Laserfiche WebLink
[hc Evar�rcen <br /> ��TYOF CONSTRUCTION everett <br /> everett ;°ERMIT <br /> [i1Y NAII 159 BBA5 <br /> EVEPCii,WASNINGiON <br /> 9B10� <br /> 0[PL.OfLOMAlUN1iY BUILDING MECHANICAL PLUMBING <br /> ONElOVMENI <br /> OWNER MAILADDRESS ZIP PHDNE <br /> �3'?f _ ,:" 7r'.,0�'I7 <br /> ARCNITECTOROESIGNER MAILADDRE55 PNONE �ICENSENO. <br /> GENEFiAL CONTRnCTOR MAIL ADDqESS PHONE LICENSE NO. <br /> �'L*,�Fih t rN;`.....p ,.- 3���92 <br /> MECHAN�CAL CONTFACTOR MAIL ADORESS PNONE LICENSE NO. , <br /> PLUMBING CONTRACTOR MAIL AODRE55 PHONE LICENSE IJO. � <br /> W <br /> m <br /> PERMIT CLASS OF WOflK � <br /> z <br /> Q6U�LDING �PLUMBING �MECIiANICAI F � <br /> ❑NEW ❑AD�ITION ❑ALTERATION �iEPAIR � <br /> VALUATION OF WORK <br /> 5 ��(p ❑�EMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL W <br /> ❑ESCRIB[WORK � <br /> 4�a cx�s �:.�c¢ �-ca �.�an :�-: :� 2564 <br /> PROPOSEU USE <br /> MECHANICAL <br /> rvaeorruE� poi� �NAL �LPG. �ELEC. <br /> LEGAL DESCRIPTION OF PROPERTV ISHOW BELOW OR ATTACIi G1�5 <br /> FOU COPIE5) <br /> �oT� oLOCK u oF ���`�1i�� ���' ' �' �e NO. TVPE OF EOUIPMENT FEE <br /> AIR CON�. UNITS-II.P. EA. 5 I <br /> REFFIGERATION UNITS-H.P. EA. � <br /> �OILER$-HP. [A. � <br /> GAS FIR@O A.C. UNITS-TONNAGE EA. i <br /> FOfiCED AIR SVSTEM1IS-6.T.U. M EA. I <br /> JOB ADDRE55 �VALL HEAI'EFS-6.T.U. M <br /> � h� VNIT HEl.TEIiS-9.T.U. M11 1 <br /> EVl�PORATN[COOLERS <br /> PLUMBING CLOTHES DPYERS <br /> i <br /> VENTIL/1TION FAfv <br /> RANGEHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE ��A HANDLING UNIT- 0.F.M. <br /> WATER CLOSET ITOILET) g INCINERATOq � <br /> BATHTUB � <br /> LAVATORY (WASli BASINI � <br /> SHOWEF <br /> KITCHEN SINK & DISP. SUB TOTAL 5 � <br /> OISHWASMER PERMIT S � <br /> LAUNDRY TIIqY � <br /> TOTAL FEE 5 I <br /> _ CLOTHES WASIIER ?HIS PERMIT OGCOAIES NULL AND VOID IF WOfiK OF CONSTRUC- <br /> WATFF HEATER TION AUTNORI2ED IS NOT COM1IMENCED WITHIN 120 DAVS, Ofi IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDED OH ADANDONED FOR A <br /> �RINKING FOUNTAIN PERIOD OF 120 DnVS AT ANV TIME AFTER WORK IS COM�IENCED. <br /> F�OOR-SINK Ofl ORAIN I HEREF3V CERiIFV TIiAT I HAVE REA� ANO E%AA".INEO TNIS AP� <br /> VACUUM BREAKF.RS � P�ICl�TION AND KNOW THE SAME TO [3E TRUE AND CORRECT. Al.l. <br /> ROOF DRAINS-FAINLEADERS PROVISIUNS OF LAWS AND ORDINANCES GOVERYING THIS TYPE <br /> OF WORK 1NI�L �E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> SINK (SEftVICE-NAR, ETC.) —� OR NOT, TH[ GFANTING OF A PERMIT DOES NOT PRESUM1IE TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEI TliE PROVISIONS OF <br /> ANV OTHER STME OR LOCAL LAW fiEGULATING CONSTflUCTION <br /> _� OR TNE PERFORMl1NCE OF CCNSTRUCTION. <br /> _ SUB TOTAL f <br /> PERMIT S <br /> TOTALFEE 5 <br /> SIGNATUREOFCONTfiACTOROflAUTH.AGENT DA� <br /> SIDEYARDSLTDACK STREETSET9ACK REARVARDSET�ACKPLANCHECKNUAIBER YLANCHECKFEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AFEA VACANT SITE <br /> ❑YES ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GPDUP NO.OF DWELLING <br /> UNITS � <br /> SIZE OF BLDG. NO.OF STORIGS MAX.00C. IOAD BUILDING 5 �� � � <br /> FIRE20NE �ASEMENT FIHESPqINKLERS P�UMBING i <br /> R!"OUIRED � — <br /> ❑YES ❑NO MECHANICAL , � <br /> SPECIAL CONDITIONS: OTHER � <br /> i <br /> � � � �r ` �� ��••��',f.� ���, ^' :'� PENELTY SEC.3071a1 1 <br /> TOTAL e��t j� <br /> PERMIT VALIDATION <br /> WHEN PRO�'EfiLV VALIDATED (IN THISSPACE) THI515 VOUR PERA7IT <br /> I <br /> AI`I`IiCATIONACCfP1Cp11Y �L1hS01(C1.LDOY A�PIIOVI�lON1L91.t1lCLOT. <br /> � � � <br /> :j <br />