Laserfiche WebLink
r <br /> fhr. Evcr,qrren <br /> CITYOF CONSTRUCTION everett <br /> everett P�.RMIT <br /> CiIY�IAII :59PEn5 <br /> EVENf1t.1YAY 36iO4 <br /> 9d1a1 <br /> � °"` °`°°"",°�°` gUILDING MECHANICAL PLUMBING <br /> ocvnov�•,enr <br /> OWNEF MAIL AUDRESS ZIP �a PIiUN,E/y <br /> '� .� � • . !� ��I r <br /> n:*.nnv . ���a ,-:;>,_;" xzr� � <br /> ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br /> GENEHALCONTRACTOR MAILADDRE55 PHONE LICENSENO. <br /> (�/':� �_ .�jh•..� `�r.r�+� Y. �.. t'tih <br /> .. � <br /> MECHANICAL LONTRACTOR MAI�ADDflESS PHONE LICENSE NO. <br /> E3A'g" <br /> PLUMBING CONTRACTOR MAILA�DRESS PHONE UCENSENO. � <br /> W <br /> �.���li m <br /> PERMIT CLA55 OF WORK � <br /> z ]} Z <br /> 'U` DUIIDING []' Pl.UM81NG r�']MECNANICAL H <br /> ❑NEW �ADDITION ❑AITERATION ❑REPAIR � <br /> VALUATIO�yN�OyF�WO K � <br /> 5 lvM� ❑DEMOLISH ❑FENCE ❑51:3N ❑SWIMh11NG POOL a <br /> DESCRIBE WORK y�.._,y� � . � . �T O L <br /> iYr�4iw �L:.`� �l'1�.' r'� j'� �'�':'� <br /> PROPOSED US� <br /> MECHANICAL <br /> LEGAL OEECRIPTION OF PPOPEFTV ISHOW BELOW OR ATTACH TVPL Of- FUEL �OIL ❑GAS� ❑LPG. �ELEC. <br /> FOUR C�!O.�P;E51 <br /> Lo7� OLOCK_oF �`i'i "���' �� '� ��� � NO. TVPE OF E�UIPMEN7 FEE <br /> AIP CONO. �1NITS-H.P. EA. 5 I <br /> REFRIGERATION UNITS-H.P. EA. <br /> �OILEfiS-H.P. EA. � <br /> GAS FIREO A.0 UNITS-TONNAGE EA. <br /> FORCED AIR SVSTC:MS-�.T.U. M EA. I <br /> JOB ADDRESS �� �.F,�r ' WALL HEATERS_R T.U. M <br /> �tt UNIT HEAI'ERS-R T.U. M I <br /> EVAPORATNE C�)OLERS <br /> PLUMBING � CLOTNESORVEFiS � I <br /> VENTILATION FAN <br /> RANGEHOO� 1 <br /> AIR NANDLING UNIT- C.F.M. <br /> TVPE OF FIXTURE OR ITEM1t FEE <br /> WATERCLOSET (TOI�ET) S �nCINERATOR � <br /> 6ATHTUB _ <br /> L/1VATORY (WASH BASINI I <br /> SHOWER —T— <br /> —�! <br /> KITCHEN SINK& �ISP. SUB TOTAL 5 -�� <br /> DISHWASHER PERAIIT 5 <br /> LAUNDHVTRAY TOTALFEE 5 � <br /> CIOTHES WASHER TIilS PEflMIT 6ECOMES NULL ANn VOID IF WORK OR CONSTRUC� I <br /> WATEP HEATER TION AUTHORIZED IS NOT COMM1IENCE� WITHIN 170 DAVS, OR IF <br /> URINAL CONSTRVCTION Ofi WORK IS SUSPEN�E� Ofl AUANDON[D FOR A <br /> DRINKING FOUNTAIN PERIOD OF /20 OAVS AT ANV TIM[ AFTER WORK IS COMME'JCED. <br /> PLOOH-SINK Ofi DPAIN I HEflEBY CERTIFY THAT 1 HAVE READ AND [XAMWED THIS AP� <br /> Vl�CUUM (7REAKERS PLICATION AND KNOW TME SAME TO BE TPUE AND CORRECT. ALL <br /> ROOP DNAINS-RAINL@AOERS I P��OVISIONS OF LAWS AIJD ORDINANG-S GOVERNING 'fH15 TYPE <br /> OF WORK WILL BE G0�IPLIED WITII WIiETfiE(i SPECIf1ED HEREIN <br /> SINK ISEflVICE-DAR, ET�:,) r Ofi NOT, TIIE GRANTING OF q PERAIIT DOES NOT PRESUME TO <br /> GIVE AUiHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> � ANY OTHEP STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PEFFOFMANCE OF CONSTRUCTION. <br /> SUB TOTAL <br /> PERMIT 5 �• <br /> TOTALFEE S � '�'}�'}I�I�� <br /> x .ny� �/ <br /> SIGNAIUREOFCONTRACTOFORAUTH.AGENT OATE <br /> SIDE YA SET6ACK STREET Su(y�.CK REAR VAFpy�T[3ACK PLAN CHECY. NUMBER PLAN CHECK FEE <br /> 'V` �v' ?�� FEE �� RE(:EIPT NO. <br /> ♦ <br /> USE70.[iF LOTAREA VACANTSITE �� <br /> 4 <br /> ❑vES No FEES VALUATION FEE <br /> TVPE OF CONST. OCGUPANCV GROUP UNIOS�WELUNG I <br /> SI2E OF OLDG. NO.OF 9fORIES MAX.00C. LOA� UUILDING 5 � <br /> .4 � <br /> PLUMBING ��� <br /> FIRE 20l�E ���ENT HfQUIREIpNKLEHS ,i <br /> � ❑VES �NO h�ECHANICAI '� <br /> SPECIAL CON�ITIONS: OTHER � <br /> I <br /> PENELTV SEC. 307(al I <br /> TOTAL •% j� <br /> PERMIT VALIDATION <br /> WH[N PROPERLY VI�LIDATED IIN THIS SPACEI TLIIS IS VOUR PLRMIT <br /> I <br /> MPLIG�iIONnCCCPTCOfI��. fLAN$CIICCKE08V: FPPpOVCD1SI�I�:NCEOY. <br /> i <br /> � <br />