Laserfiche WebLink
Ihe Erer�rer.n <br /> ��TYo� CONSTRUCTION everett <br /> everett PERMIT <br /> bIY IIAII 1598885 <br /> EV[fllLi,1V45111NGIDN <br /> 99I01 <br /> o[vi.ovwunmxrtx BUILDING MECHANICAL PLUMBING <br /> OCVEIOPN[NL <br /> OWNEH r Ml�IIADDRE55 21P PHONE <br /> TrY:'::'Lt3 '1' �I[ '. JV 'CYi y�iN 31':'iai � <br /> ARCHITECT OR DESIGNER MAiL A�DFESS PMONE LICENSE NO. /�5�� <br /> ! <br /> CcNERAL CONTHACTOR MAIL ADDHE55 PHONE LICENSE NO. <br /> "rrp,�,s.7.t, ��("� �,� <br /> MECMANICAL CONTRACTOR MAIL ADDFE55 PHONE LICENSE NO. <br /> PLUMBINGCONTR4CTOR MAILADDRE55 PHONE LICENSENO. � <br /> W <br /> m <br /> PERMIT CLASS OF WORK � <br /> Z <br /> �BVILOING ❑ PL�IMBING �MECHANICAL F <br /> ❑NEW ❑ADOITION ❑ALTERATION ❑REPAIR � <br /> VALUATION � <br /> $ � ❑�EMOLISH ❑FENCE �SIGN ❑SWIMMING POOL a <br /> DESCRIBE WORK �5�� <br /> f�"�+"GT "�Cr?' 1�'�fif1! t'F�11x'GT31�'J `•�I� <br /> PROPOSED USE MECHANICAL <br /> LEGAL�ESCRIPTION OF PROPERT'! ISHOW BELOW OR ATTACH TYPE OF FUEL nOIL ❑GAS ❑LPG. �ELEC. <br /> FOUR COPIE51 <br /> Lo7 flLOCK_OF NO. TYPEOFEQUIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. S I <br /> FEFRIGEF..TION UNITS-H.P. EA. <br /> 601LER5-H.P. EA. I <br /> GAF FIRED A.C.VNITS-TONNAGE EA. <br /> fORCED AIR SYSTEMS-O.T.U. M EA. I <br /> JOB ADDRESS .'-t f� WALL HEATERS-B.T.U. M <br /> iNv VNITHEATERS-B.T.V. M I <br /> EVAPORATIVECOOLERS <br /> PLUMBING CI.OTNES�qVERS I <br /> VENTILAT�ON FAN <br /> RANGEHOO� I <br /> NO. 7YPE OF FIX7URE OR ITEM FEE A�R HAN�LING UNIT- C.F.M. <br /> WATER CLOSET(TOILET) 5 INCINEFATOR I <br /> BATHTUB <br /> �qVATOflV(WASH BASINI � <br /> SHOWER <br /> KITCNEN SINK& DISP. SVB TOTAL 5 � <br /> DISHWASHER pEFMIT 5 <br /> LAUNDFV TRAY 70TAL FEE 5 <br /> I <br /> CLOTHES WASHEF TIiIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC� <br /> WATER HEATER TION AUTHORI2ED �5 NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br /> DRINKING FOUNTAIN PERIOD OF 770 DAYS AT ANV TIME AFTER WORK IS COMMENCEO. <br /> FLOOR-SINK OR DRAIN I HEREAY CERTIFV THAT t HAVE REAO ANO EXAMINED THIS AP� <br /> VACUUM BREAKERS PLICATION AND KNOW THE SAME TO�E TRUE AND CORRECT. ALL <br /> FOOF DRAINS-RAIN�EADERS � PROVISIONS OF �AWS ANO OROINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WiTH WNETHER �PECIFIED HERE�N <br /> SINK(SERVICE-BAR. ETC.1 OR NOT, THE GRANTING OF A PEflMIT DOES NOT PFESUME TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR TIiE PERFOFMANCE OF CONSTRUGTION. <br /> SUBTOTAL <br /> PERMIT $ <br /> TOTALFEE $ . � <br /> x <br /> SIGNATUREOFCONTRACTORORAUTH.AGENT DATE <br /> SIDEVARUSETDACK STREETSETBACK REAHYAROSETBAC PLANCHECKNUMBEfl PLANCHECKFEF <br /> . FEE F7ECEIPT NO. <br /> USEZONE LOTAREA VACANTSITE <br /> ❑YES ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCGUPANCV GROVP UNIOS DWELLING I <br /> SIZE OF BLOG. NO.OF STOHIES MA%.OCC. LOAO BUILDING $ �� � � <br /> PLUMOING � <br /> FIREZONE eASEMENT F�RESPRINKLERS <br /> qf�UIRED MECNANICAL I <br /> ❑vE5 ❑NO <br /> SPECIAL CONDITIONS: pTHER � <br /> I <br /> PENELTY SEC.�071u1 I <br /> TOTAL 5 � <br /> PERMIT VALIDATION <br /> WHEN PqOPEFLV V4LIDATED(IN THIS SPACE)TNIS IS VOUR PERMIT <br /> AMLIGITIUNRCCCPi[OBY'. PLANSCtlECK[OBY: APPPOV[�fOH1AUANC[BY. <br /> CJ30�b <br /> a <br />