Laserfiche WebLink
_ ;-.�>. , <br /> dio Ev,.�„�n,en <br /> ��,Yo� CONSTRUCTION everett <br /> everett PERiVIIT <br /> cnr��aii rexsas <br /> tv[nui.wnsuermrv <br /> ixmi <br /> °`" °o���;o��E�;, BUILDING MECHANICAL PLUMBING <br /> OWNER MAIL ADDRESS ZIP PHONE <br /> ��a��. B• ��:u�a�J'� .�3_.... �i r..��� j)he�� <br /> ARCHITECT OR DESIGNER MAIL ADDPESS PHONE LICENSE NO. <br /> GENEFATLCONT^R.l�C}TOrR ��}� }� M�A}pIL�.,}A�DDFESS �P�HO��NE�j}} I��1y_yLM�ICuyEN�jS�E_��NO. <br /> +�.i� �i��.',t'1 !'�.h'L i.:�.'�' (.a7 =I r �/�M'i �.}Y.'�4 i�� ����.�TN G(/-/"�11�ie <br /> MECHANICAL CONTRACTOR MAIL ADDFESS PHONE LICENSE NO. <br /> PLUM8INGCONTRACTOR MAILADDRESS PHONE LICENSENO. � <br /> W <br /> m <br /> PERMIT CLASS OF WORk � <br /> Z <br /> �BVIL�ING � PLVMOING �MECIiANICAL F <br /> ❑NEW ❑ADDITION ❑ALTEHATION ❑REPAI�a � <br /> VALUATION pF WORK � <br /> � ❑DEMOlISH ❑FENCE ❑SIGN �SWIMAIING POOL � <br /> 5 <br /> DESCFIBE WORK �/�� <br /> � <br /> PROPOSED USE UIECHkNICAL <br /> LEi.ALOESCRIPTIONOFPPOPERTYISHOWBEI.OWORATTFCH TVPEOFFVEL �OIL ❑GAS C�LPG. [�ELEC. <br /> FOUF$��ESI <br /> 75T '(f'j+,V�y'�'r '.��f NO. TYPE OF EQUIPMENT FEE <br /> LOT�J— �LOCK_OF AIR COND. UNITS--H.P. EA. 5 I <br /> REFRIGEitATION UNITS-H.P. EA. �— <br /> I <br /> BOILEfiS-H.P. EA. I <br /> GAS FIRED A.C. UNI iS-TONNAGE EA. <br /> FGRCED AIR $�'STEMS-6.T.U. M GA. I <br /> JOB ADDRESS �y�� WALI. HEATEFS-P..T.U. M � <br /> T7.6V L`�i�+�.}3 r+?r0� UNIT HEATERS-5.T.U. M I <br /> EVAPORATIVECOOLE�S <br /> PLUMBING CLOTHES DRYEFS I <br /> VENTILATION FPPI <br /> RANGEHGOD I <br /> NO. TVPE OF FIX7URE OR ITEM FEE AIR NnvUUNG UNiT- C.F.M. <br /> WATER CLOSETITOILETI 5 INCINERl.TOR 1 <br /> BATHTUB . r <br /> LAVATORYIWASHBASIN� � <br /> SHOINEF <br /> KITCHEN SINK& DISP. � SU�TOTAL 5 � <br /> DISHWASHEFi PERMIT 5 <br /> LAUNDRVTflAV 70TALFEE 5 I <br /> CLOTIIES WASHEFi THIS PERMIT DECOMES NULL AND VOID IF WORK OR CONSTRUC� <br /> WATEfi HEATER TION AVTHOFlI2ED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> URINA� CJNSTRUCTION OR WORK IS SVSPENOEO OR ABANOONED FOR A <br /> �FINKING FOUNTAIN �'EFIOD OF 120 DAVS AT ANV TIME AFTER WORK IS COMMENCED. <br /> FLOOR-SINK OR DfiAIN I HEREBY CERTIFV THAT I Hl�VE REF.D AND EXAMINED THIS AP� <br /> VACUUM 9REAKEFS � PLICATION ANO KNOW THf St.ME TO BE TFUE AND CORRECT. AlL <br /> PFOVISIONS OF LAWS 11ND ORDINANCES GOVERNING THIS TVPE <br /> ROOF ORAINS-RAINLEADEflS OF WORK WILL BE COh1PLIED IJITH WHETHER SPECIFIED HEREIN <br /> SINK (SERVICE-BAft, ETCJ � OR NOT, THE GRANTING OF A PER\71T DOES NOT PRESUME TO <br /> — � GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OR LOCF�L LAW REGULATING CONSTRUCTION <br /> ORTHEPERFOqMANGEOFCONSTRVCTION. <br /> SUBTOTAL <br /> PERMIT 5—r <br /> TOTALFEE S i�r �.p � � <br /> x S.A i:ii l-i� <br /> SIGNATUREOFCONTRACTORORAUTH.AGENT DATE <br /> Slf]E VAflD::ET�ACK STREET SET�ACY. P.EAft VAROSET6ACK PLAN CHECK NUMBER PLAN CHECK PEE <br /> FE[ RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GFOUP NO.Of OWELLING <br /> UNITS � <br /> SIZE OF BIOG. NO. OF ETORIES MA%.00C. LOAD BUIL�ING 5 ��MyW �'i �W <br /> PLUMBING � <br /> FIREZONE eASEMENT FIRESPRINKLEFS � <br /> RCQUIFED � <br /> ❑VES ❑NO MECHAqIGAL I <br /> SPECIAI CONDITIONS' OTHEF � <br /> I <br /> _ PENELTV SEC.3031a1 � <br /> _ 1 <br /> TOTA,L � � <br /> PERMIT VALIDATION <br /> WHE��PROPERLY VALIDATE� IIN THIS SPACE) THIS IS YOUR PERMIT <br /> ApPIIf�TIDNPLLEPT[DBY'. PL�ASCHCCKEOBY: APPqWfJFONISSUANC[Bv. <br /> Y� C• <br /> 9 <br /> --7 <br />