Laserfiche WebLink
7he Evergreen d <br />'. ��T� �� CONSTRUCTION everett <br /> everett PERMIT <br />' CIIV NAII }59Nfip� <br /> fV[PFiI.NdSNINLiI1H <br /> 9P101 <br /> nu� aoEvciovucx� BUILDING MECHANICAL PLUMBING <br /> OWNEq MAIL AODRE55 ZIP PMOtvE <br />� �t:�[ sa:rTr 212n 'a,• c�:<,�;� �.ir't�-7G <br /> ARCHITECT OR DESIGNER MAIL A�DRE55 PHONE <br /> LICENSE NO. <br /> GENEPl�LCONTRACTOR MAILADDRESS PHUNE � <br /> LICENSE NO. <br /> ��'.''r? <br /> MECHANICALCONTRACTOR MAILqODRESS PHONE <br /> LICENSE NO. <br /> PLUMOING CONTRACTOR MAIL ADDRESS PMONE � <br /> LICENSE NO. W <br /> m <br /> PENMIT CLA55OF WORK -�� � <br /> � <br /> �[3UILDING � PWM�ING �MECHANICAL Z <br /> ❑NEW ❑ADDITION ❑AL7ERATION �REPAIR ~ <br /> VAI.UATION OF WORK � <br /> g ��l�O ❑OEMOLISN ❑fENCE ❑SIGN ❑SWIMMWG POOL W <br /> �ESCRIBH WORK d <br /> �t �.,~Zf (Co�y 1(�11 <br /> PROPOSEO USE <br />. MECHANICAL <br /> LEGA�DESCFIPTION OF PROPERTV ISHOW DELOW OR ATTACf1 TVPE Of- FUEL �OIL �G�S. �LPG. �ELEC. <br /> FOUR COPIE51 <br /> Lo7 pLOCK_OF_ NO. TF'PEOFEDUIPMENT FEE <br /> AIH COND. UNITS-H.P. EA, 5 � <br /> RBFRIGERATION UNITS-H.P, EA. <br /> �OI�ERS-H.P. EA. � <br /> GAS FIRED A.C. UNITS-TONNAGE EA. <br />^ JOB AODRESS y�� ��� _ FORCLO Alq SVSTEMS-D.T.U. M EA, � <br /> �iCJ F+AN.�T�.•�:I{.� WALL HLATEPS-B.T.U. M <br /> _�UNIT IIEATERS-B.T.U. M � <br /> PWMBING I EVAPOHl�TNE COOLERS <br /> _�CLOTHLS ORVEfiS � <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> NO. TYPE OF FIXTURE OR ITEM FEE A�R �iANDLING UNIT- C.F.M. <br /> WATER CLOSETITOILETI 5 INCINERATOR � <br /> ' �' BATHTUB <br /> LAVATORV(WASHOASINI <br /> SIiOWER I <br />� KITCMEN SINK& DISP. - <br /> DISIiWASMER �{ _ SUD TOTAL 5 � <br /> LAUNORY TRAV -� �ERMIT $ <br /> CLOTH@SWASHER TOTALFEE 5 � <br /> I <br /> WATER f1EATER THIS PFRMIT 6ECOMES NVLL AND VOID IF WORK Ofl CONSTRVC- <br /> UFINAL i- TION AUTIiOFIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br /> DRINKING fOUNTAIN � PEOfiIOD OFT140 DAVS AT qNVSTIME ADFTOEq WORK 5 COMMENCED. <br /> FLOO(i-SINK OF DRAIN 1 HERE�V CERTIFV THAT I HAVE FEAD AND LXAMINED THIS AP� <br /> VACUUM �qEAKERS � PLICATION AND KNOW THE SAME TO 6E TqUE AND CORfiKT. A�L <br /> ROOF DAAINS-qq�N�EADERS PROVISIONS Of- LAWS AND ORDINANCES GOVERNING l'HIS TVPE <br /> SINK ISERVICE-OqR, ETC.) - OF WORK WILI �E CO�iPLIEO WITH WHETHER SP[CIFIED HEREIN <br /> OR NOT, THE GRANTING OF A PERAUT OOES NOT PRESUME TO <br /> GIVE IIUTHOFITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHfN STATE OR LOCAL I.AW qEGULATINGCONSTRUCTION <br />� SUO TOTAL OR THG PEFFORMANCL OF CONSTRUCTION. <br /> PEFMIT g <br /> TOTALFEE S <br />' x T/�/76 <br /> SIGNATUREOFCONTRACTORORqUTH.AGENT DnTE <br /> SIDE YARD SET�ACK STREET SETOACK REAR VARD SETOACK PLAN CHECK NUM6ER <br /> PLAN C11EC:< FEE <br /> FEE RECE'PT NO. <br /> USE20NE LOTAREA VACANTSITE <br /> ❑vEs ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROVP NO.OF OWELLING <br /> UNITS <br /> 1 <br /> SIZE OF E3LOG. NO.OF STOfilES MAX.00C. LOAD UUILDING 5 J�yy 51 � <br /> I <br /> FIREZONE BASEMENT FIHESPRINKLERS PLUMBING � <br /> FE(]UIRED � <br /> ❑Y[S ❑NO �1ECHANICAL <br /> 1 <br /> SPECIA�CONOITIONS: <br /> --- -- UIHBH I <br /> 1 <br /> PENELTY SEC. 303�n) � <br /> TOTAL t�'�� <br /> I <br /> P�RMIT VALIDA7lON <br /> WHEN PROPERLV VALIDATEO (IN THIS SPACEI THIS IS VOUR P@RMIT <br /> APPI�CALION�CCCFTEOBV�. PlANSCNCCNCpOY: ACPqOVCOfORI55U/NCEOV. <br /> � W <br /> � <br />