIT HEAT EFTS-B.T.U. <br />I <br />_ <br />_ <br />EVAPUnATIVECOOLERS <br />CLOTHE SF)SYERS__ <br />PLUMBING <br />I <br />_ <br />V C N T ILAT IONFAN <br />RANGE 11000 __ <br />T.._ <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />_ <br />FEE <br />A1111IANOLING UNIT-- C.F.M. <br />BATH TUBS <br />CLOTHES WASHER <br />I <br />WATER <br />DISH WASHERS <br />I <br />___ <br />_H_EATER____ <br />FAG. OU ILT FIREPLACE A CHIMNEY <br />GAS. SYSTEM: NO OP OVTLETS <br />_.�.______---____ _. .. <br />_- SUBTOTAL f <br />URINKING FOUNTAINS <br />I <br />_r <br />FLOOR DRAINS <br />I <br />I <br />KITCHEN SINK & DISP, <br />I <br />BAR SINKS <br />_` -__.- _ PE nFeiT S <br />TUTAL FEE f I <br />TIliS PI. IIMIT 11LCOMES NULL AND VOID IF WORK OR CONSTRUC' <br />1ION AUTIIOHIZLD IS 40T COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTIIUCI ION on WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 170 DAYS AT ANY TIME AFTER W014K IS COMMENCED. <br />W TI I HAVE;AME READ AND EXAMINED THIS AP - <br />1 IICATIO CERTIFYKNOW <br />OVATION AND KNOW AN SAME TO BE TRUE AND CORRECT, ALL <br />f•F1UV1!J0N5 UI LAW!; AND OIIUINANCf.S GOVERNING THIS TYPE <br />OF WOnK V41LL OE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. TOE GRANTING OF A PERMIT DUES NOT PRESUME TO <br />GIVL AUTIIOniTY TO VIOLATE On CANCEL THE PROVISIONS OF <br />ANY DIFFER!;TATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PEIIFOITMANCE OF CONSTnUCTION. <br />//v//� <br />X /X �Jl��[ U <br />SIG—NAATVVURE- CO IIACTOFIUN TMl H DATE <br />ROOF ORAINS - RAIN L'AUEHS <br />_—� <br />SHOWER BATHS <br />SERVICE SINKS <br />_ <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER <br />_PI <br />W AT'E_R HEATERS - ELECTRIC <br />_ti_ <br />WASH BASINS <br />I <br />LA UNDHY TRAYS <br />SUB TOTAL <br />PERMIT S <br />TOTAL F. <br />v1ATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIDE YARD SETUACK <br />STREET SETBACK <br />REAR YARDSETB%CK <br />PLAN CHECK NUMIIER <br />FEES <br />PLAN CHECK <br />FEE <br />VALUATION <br />FEE <br />RECEIPT NO. <br />FEE_ <br />L1SL ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />I YPL OF CONST. <br />OCCUPANCY GROUP <br />WO OWL LLING <br />UNITS <br />I <br />BUILDING <br />S <br />I <br />t Z,. OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PI. UMBING <br />SEC. 001 Id <br />I IIIL ZONE <br />BASEMENT <br />FAIL,,PHINKLI-- <br />n EOUIRED <br />❑YES ❑NO <br />MECIIANICAI. <br />I <br />!,PLCIAL CONDITIONS: _ <br />07II1-11 <br />1 <br />1 <br />1 <br />PT.NALTY <br />TOTAL <br />— -._ <br />1 <br />PERMIT VALIDATION <br />WIIINPHOI'f III VALIDAITD(IN THIS SPACE) THIS IS YOUR PERMIT <br />.ui n.nH011 n�uvnurr <br />dent uucl.Iuar nrNmvlu cm r.LonM'I xv <br />i <br />