Laserfiche WebLink
fhe Evergreen <br />c�r oF <br />everett <br />259-8745 <br />"� C��NSTRt�CT10N �" <br />PERNfIT <br />PERMIT NO. � 9� 6 8 <br />❑ DEMOLITION ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADD�lESF C�iY ZIP PMONE <br />Y..::n DeBoer 3224 Hoyt Everett. wA 989f1i _259_p� <br />ARCHRECT OR DESIGNER ldAIL FODRESS CITY ZIP PNONE <br />GENERRLCONTPACTOR MAILP�DPcGS CITY ZIP PMONE LICENSE� <br />Everett Bldrs, Inc. 5606 E�ergreen Way FY)PYP}} �n qg2p3 35� 'l�6�—�V£i2E�3 <br />MECMANICAICONiFA('TOR MAI�ADORES$ CITY ZIP HONE I <br />❑ NEW ❑ ADDITION <br />S 1590.00 <br />OESCRIBE WORK <br />MAtL nODRE55 <br />ALTERATI(1N <br />CITY ZIP PHONE UCENSE� <br />❑ REPAIR ❑ UEMOLITION ❑ BUILDING RELOCATION <br />Tear off and rnroof existj,�g rec;donrP <br />NenrsouncE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE O OTHER <br />�or 21-l�ocK _ 769or <br />PLUMBING <br />TYPE OF FIXTURE OR <br />WATER CLOSET �TOILET� <br />BAiHTUB <br />LAVATORV �WASH BASIN� <br />SHOWER <br />NITCHEN 91NK 8 DISP. <br />DI:'HWASHEF <br />LAUNDRY TIiAY <br />CLOTNES WASHER <br />URINAL <br />DflINKING FOUNTAIN <br />FLOGi DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DFAINS — RAINLEADERS <br />SINN �SERVICE — BAF. ETC � <br />USE ZONE <br />TYPE O' CONST <br />512E OF O�DG <br />S.H. <br />SUB TOTAL f <br />PEflMiT f <br />TOTALFEE f <br />--....—' VPCANTSITE <br />❑ YI"5 ❑ NO <br />OCCUPANCVGfiO11P NO UFOWELIi <br />NO OF STORIES MA% OCC LOt <br />PIANSCHEGKL�OV � �PPR �ORISSUANCL[iV <br />I HEREBY CEFTIFY THAT I HAVE READ ANU EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />COHRECT. ALL PFOVISIONS OF LAWS AND ORDINANC:S <br />GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED WITH <br />WHEThiER SPECIFIED HEREIN OR NOT. THF GRANTING OF A <br />PERMIT DOES NOT PqESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUC:TION OR <br />THE PE FORMANCE OF CGNSTRUCTION. <br />SIGNATU CONTPPCi`R.AUT O EDPGENI.OqOWNER DAiE <br />X �f n= � `�-/ X- �''� <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />A: C— A�HNDLG UNITS — NP <br />REFRIGERATION UNITS — HP. EA. <br />BOILEFS — OS.UiHP. <br />GASFIREDAC UNITS—BT.0 <br />FOPCED AIR SYSTEMS — pSL M EH. <br />WALLHLAT[RS—B.TU M <br />UkITHEATERS—U.T.0 M <br />EVAPORATIVE COOIERS <br />CLOTHLSDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />VJATER H[ATER <br />wOODSTOVE <br />METAL PIREPLACE 8 CHIMNEY <br />FlIiEPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />PLAN CHECKNUMBER FEE <br />FEES VALUA <br />�UILD�NG S 1590 <br />PLUIdBING <br />MECHANICAL <br />INVESTICATION FEE <br />STATE �UILDING SURCHA(iG <br />STATE ENEtiGV SURCHARGE <br />DRIVEWAV PERMIT <br />Sec.304(e) <br />YEE <br />TOTAL I I <br />PERMIT VA�IDATION <br />WH[N PROPERLY VALIDATED (IN THIS SPACE) THIS IS VOUF PERMIT <br />40150 <br />•• <br />