Laserfiche WebLink
i <<,�. �-,.,,,,.,<�,� <br /> ���Y �� CONST'RUCTION everett <br /> everett i�ER�IIT <br /> ��,�.,.,<< „�aRa� <br /> ����<<r ,,.,s„�„�,,,,� <br /> 9fi1111 <br /> °`�' °' `°':`'"""` BUILDING MECHANICAL PLUMBING <br /> nn�iinre�E�tt <br /> OWNER MAIL AODHESS ZIP PHUN[ <br /> ;r""",!dS �. Rr2�3�'�' $�i �!f}U� 2 ,� �� <br /> ARCHITECT OH DESIGNER MAIL ADOfiESS Ph10NE ' LIC[NS[ NO. <br /> GENERAL CONTRACTOR M/11L ADGRESS PHONE UCENSE NO. <br /> A'�"�33 tS�.X'Ti�'AL :t.: a„�, . 1s9�'.r+! 'a5�2p 223-�-+2+fi4?3t <br /> MECHANICALCONTRACTOR MAILADOPE55 PHONC LICENSENO. <br /> P�VM�ING CONTRACTOR Ml.IL ADDRESS PHONE LICEN.E NO. � <br /> W <br /> m <br /> PEIiMIi CLA55 Of-WORK � <br /> � <br /> z <br /> �pUILCING ❑ PLUM�INfi �M[CIIANICAL F- <br /> — ❑NEW ❑/�DOITION �JAITERATIUN ❑REPAIR � <br /> VALUATION�]F WORK <br /> 5 � �QDEMOLISN ❑PENCE ❑SIGN ❑S�vIA1MING PDO� W <br /> a <br /> DESCRIBEYIORK 156 <br /> T^P".rsTk? PAG'tTFI�?d '.]ALF:f <br /> PROPOSE[J USE <br /> MECHANICAL <br /> IEGAL DESCRIPTION OF PROPERTV ISIIOW �ELOW OR ATT/�CH TYPH OF FUEL �OIL �Gns. �Li'G. �GLEC. <br /> F OU R COPI ESI <br /> .���Iy� .�y� f'y�"!"rj' �.�j'? (.'��;3 � NO. TV'PE OF E�UIPMENT FEE <br /> LOT il'3Si BLOCK_1rtZOF — <br /> AIR COND. UNITS-H.P. EA. 5 I <br /> REFRIGERATION UNITS—M.P. EA. �� <br /> f3011ER5-H.P. EA. � <br /> GAS PIftED A.C. UNITS-TONNARG EA. <br /> FORCLD AIR SYSTEMS-B.T.U. M EA. I <br /> JOO ADOFE55 � ��+�. 4VALl HEATERS-�.T.U. M <br /> UNITH[ATERS-B.T.U. M 1 <br /> EVAPORATIVECOOLERS <br /> PLUMBING CLOTHESDRVEftS I <br /> VENTILATION f-qN <br /> RANGEHOOD I <br /> NO. TVPE OF FI%TURE OR ITEM FEE nlR M�INDLING UNIT- C.F.�t. <br /> WATERCLOSETITOILETI g �NCINHRAiOR I � <br /> BATHTUB ' <br /> I.AVATORV (WASHBASINI � I <br /> SNOWER T <br /> KITCIIEN SINK & DISP. ;:UO TOTAL 5 <br /> �ISHWASHER � <br /> �'=RMIT S <br /> LAUNDRVTRAV �_ IOTALFEE 5 � <br /> CLOTHESN'ASNER THIS PEFt.11T BECO�IES NULL AND �'VID If WORK OR CONtiTRVC <br /> WATER MEATER TION AUTHORI2ED IS NOl COMn'E�ICEO WITHIN 120 DA' S, OR IF <br /> URINAL CONSTRUCTION OH WORK I$ SVSPFNDED OR ApANDONEO FOR A <br /> ORINKING FOUNTAIN NE(iIOD OF 140 GAVS AT ANY ;IM'_ AFTER WOFiK IS COMMENf.ED. <br /> FLOOR--SINK OR DR41N � HERE[3Y CERTIF` THAT I HAV@ READ AND E%AMINE� THI$ AP� <br /> VACUUAI OREA.KEIiS — �LICnTION .1ND Kv 7W THE SAME TO Bt TFUE l�ND COFRECT. AL� <br /> — PqOVIS10N5 OF L1\V: AND OHDWANCES GOVENNING THIS TVPE <br /> ROOF URAINS-RAINL[ADERS OF WONI� �VIIL BE COMPLIED WITH K'METHER ::PECIFIEU HEREIN . <br /> SINK (SERVICE-BAR. ETC.) ON NOT. THE GRA�ITING OF A PERMIT []OES NOT PRESVME TO <br /> �- GIVE AUTIIORITV TO VIOLATE OR CANG[L lHE PROVISIONS OF . <br /> ANv OTHER STATE UR LOCl�L LA\V REGULATING CONSTRUCTION <br /> OR THE PERFOFiM1InNCE OF COhSTRUC'i ION. <br /> SU� TOTAL <br /> PERMII" 5 <br /> TOTALFEE S � <br /> x '1 R!t"Ar <br /> SIGNATUREOFCONTRACT01iOR�lUI'N.AGENT '�TA����P- <br /> SIOEYAROSETDACK STNEETSETBACK RE/1RYAFDSET6ACKPLl�Nf.HfCM, NUMPER PLANCHECKFEE <br /> FEE PECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPG OF CONST. OCCUPANCV GROUP NO.OF DWGLLING <br /> UNITS I <br /> 512E OF f3LOG. NO.OF STOfiIES MAX.00C. LOAO �UIIOING 5 �yy � <br /> PLUMBING � <br /> FIRE70NE f3A5EMENT FIRESPf{�NKLEflS I <br /> Rf4IJIRED I <br /> ❑VES ❑NO MECHANICAL � <br /> SPGCI.4L CONDII'IONS' OTHEq � <br /> _ __— � <br /> — -- - PEN[LIV SEC. J(131a) 1 <br /> TOTA_ � � <br /> PERMIT VALIDATION <br /> WM[NYROPBRIV VAI_I�ATEDIIp. i1115SPACE)TMISISYOURPERAIIT <br /> I <br /> n�Y'l.ICAl10N ACC(PTFO BY VlANS C11lCKEDBY' AIP(IOV(O�OP ISSUANCE PY. <br /> 3. C. <br /> � <br />