Laserfiche WebLink
the Ever?irICR C C S T R U C TI O N <br />CITY DF � PERMIT <br />everctt <br />CITY HALL 21+98745 <br />EVERETT, WA 98201 COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />everell <br />r� <br />OWNLII l MAIL AUUHI.SS ZIP PIIUNL <br />de j I �u Y✓ 1 r ? I Z 0 c .art r `/7 e3 2 U 2 2 -59 2 UF <br />m <br />_ <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />C <br />GENERALCONTR CTOH [MAIL ADDRESS P.11l0c�cLIC,E/NSSEnNpO.S M I1 X . /)I' 1 �'/� �.+)o. i/ h l �_ /% � J `✓ / i 0 _] U-L�N-IJO'/. <br />MECHANICALCONTRACTOR %AIL ADDRESS PHONE LICENSE NO. <br />9 <br />a) <br />m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />I <br />'9 <br />PERMIT <br />COMBINATION <br />❑ BUILDING ❑ PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />3� L10 <br />❑DEMOLISH OF ❑SIGN ❑SWIMMING POOL <br />j DESCRIBE WORK <br />P OPOSED USE <br />r <br />%- Y C- t• <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH <br />FOUR COPIES) <br />S LOT / ABLOCK LOF `Sf cl 3 <br />J �y P <br />0011 �jye, // / Mr 9 / <br />TYPE OF ENERGY <br />❑GAS RELEC. <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />AIR CUND. UNITS-H.P. EA. <br />S I <br />REFRIGERATION U ITS 1.P, EA. <br />BOILERS HP. EA. <br />1 <br />c <br />FORCED AIR SYSTEMS-B.T.U. MEA.vm <br />i <br />I <br />JOB ADDRESS - <br />3a21 �y/`Q� �va1 <br />SPACE & WALL HEATERS - P.T.U. <br />UNIT HEATERS R.TU. <br />PLUMBING <br />EVAPORATIVE COOLERS <br />eLonlESDnveRs <br />VENTILATION FAN <br />RANGE HOOD <br />1 <br />N . <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING LINT- C.F.M. <br />BATH TURS <br />$ <br />--WA <br />—� <br />r <br />1. <br />CLOTHES WASHER <br />I� <br />DISH WASHERS <br />1 <br />WATER HEATER _ <br />i! <br />1 <br />DRINKING FOUNTAINS <br />I <br />C. BUILT FIREPLACE & CHIMNEY <br />FLOOR DRAINS <br />tl- <br />GAS. SYSTEM. NO 01' OUTLETS <br />1i <br />KITCHEN SINKS & DISP. <br />SUBTOTAL S <br />BAR SINKS <br />I <br />PERMIT S <br />ROOF DRAINS - RAIN LEADERS <br />I <br />TOTAL FEE S <br />I/ <br />SHOWER BAI HS <br />THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTnUC <br />TION AUTHORIZED tS NOT COMMENCED WITHIN 120 DAYS. OR IF <br />CONSTRUCTION OR WORK IS SUSPENOEO OR ABANDONED FOR A <br />PERIOD OF 170 DAYS AT ANY TIME At TERWORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND ConflECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED THEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE On CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW HEGUI. ATING CONST RUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />-` <br />SERVICE SINKS <br />1 <br />SUMPS - SEWAGE PUMP <br />.URINALS <br />I <br />WATER CLOSETSI <br />- <br />WATER HEATERS - ELECTRIC <br />Z1 <br />WASH BASINS <br />GI <br />LAUNDRY TRAYS <br />SUB TOTA1. <br />PERMIT <br />TOTALFEE <br />S <br />WATER <br />SERVICE SIZE SLOG. SUPPLY <br />SIZE <br />SI(,NI'TUREUFCONTRACTORORAUTH.AGENT DATE <br />SIDE YARUSETUACK <br />STHLLT SETBACK HEARYARDSLTUACK <br />20 <br />Z U <br />PLAN CHCCK NUMBER <br />PLAN CHECK TEL <br />FEE RECEIPT NO. <br />USE 2QTI _ <br />IYES <br />LOT AREA VACAN'SITE <br />ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP NO. <br />T UNITS <br />OF DWELLING <br />1 <br />SIZE OF BLDG. <br />NO. OF STORIES MAX. <br />2 <br />OCC. LOAD <br />- <br />BUILDING <br />PLUMIIING <br />S C <br />..— <br />") I <br />L111E <br />ZONE <br />BASEMENT <br />HLOUIHED <br />OYES CKO <br />MECHANICAI- <br />1 / - <br />!:PLCIAL CONDITIONS. <br />— <br />OTHER <br />I <br />I <br />I'CNALIY <br />SEC. JOJ LJ <br />T <br />--- <br />TOTAL <br />1 <br />p � I <br />v <br />1'I-11MIT VAIADAT ION <br />WI11 N I'IIUI'I III Y VAI IDATI 1) TIN 11110 SPACIA THIS IS YGUII PT 11 <br />