Laserfiche WebLink
fhe Ever�recn I <br /> ��r� �� CONSTRUCTION everett ' <br /> i everett PE�MIT <br /> I cirv xnu 159tl8P5 <br /> NEPEIi.l945HINGTOtl <br /> 99}p� <br /> °��, °° �°^,��°�°r BUILOING MECHANICAL PLUMBING i <br /> nEvciorrt+Ext <br /> OWNER MAILADDftESS ��P PNONE <br /> {�� �`+�`I��� '. ^Iv� .n�� <br /> . . .-�f 1 <br /> ARCHITELT UR OESIGNEF MAIL ADDFE55 PHOfvE LICENSE NO. <br /> I <br /> i GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> I <br /> I <br /> I MECHANICAL CONTRACTOR MAIL ADDPESS PHONE LICENSE NO. <br /> I ;�.�ri i.r��'i.n� '. f?('� <br /> PLUMf31NG CONTRACTOR MAIL ADDRE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> � � <br /> PERMIT CLASS OF WORK � <br /> z <br /> ❑ BUIL�ING �PLUM6ING �MECIiANICAL aNEW ❑ADDITION ❑ALTERATION ❑HCPqlfi ~ <br /> � <br /> VALUATION OF WORK � <br /> 5 ❑DEh10LI5H ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> DESCFIUE WORK <br /> �� ��:r --�,r.:.: 2206 <br /> IPROPOSED USE MECHANICAL <br /> IEGAL OESCRIPTION OF PROPEfiTV (SHOW 6ELOW UR ATTACH TYPE OF FUEL �OIL ❑Gn5 ❑LPG. �ELEC. <br /> FOVR COPIESI <br /> I LO7 BLUCK—OF N0. TYPE OF EQUIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. $ � <br /> REFRIGERATION UNITS-H.P. EA. <br /> __ .___.—__—_ 601LEF5-H.P. EA. I <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-B.T.U. M EA. I <br /> J06 ADDRESS WnLL HEATERS-B.T.U. M <br /> .`.�C'e:j -' r'LPr�:� UNIT HEATERS-B.T.U. M I <br /> C�'APOfil.TIVC COnLLfii <br /> PLUMBING CLOTHES DRVERS I <br /> VENTILATIOIJFAN <br /> RANGEHOOD I <br /> NO. TVPE OF FIXTURF OR ITCM FEE _ ��A HnNouNG uNl7- aF.M. <br /> Wl�TLfi GLOSET (TOILETI g INCINEflATOR 1 <br /> BATHTUB —� <br /> LAVATORVIWASHfiASIN) I � <br /> SHGWER <br /> KITCHENSINK& OISP. SUBTOTAL 5 ��� <br /> DISHWASHEP. PEFh11T 5 <br /> LAUNORYTRAY TOTALFEE 5 I ' <br /> CLOTHES WASHER THIS PERM1IIT 9ECOMES NULL ANO VOID IF WORK OR CONSTRUG <br /> WATER HEATEF TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENOED OR A[3ANOONED FOR A <br /> ORINKING FOUNTAIN PEFIO� OF 120 DAVS AT ANY TIME AFTEP WORK IS COMMENCED. <br /> FLOOR-SINK OR DRA"� I HERE6Y GERTIFV THAT I HAVE READ AN� E%AMINED THIS AP- <br /> VACUUM OREAKERS PLICATION hND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> — PFOVISIONS OF �AWS AND OFiDINANCES GOVERNING THIS TYPE <br /> ROOF ORAINS-FAINLEADERS OF WORK WIL� BE COb1PLIE0 WITH WHETHER SPEGFIED HEREIN <br /> SINK (SERVICE-�AP. ETC.1 OR NOT, THE GRANTING OF A PEftMIT OOES NOT PRESUME TO <br /> GIVE AUTHORITV TO VIOLl�TE OFi CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OR LOCAI 1.�1VJ FEGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF COPiSTRUCTION. <br /> SUBTOTAL <br /> PERMIT 5 <br /> TOTALFEE 5 '�` <br /> I x �1� �7� <br /> SIGNATUREOFCONTRACTOFiOPAUTH.AGENT DATE <br /> SIDEVAR�SETDACK STREETSETUACK REAAVAflDSETBACKPLANCHECKNUMBEfi FLANCHECKFEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AREA VACANI"SITE <br /> ❑YES ❑NO FEF.S VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING �- <br /> UNITS � <br /> SIZE Of 6LOG. NO.OF STOflIES MA%.00G LOAD BUILDING 5 � <br /> I <br /> PLUMBING � <br /> FIRE20NE E3ASEM�Ni FIRESPRINKLLRS � <br /> � R ❑VESED ❑NO MECHAfJICAL r ('� <br /> 1 — <br /> SPECIAL CONDITIONS: OTHER � <br /> I <br /> — PENELTY SEC. ]031a1 I <br /> I <br /> I " TOTAL 7j � <br /> I PERMIT VALIDATION <br /> WH[N PROPERLV Vl�LIDATE� (IN THI'SPACE)THI515 VOUfi VERMIi <br /> APPLIC�I�OtJ�CCCPT"cI]11Y: VLANSCHEIXEOBV'. APPPOVEDFOAISSUFNCEOY. <br /> I� z. �. <br /> ,� i <br /> . � <br />