Laserfiche WebLink
_ _ _ .,-. <br /> nc� rvcr�ucen <br /> ��,Y �� CONSTRUCTlON everett <br /> everett PERMIT <br /> Ci�Y IUII 1591PP5 <br /> EVENER.IIASIUNf,tOY <br /> 9P)01 <br /> ^"' °' °°M°°�"� BUILDING MECHANICAL PLUMi31NG <br /> nrvEtovu[�vr <br /> OWNER .�y�� MAIL AODI1E55 ZIP YHONE .�L <br /> ,�(%�X.'i� ' �"-� :��.*'. ciV+ �Ifl.�,�.^s 1.�5+1�+ <br /> �1RCHITE::T OR DESIGNER MAIL ADDRE55 PHONE LIC[NSE NO. <br /> GENEflAL CONTRACTOIi MAIL/ID�RESS PHONE LICENS[ NO. <br /> S,'� i'AL: 5•�,'•i i ''1?�':.';G <br /> MECHANICAL CONTHACTOR MAIL ADDRESS PIIONE LICENSE NO. <br /> PLVM�ING CONTRACTOR MAIL ADORE55 PHONE �ICENSE NO. � <br /> W <br /> m ' <br /> PERMIT CLA55 OF WORK � <br /> Z <br /> �DUILOING �P�VM�ING �MECHANICAL }., � <br /> ❑NEW ❑AOOITION ❑ALrERATION pJREPAIR � <br /> VALUATION OF WORK � <br /> S ��(titi_� ❑DEMOLI51� ❑FENCG ❑SIGN ❑SWIMMING POOL 4 <br /> a�w� <br /> DESCRIB[WORK F�j� ��� <br /> 0970 <br /> PROPOSEU USE MECHANICAL <br /> TVPEOFFUEL �OIL �NAT. �LPG. �ELEC. <br /> LEGAL DESCRIPTION OP PROPCRTV ISHOW 6ELOW OR nTT4CH GAS <br /> FOURC PIES) /� <br /> Lo7� BLOCK.�`oF F�f�:. � �� NO. TVPE OF EOUIPMENT FEE <br /> A�R COIJD. UNITS-H.P. EA. 5 � <br /> � <br /> FEFRIGERAiION UNITS-H.P. EA. _—t <br /> I UOILERS-H.P. EA. � <br /> GAS FIRED A.G. UNITS-TONNAGE EA. <br /> �•-� � FORCED AIR SVSTEMS-6.T.U. M EA. I <br /> JOD ADOFESS L�' '� WqLL MLATERS-�.T.U. M <br /> UNIT H[ATEFS-�(i.T.U. M I <br /> EVAPOFlATNE COOlEHS <br /> PLUMBING CLOTHESDRVER$ � <br /> VENTILA'ION FAN �— <br /> ftANGEHOOD I <br /> NO. TVPE OF FIXTURE OR ITEM FEE nlfi MANDLING UNIT- C.F.M. <br /> WATER CLOSETITOILETI 5 I INCINERATOR � � <br /> [3ATHTUH <br /> LAVATORY(WASIi �ASIN) I I <br /> SHOWER ' <br /> KITCMEN SINK& DISP. SU�TOl'AL 5 � <br /> �ISHWq51iER PERMIT 5 <br /> LAUNDRV TRAV � TOTHLFEE S � <br /> CLOTNES WASHEN THIS PERMIT FIECOMES NVLL AND VOIp If- WOPY. OF CONSTRUC� <br /> WATER HEATEP TION AVTHOfi12ED IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br /> URINAL CONSTHVCTION OR WOFiK IS SUSPF.NDED Ofi ntlANDUNED FOR A <br /> ORINKING FOUNTAM PERIOO Of- 170 DAVS AT ANV TIM[ AFTEFi CJORK IS COM1IMENCED. <br /> f LOOF-SINK OR OFAIN I HEREBY CEFTIFV THAT I HAVE READ /1ND EXAAIINED THI° 4P� <br /> PLICATION AND KNOW TML SAME TO�E TRUE AND COFRECT. :�1L � <br /> VACUUM BREAKERS PqOV1510N5 Of LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> FOOF DRNNS-RAINLEAOERS OF WORK WILL �E CO�iPLIED WITH WHGTHFF SPF.CIFIED HEREIN <br /> SINK (SERVICE-�AR, ETC.1 —t— Oft NOT, THE GRANTING Of- A PEFMIT OOES NOT PHESUM1tE TO <br /> GNE AUTIiOHITY TO VIOLATE OF CANCE� THE PpOVI510N5 OF . <br /> ANV OTHEfl STATE OR LOCAL LAW REGULATING CONSTftVCTION <br /> OR TNE PEf1FOFiMANCE OF CONSTRVCTION. <br /> SV� TOTAL <br /> PERMIT 5 —� <br /> TOTALFEE 5 <br /> x ��� <br /> SIGNl�TUREOFCONTRACTORORAUTH.AGENT DATE <br /> SIDEVAR�SET6ACK STftEET5ET0ACY. FEl1RYl�RDSETOACKPLANCHECKNUAI�ER PLANCHECKfEE <br /> FEE RECF'PT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELUNG <br /> UNITS I <br /> SIZE OF 6LOG. NO. OF ST�RIES MAX, OCQ LOAD HUILDING S �++++�� 2L iyy <br /> PWM6ING � <br /> FIHE20N[ Rl1SLMEflT FIRESPqINKLERS I <br /> Rf(IUIRE� I <br /> ❑VES ❑NO MECNAfJICAL � I <br /> SPECIALCONOITIONSr OTHER � � I <br /> —1 <br /> — PENELTV SEG903(ol I <br /> TOTAL � <br /> 2r, <br /> PEFMIT VALIDATION <br /> WHLN Pf10PERLl' VALIDATEO IIN TNISSPACE) THIS IS VOUR P[Rh117 I <br /> MVUlAT10NACCCPTE[IBV: PLANSCN[CKEDBY�. /CYFOV(�fOC�UANrEBY <br /> � <br /> I3 <br />