Laserfiche WebLink
7Ac r-varurcorr aJ��.7T��li��Alltl <br /> everett <br /> "`y °'` PERMIT <br /> everett <br /> CIl V IIALL 259 NJ45 <br /> eveaerr. wn oazat COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> ovdNEH n1n�L nuulihtis z�v �'�u.)N4 'D <br /> � , ;. r r � 3r;—G231 m <br /> co:a �roi� m�.sr•_�J,�. � <br /> l�FCHITECT OH DESIGNER � Ml�IL ADI�RESS PMONE LICENSC PJU. � <br /> '� <br /> GENERAL CONTRACTOIl MAIL ADDRESS PHONE UCENSE NO. z <br /> C <br /> MECNANICALCONTRACiOR MAIL ADDRESf PHONE LICENSE N0. � <br /> W <br /> m <br /> PLUMBING CONTRACTOR MAIL AODRESS P1iONL LICENSE NO. � <br /> U�LL � <br /> F'ERMIT CLASS OF WORK - <br /> ❑COMBINATION <br /> ❑6UILDING � PLUM6ING ❑MECHANICAL t� <br /> ❑NEW ❑l1DOIT10N ❑l1LTERATION 1LJR[PNR <br /> VALUt1TION OF WORK <br /> ❑D[MOLISH ❑fENC[ ❑SIGN ❑SWIMMING POOI <br /> 5 <br /> DESCRIBE WORK <br /> .TLT�LliC� ;�tAP�R SL'R.:�ZCE <br /> PROPOSED USE <br /> MECHANICAL <br /> LEGAL OESCRIPTION OF PROPERTV ISH�'�W BELOW OR ATTl1CH TVPF OF FN[RGY <br /> FOVRCOPIESI ❑rqS ❑ELEC. <br /> �O7 oLOCK—oF_ __ NO. _ TVPE OF E�UIPMENT FEE <br /> AIR CONO. UNITS-H.P. [A. 5 I <br /> R6FHIGERATION UNITS -H.R EA. �— <br /> 601LER5-H.P. EA. I <br /> FORCED AIR SVSTEMS-U.T.U. MEA. <br /> I <br /> JO� ADDRESS / SPACE & WALL HEATERS - B.T.U. <br /> ZC�2� Ta�il'�iL�.11 UNITIIEATERS-f3.T.U. I <br /> [V/�PORI�TNE COOLERS <br /> PLUMBING c�on�es oareas i <br /> VENTILATION FAN —T— <br /> RANGENOOD I <br /> NO. TVPE OF FIXTURE OR ITEM fEC IiIR HANDLING UN1T- 0.F.M. <br /> BATH TUBS 5 I <br /> CLOTHES VlASHFR � WATER HEATER <br /> DISH Wl�SHERS FAC. PV ILT FIREPLACE R CNIMNEY I <br /> DRINKING FOUNTAINS i ------'—'-'-- '---- — ----7- � <br /> FLOOR DRAINS i GAS. SVSTEM: NO OP OUTLETS __ <br /> KITCHEN SINKS & DISP. i _____—_._— <br /> SUO TOTI�L 5 I <br /> E3AR SINKS � ___ ___ PERMIT 5 � <br /> ROOF DRAINS -� RAIN LEADERS � TOinLPEE 5 I <br /> SHOWER HATIiS "HIS P[FMIT 6ECOMES NULL nND VOiD IF WORK OR CONSI'PUC <br /> SERVICE SINKS iION AUTHORIZED IS NOT COMMENCEO N^.THIN 120 Dl1V5, OR IF <br /> SUMP$ -- SLW/1GE PUMP CONSTRUCTION OR WORK IS SUSPENDE:I OR Aui�NDONED FOR A <br /> _ � PERIOD O� 120 Df.YS Ai I�NY TIM[ f�F'�LF WOFK IS COMMENCED. <br /> URINALS <br /> WATER CLOSETS I � ���EFiLfIV CERTIFV THAT I IIl�VE REAO AND E%AMWED THIS AP <br /> PLICATION /�ND KNOW TH[ Sl1ME TO CiE T'RUE AND CORRECT. l�LL <br /> WATER HEATERS - ELECTRIC � Pf90VI510NS or �nws nNo or�oiNnNces cover�rvinlc THis ivve <br /> WASH 8/�SINS I OF WORK WILL UE COMPLIED WITH WHETNEFi SPECIFIED HEfl[IN <br /> LAUNDRV TFAYS ON NOi, TIiE GRl�NTING G 11 PEHMIT DOE i NOT PR[SUME TO <br /> • � — � GIVE AVTHORITV T�VIO TE OR CANCLL II�tE PflOVI5lON5 OF <br /> ANY O ILfl ST/�TE O LO AL Ll1W fiEGULt�TING CONSTRUCTION <br /> � OR TI - P fiFORMAN E O CONSTHUCTION. <br /> 1 <br /> SUB TOTAL � <br /> PFRMIT S <br /> TOTAL FEE x �' , ,x,/:Y_�rt��(_��'^�-� ].O I.J� <br /> WATERSERVICESIZE PLDG. SUPPLVSI2E si Nniu flor-c NrancTonOR�uiri.nc[N7 onre <br /> SIOE VARD SETeACK STFEET 5[TOACK REAR VAFOSETOACK PLAM CHECK NUMAEft PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE TONE LOT AfiGA VACANT SITE <br /> ❑YES ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUP/1NCY GROUP NO.OP OWELLING � <br /> UN115 <br /> SIZE OF fILDG. NO. OF STORIES MAX.00C. LOAD OUILDING S I <br /> I <br /> PLVMFiiL': � <br /> flfl[ ZOrvE U115[MEM HRESPRINKLERS —���-�— <br /> � HEC)UIRE� <br /> ❑VES ❑NU MECHANICAI. I <br /> SPECIl�L CON�ITIONS: OTHER � <br /> I <br /> -- _--_—— PENAL7V 58C. 9031.�1 � <br /> -- I <br /> I <br /> — TOTAL C I�� <br /> PERMIT VALIDATION [L r <br /> - . __ --- W116N PI�OVF.fil_Y VALIOM[D IIN '�I�A..l4.IiAC[1 ��p�7,O�gPfii1M1i3 <br /> bU ! v <br /> --_ �'G!J R RECEiP�i <br /> ��.,���,:�„�,N�«:����t�,,.� ,����s,:,,�,_K���,. - ,�,�„<�,:,,,.��,���,.,,��,�� ,,. THANK YOU <br /> ,, �, <br /> j ` _. "' ; <br /> ; <br />