Laserfiche WebLink
Lt <br />0 FUC[T FnEFF • EYFnu <br />Ilse cveryrMR <br />CITY OF <br />everett <br />CITY HALL 2598748 <br />EVERETT. WA 98201 <br />COMBINATION <br />CONSTRUCTION ® everett <br />PERMIT <br />BUILDING • MECHANICAL PLUMBING <br />UWNEH MAIL AUDHLSS <br />ZIP PHONE <br />NCCT OR OESIGNE MAIL ADDRESS jj <br />IG.-w <br />P11UNE LICENSE NO. <br />• "%z UU10 ?G3G-,�E'. �rj <br />,, 1H7- JOJ"13z-1/o( <br />GENERAL CONTRACTOR MAIL ADDRESS <br />PHONE LICENSE NO. <br />s f /�7 A �1y1 %/ %Zq-7 <br />w� �e, �ii1G9d,✓, <br />7G3 /T73 2�3-D�-S7-�fHF <br />Nzl ga . <br />G" <br />M b�HANICAL C NTRAC R MAIL ADDRESS <br />PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />PHONE LICENSE NO. <br />, <br />PERMIT <br />CLASS OF WORK <br />❑COMBINATION <br />❑BUILDING ❑PLUMBING ;.p4ECHANICAL <br />PrNEW <br />[I ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />❑DEMOLISH <br />❑FENCE ❑SIGN []SWIMMING POOL <br />O� <br />5 e20U• <br />DESCRIBE WORK <br />y,4rIivq 44lef a., d 77,roll r, <br />PROPOSED USF <br />MECHANICAL ' <br />LLGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />FOUR COPIES) <br />NO. TYPE OF EQUIPMENT FEE_ <br />LOT BLOCK —OF <br />qIR CUNO. UNITS-M.P. EA. ¢ 7 5 IG <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-II.P. EA. 1 <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />JOB ADDRESS <br />SPACE & WALL HEATERS - B.T.U. <br />HEATERS-R.T.U. <br />_UNIT <br />EVAPORATIVE EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />1 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />TUBS <br />S <br />1 <br />HES WAS4ER <br />I <br />WATER_ HEATER_ <br />Y.ASHERS <br />TFLOCIA <br />I <br />FAC. BUILT FIREPLACE !. CHIMNEY <br />OAS. SYSTEM.' NO OP OUTLETS <br />I <br />KING FOUNTAINS <br />I <br />DRAINS <br />I <br />_ <br />SUBTOTAL SHEN <br />SINKS & DISP. <br />1 <br />PERMIT S <br />TOTAL FEE S 1 0 <br />BAR SINKS <br />ROOF DRAINS - RAIN LEADERS <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF 71 RK O CO NST RUC• <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS. OR IF <br />CONSTRUCTION OR WORK 15 SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 170 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />1 HEREBY CERTIFY THAT 1 I4AVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />Off NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVAUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />E <br />' OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />IIIE PERFORMANCE OF CONSTRUCTION. <br />_ <br />r��f�/_�� <br />X LR/.`/,'A'_ •Y� OL <br />SERVIC E SINKS <br />:i U1.1PS - SLWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />I <br />WATER HEATERS - ELECTRIC <br />I <br />YIASH BASINS <br />I <br />_ <br />LAUNDRY TRAYS <br />I <br />1 <br />SUB TOTAL <br />PERMIT S <br />TOTALF E <br />WATER <br />SCRV ICE SIZE BLDG, SUPPLY <br />SIZE _ <br />SIGNATU RE OFCONTR CTORORAUTR.AGENT DATE <br />SIDE YAROSETUACK <br />SIRE L7 SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USL 20NE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />❑YES []NO <br />I YPL OF CUNSL <br />OCCUPANCY GROUP <br />UN10SF DWELLING <br />1 <br />BUILDING <br />S <br />I <br />W ZL OF BLDG, <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />1 <br />I IHL ZONE <br />BASEMENT <br />TIRE SPRIN <br />REOU1RLO KL HS <br />__— <br />❑YES ' ONO <br />MEC14ANICAL <br />1 <br />:J'LCIAL CONDITIONS! <br />OTIIPR <br />1 <br />I <br />-- <br />PENALTY <br />SEC. 000 U1 <br />1 <br />TOTAL <br />1 <br />-- PFRMIT VALIDATIUN <br />WfILNPIIUPLHI.YVALIOATED IIN THIS SPACE) T111515 YOUR PERMIT <br />i <br />I I <br />