Laserfiche WebLink
EhP. Evc:gc;m <br />CITY OF CONSTRUCTION everett <br />everett PERMIT <br />CITY MALL 359 BUS <br />EVENETT. WASHINGTON <br />BUTT <br />DEFT.°` DEVELOP ENT OEEIUPMBUILDING MECHANICAL PLUMBING <br />4 <br />OWNER MAIL ADDRESS 21P PHONE <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />SI".f'O sim 2V-d0W6 _ <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />� <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />m <br />PERMIT <br />6UILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />SI�j NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />� <br />z <br />I-' <br />VALUATION OF WORK <br />S 7Eyy� �y� <br />WPD`uC.� <br />❑DEMOLISH ❑FENCE SIGN []SWIMMING POOL <br />cc <br />a <br />DESCRIBEi1WVOLRK E� M5�N���NL���� yyLL�I <br />t.IWaATY SIIN♦n (� NT{ L �I�T}i lL ��C, M) <br />w <br />2 `86 <br />V <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑HAT. ❑LPG. ❑ELEC. <br />G..S <br />FOUR COPEGAL OF PROPERTY (::HOW BELOW OR ATTACH <br />LOT BLOCK —OF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />g I <br />REFRIGERATION UNITS-M.P. EA. <br />BOILERS-H.P. EA. <br />1 <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />1 <br />JOB ADDRESS T <br />-�� <br />WALL HEATERS-B.T.V. M <br />_ <br />UNIT HEATERS-B.T.U. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />1 <br />VENTILATION FAN <br />RANGE MOOD <br />I <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />I <br />WATER CLOSET (TOILET) <br />g <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />I <br />SHOWER <br />KITCHEN SINK & DISP. <br />� <br />SUBTOTAL g <br />1 <br />DISHWASHER <br />PERMIT g <br />LAUNDRY TRAY <br />TOTAL FEE $ <br />I <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERI00 OF 520 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />x <br />WATER HEATER <br />_ <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />I <br />—�— <br />ROOF DRAINS-RAINLEADE RS <br />SINK (SERVICE -BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />$ <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT GATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SE TB ACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACA NT SITE <br />❑vl:s ❑No <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CO HST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />I <br />BUILDING <br />g 20Ww00 <br />6100 <br />SIZE DF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />1 <br />FIgE £ONE <br />BASEMENT <br />FIRE SPRINKLEgS <br />Rf OUIRED <br />❑YES ❑NO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />ETHER <br />I <br />I <br />!IENELTV <br />SEC. 0001a1 <br />I <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE( THIS IS YOUR PERMIT <br />APPLICATION ACCEPTED BY: <br />PLANS CNECNEO BY: <br />APPROVED FO ISSUANCE BY <br />