Laserfiche WebLink
Urr. Evergreen <br /> CITY OF CONSTRUCTION everett <br /> everett PERMIT <br /> [ilY NML 15988B5 <br /> EV[PETt,NASIIIHLtON <br /> 9E}01 <br /> °E°r °°°°°°°�°� BUILDING MECHANICAL PLUMBING <br /> oEVEiavu�x� <br /> OWNER MAILA�ORESS ZIP PMONE <br /> t,.. T . � <br /> ARCHITECT OF DESIGNER MAIL ADDRESS PHONE LICENSE ND. <br /> GENERAL CONTRACTOR MAIL ADDRESS PMONE LICENSE NO. <br /> �� <br /> MECHANICAL CONTqACTOR MAIL ADORESS PHONE LICENSE NO. <br /> PLUMBING CONTRACTOF MAIL ADDRE55 PMONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK � <br /> Z <br /> �BUILDING ❑ PLUMBING ❑MECHANICAL �NEW ❑ADDIiION ❑ALTERATION �REPAIR ~ <br /> � <br /> VALVA'ION OF WORK � <br /> 5 �/�� ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> w.�� <br /> DESCRI6E WORK ��.V� � � 1390 <br /> rnoroseo usE � MECHANICAL <br /> TVPEOFFUEL �OIL �NAT. �LPG. �ELEG. <br /> LEGAL OESCRIPTION OF PROPERTY ISIIOW BELOW OR ATTACIi GAS <br /> FOUR COPIESI <br /> LOT B�oCK—OF_ NO. TVPE OF EDUIPMENT FEE <br /> AIRCOND.VNITS-l1.P.EA. S I <br /> REFRIGERATION UNITS-H.P. EA. <br /> AOILERS-H.P. EA. I <br /> GAS FIREO A.C.UNITS-TONNAGE EA. <br /> FORCEU AIR SYSTEMS-B.T.U. M EA. I <br /> JOB ADDRE55 � � WAII NEATEflS-B.T.U. M <br /> UNIT HEATERS-B.T.U. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTI/ES DRVERS I <br /> VENTILATION FAN <br /> RANGEHO00 1 <br /> NO. TVPE OF FIXTURE Oq ITEM FEE A�R HANDLING UNIT- C.F.M. <br /> WATERGLOSETITOILET) g �NCINERATOF I <br /> BATHTUB <br /> LAVATORVIWASH BASIN) � <br /> SHOWER <br /> KITCHEN SINK&DISP. SUB TOTAL 5 I <br /> DISNWASHER PERMIT S <br /> LAUNORV TRNV TOTALFEE 5 I <br /> CLOTHES WASHER TMIS PERMIT AECOMES NULL AND VOID IF WORK OR CONSTRUC� <br /> WATEP HEATER TION AUTHORIZED IS NOT COMMENCED WITHIN 120 OAVS, OR IF <br /> VRINAL CONSTRUCTION OR WORK IS SUSPENDED OP AdANOONED FOR A <br /> DFINKING FOUNTAIN PERIOD OF 170 DAVS AT ANV TI•.1E AFTER WORK IS COMMENI:ED. <br /> FLOOR-SINK OP DRAIN I HEREBV CERTIFY THAT 1 NAVE READ AND EXAMINED THIS AP� <br /> VACUVM BREAKERS PLICATION AND KNOW THE SAME TO UE TftUE ANO CORRECT. AlL <br /> PROVISIONS OF LAWS AND OROINANCES GOVEPNING THIS TVPE <br /> FOOF DHAINS-RAINLEADERS OF WORK WIIL BE COMPLIED WITH WHETHER SPECIFIF.D MEREIN <br /> SINK(SERVICE-BAR,ETC.) OR NOT, THE GFANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE �1UTMORITV TO VIO�ATE Ofl Cl�NCEL THE PROVISIONS OF <br /> ANY OTH[F STATE OR LOCAL LAW REGULATING CONSTiiUCTION <br /> OR THE PERFOFMANCE OF CONSTRUCTION. <br /> SUB TOTAL <br /> PERMIT S <br /> TOTAL FEE S �nK <br /> x ����ry <br /> SIGNATVREOFCONTRACTOROFAUTH.AGENT GATE <br /> SIDEVARDSETOACK STREETSETBACK REARYARDSETBAC PLANGHECKNUMBER PLANCHECKFEE <br /> FEE . RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FE[S VALUATION FEE <br /> TVPE OP CONST. OCCUPANCV GROVP NO.OF OWELLING <br /> UNITS � <br /> 512E OF BLDG. NO.OF STORIES MA%.00C. LOAD DUILDING 5 �� �j�/�/ <br /> PLUM0ING � <br /> FIREZONE BASEMENT FIFESPflINKIEIiS � <br /> RCOUIRED � <br /> ❑VES ❑NO MECNANICAL I <br /> SPECIAL CONDITIONS: OTHER � <br /> 1 <br /> PENELTY SEC.3031e) � <br /> TOTAL �jl(� <br /> PERMIT VALIDATION <br /> Wf1EN PROPERLV VALI�ATED IIN TIi15SPACE)THIS IS VOUfl PERMIT <br /> �PPLILAiIONFCtEPiEOBY: PLANSC11LLkE00�'. AVPNOVfOFO(iISSU�NCLBV. <br /> � � <br /> 3 <br />