Laserfiche WebLink
tlre fvergracn <br /> CITY OF CONSTR.UCTION everett <br /> everett PERMIT <br /> Li1T HALL 1598P95 <br /> [YCNE11.\1AL11NGi0N <br /> 9l101 <br /> °�°� °°�°M'.�°�"° gUILDING MECHANICAL P�UMRlN� <br /> oFvciovracxi ��J <br /> OWNER MAILADDRE55 21P PHONE <br /> (- v , F �' �A7t] '� . ^T '�9 Ot•r l.^.if. ��` <br /> ARCHITECT Ofi DESIGN MAIL ADDRESS �• HONE ��CENSE NO. .V��L <br /> GENERALCONTRACTOM MAIL ADDRESS PHONE LICENSENG. <br /> f� <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NC�. <br /> � <br /> PLUMBING CONTRACTOR MAIL AODRE55 PNON. LICENSE ND. W <br /> m <br /> _ � <br /> PERM�T CLASSOF WORK � <br /> G. <br /> �UUILDING ❑ PLUMBING �MECHANICAL �y r <br /> ❑NEW ❑A�DITI(1N GALTERATION LIFEPAIF � <br /> VALUATION OF WOflK � <br /> ( 5 ��M ❑DEMOLISH ❑FENCE ❑SIG11 ❑SWIMMING POOL —_ a <br /> DESCRIBEWORK Lv �/�O� <br /> 0 <br />' Paoaoseo use ~ MECHANICAL <br /> LEGAL DESCRIPTION OF PROPEPTV ISHOW OE�OW OR ATTACIi TYPE OF FUEL �OIL �GAns. �I.FG. �ELEC. <br /> FOUR COPIESI <br /> NO. TVPE OF EDUIPMENT FEE <br /> LOT �LOCK_OP - AIR COND. UNITS-H.P. EA. S I <br /> REFRIGfRATION VNITS-H.P. EA. <br /> OOILERS-N.P. [A. 1 <br /> GAS FIREO A.C. UNITS-TONNAGE EA. <br />�� FORCEO Alfl SVSTEMS-6.T.U. M EA. I <br /> JOB AD�RESS WALL fiLI�TERS-6.T.U. M <br /> � `-��1 � UNIT HEATERS-B.T.U. M I <br /> t�+fViPRl1I <br /> EVAPOR/1TIVECOOLERS <br /> PLUMBING CLOTHBS DRVERS i <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> NO. TYPE OF FIXTUREOR ITEM1f FEE ��R Hl�NDLING UNIT- C.F.M. <br /> WATER CLOSETITOILETI g INCINERATOR I <br /> fiATHTVO <br /> i �AVATORV IWASH :IASINI � <br /> SHOWER <br /> KITCNEN SINK& DISP. SUO TOTAL $ I <br /> OISNWASHER PERMIT 5 <br /> LAUN�RV TRAV _ I TOTl�LFEE 5 I <br /> CLOTHES WASHER TMIS PERMIT DECOMES NULL AND VO10 IF WORK Oft CONSTRUC- <br /> WATEA HEATER TION AUTHORIZEO IS NOT COMMENCED WITHIN 120 �AYS, OR IF <br /> Uf11NAL CONSTRVCTION OR 140RK IS SUSPLNOED Ofi A13ANDONEO FOR A <br /> OFINKING FOUNTAIN PEflIOD OF 120 DAVS AT ANY TIME AF iER WOFK IS C�MMENCEO. <br />� FLOOR-SINK OR DRAIN I NEflEBV CERTIFY THAT I HAVE li[l1D AN� E%AMINED TNIS AP� <br /> VACUUM 6REAKERS PLICATION AND KNOW THE SAM[TO BE TfiVE AND COfiRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING TI115 TVPE <br /> ROOF ORAINS-RAINLEAOERS OF WOfiK WILL �E COMPLIEO WITH WH[THEP SPECIFIED HEREIN <br /> SINK ISEPVICE-BAR,ETC.) OR NOT, THE GRANTING OF A PEFiA11T OOES NOT PFGSU�IE TO <br /> G�VE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OR IOCAI LfJV FEGULIITING CG^�STfiUCTION <br /> OR THE PERFORMANCE OF CONSTfiUCTION. <br /> SUB TOTAL <br /> PERMIT S <br /> TOTALFEE $ <br /> — x a.�Q�l� <br /> SIGNATUREOFCONTRACTOFiORAVTH.AGENT OATE <br /> SIDEVARDSET�ACK STREETSETDACK REARVARDSETBACKPLANCHECKNUMBER PLANCHECKFEE <br /> FEE RECEIPT NO. <br /> USEZONE LOTAREA VACANTSITE 7���'' ;�(1fC <br /> ❑VES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROVP NO.OF OWELL�NG <br /> UNITS � <br /> 5�2E OF �LDG. NO.OF STORIES MA%.OCC. LOAD OU�LDIKG S �Q�YJM{7� '� j� <br /> PLUM�IN(G � <br /> f-IREZONE dASEMENT FIHESPRINKLERS � <br /> Rf�UIRED � <br /> ❑V[S ❑NO MECHAHICAL 1 <br /> SPECIALCONDITIONS: OTNER � <br /> I <br /> PENELTV SEC.3031a) � <br /> I <br /> TOTAL I � <br /> PERMIT VALIDATION <br /> WHFN PROPERLY VALIDATED QN ?HIS SPACE)THIS IS VOUR PEFMIT <br /> 1 <br /> PP�UUTo'�nCCt�11011Y�. PLANSCII�f�tEOBY�. APPR0.'lq(01115SURNLE�Y. <br /> t711 <br /> � � <br /> ��i. <br />