Laserfiche WebLink
� tAn Evcr�ier.n � <br /> =�T� oF CONSTRUCTION everett <br /> everet� PERMIT <br /> CiIY IIAII 1598995 <br /> (V[HFi1.I5A5111N4104 <br /> 9!]01 <br /> °"` °"°"'",°""Y BUILDING MECHANICAL PLUMBING <br /> ocvciorrncr�i <br /> OWNER MAI ADDRE¢5 ZIP PHONE <br /> Carl ;�11'3 'ti ��P::3i.. i11Cs �:� >Z (v�:'I ri.�i• tiij..)l^_• �::>(i��S7��`,r <br /> 1.t%� '�7 <br /> AfiCHITECT OR OESIGNER MAIL ADOflE55 PHONE LICENSE NO. <br /> GENERALCONTRACTOR MAILADDRESS PHONE LICENSENO. <br /> MECHANICAL CONTPACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> Ev^rgrc•^a Stet� Shorat :�etal <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE �ICENSE NO. � <br /> W <br /> m <br /> P8fih11T CLASS OF WORK � <br /> LJDU�LDING �PLUM�ING [F]M[CHANICAI z <br /> }� F <br /> L']NEW ❑ADDITION ❑ALTEFATION ❑REPAIR � <br /> VALUATION OF WORI( � <br /> 5 i7�?J.�� .7n- ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> �ESCRIBF WORK ���� <br /> conseruct singlQ fanily renidencci <br /> PROPOSEO USE <br /> ninnlo fanily ressictanca MECHANICAL <br /> TVPEOFFUEL �OIL �NAT. �LPG. �ELEC <br /> LEGt1L DESCiiIPTION OF PROPERTV ISHOW BELOW OR ATTACH GAS <br /> FOUR CJ�1 E51 <br /> LO7=_ OLOCK—OF ��4'3CAS1Y00'� NO. TYPE OF E�UIPMENT fEE <br /> Alk COND. UNITS-H.P. EA. S I <br /> REFf:iGERATION UNITS-H.P. EA. <br /> -- BOILERS-H,P. EA. � <br /> GAS FIHEO A.C. UNITS-TONNAG[ EA. <br /> FORCEO AIR SVSTEMS-B.T.U. M EA. 1 ^ � <br /> JOB`pDORESS WALL HE,ITERS-B.T.U. M <br /> 'S�iJ3 FOTAI@S UNITHEATERS-B.T.U. M I <br /> PLUMBING EVAPORaTIVECOOLERS <br /> CLOTH95 OFVERS ^� ' <br /> VENTILATION FAN <br /> FANGEHO00 I <br /> N TVPE OF FIXTURE OR ITEM F E AiR HANDLING UNIT- C.F.M. <br /> WATEfl CLOSETfTOILETI $ •� INCIHEP.ATOP � <br /> �ATHTUB � :7� <br /> LAVATORY(WASH HASIN) V ' V � <br /> SHOWER � <br /> KITCHEN SINK& DISP. L l SUO TOTAL 5 � � <br /> DISHWASfiLR _ PERMIT 5 � � <br /> LAUNDRY TRAV �` ,� , <br /> TOTA� FEE 5 �� - <br /> CLOTNES WASHER _ _ TMIS PE'IMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC� <br /> �' WATER HEATER TION A'JTHORIZED IS NOT COMh1LNCED WITHIN 720 OAYS, OR IF <br /> URINAL CONST iUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A <br /> DfiINKING FOUNTAIN �'ERIO� OF 120 DAYS AT ANV ilhtE AFTER WOFh: IS COMMENCED. <br /> FLOOR-SINK OR DFAIN � HELE�V CERTIFV THAT I HAVE READ AND E%AR11NE� THIS AP� <br /> VACUUM 6REAKERS PLIC�TICN qNO KNOW TME SAME TO�E TRUE AND CORRECT. ALL <br /> ROOF ORAINS-RAINLEADERS P��'VISIONS OF LAWS AND ORDINANCES GOVERNING TNIS TYPE <br /> _ OF WORl: WILL BE COAIPLIEQ WITH WNETHER SPECIFIEO HEREIN <br /> SINK(SERVICE-BAR, ETC.) OR NOT, THE GRANTING OF A PEiihA1T OOES NOT PRESUM1IE TO <br /> GIVE AUTNORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OR LOCAL LAW REGULATING CONSTflUCTION <br /> Ofl TH[PERFORMANCE OF CONSTRUCTION. <br /> SUB TOTAI - � <br /> PERMIT $ <br /> TOTALFEE 5 ' <br /> x <br /> SIGNATUFiEOFCONTRACTORORAUTH.AGENT DATE <br /> SIOE YlafiOSET�ACK STREET�S6TBACK RiAR VABIISETDACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> .- �.l) ' LN' <br /> 77/A73 FEE Z±�L. J.ri REf��;P;;O. <br /> USE 2a'�Nf{ LOT AREA VqCANT SITE <br /> �vES ❑NO FEES VALUATION FEE <br /> TVPEJl j,C�ONST. OCCUPANCV GjiOUP UNIT�S DWELLI(JG I <br /> V u I 1 <br /> �s� • G� � '. l <br /> SIZE QF;E�LL;�.S� NO.OF STOF�IES MA%.00C. LOAD BUILDING $ I I <br /> L 1 <br /> PLUM8ING � <br /> FINE20 BASEM�1�T FIRESPRINK��F35 <br /> � yQ$ REOUIRED .. L�� <br /> ❑YES ❑NO MECHANICAL � <br /> SPECIAL CONDITIONS: OTHER � <br /> PENELTY SEC. 9J31a1 I <br /> TOTAL � � <br /> I <br /> PERMIT VALIDATION <br /> WHEN PqOPEPL'/VAUOATED IIN THISSPACE)THI515 VOUR PEfih11T <br /> AiP�IC�iION�CCEPTCOBY� PLR�SCNECNEQBY'.,� /•>PROVEDFpf(IS^�wH<lpV. <br /> 1.��_ . � .�.. .. <br /> � <br />