Laserfiche WebLink
the Evergreen <br />CITY OF <br />everett <br />CITY HALL 959919i <br />EVERETT, TimmINGION <br />99BUILDING <br />DEPT. BE CD'IAIGNITY IrY <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING ,e., <br />OWNER -_---- _ <br />MAIL ADDRLGS <br />21P 111IONE <br />WPM Ems: S" 'r : <br />95111 4(16-%96 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />j�IN'�-'� <br />GENE,pR�AL CONTRACTOR <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />`� u' - <br />MECHAN ICALCONTRACTOR <br />MAIL ADDRE55 <br />PHONE LICENSE NO. <br />T1 <br />CONTRACTOR <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />ccPLUMBING <br />W <br />m <br />PERMIT <br />CLASS OF WORK <br />Z <br />I-" <br />BUILDING ❑PLUMBING []MECHANICAL NEW <br />❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />❑DEMOLISH <br />❑FENCE ❑SIGN ❑SWIMMING POOL W <br />1 <br />Ct+C <br />HNDESCRIBE WORK <br />1159 <br />PROPOSED USE <br />MECHANICAL <br />TYPEOFFUEL ❑011 ❑GAS. ❑LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />_ <br />FOUR COP"" <br />ICI iA <br />NO. TYPE OF EQUIPMENT FEE <br />LOT—BLOCK�OF T E <br />COND. UNITS-H.P. EA. I <br />AIR S <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. I <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-R.T.U. M f, I <br />WALL HEATERS-B.T.U. 10 <br />JOB ADDRESS <br />UNIT HEATERS-B.T.U. M <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />VENTILATION FAN <br />_ <br />RANGEHOOD <br />1 <br />AIR HANDLING UNIT- C.F.M. <br />O. <br />TV PE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />I <br />WATER CLOSET(TOILETI <br />$ <br />BATHTUB <br />I <br />LAVATORY(WASH BASIN) <br />SHOWER <br />SUBTOTAL S 1 <br />KITCHEN SINK & DISP. <br />PERMIT S <br />DISHWASHER <br />TOTAL FEE 5 I <br />LAUNDRY TRAY <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CLOTHES WASHER <br />WATER HEATER <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />URINAL <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT 1 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 LW�6 <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />�— <br />ROOF DRAINS-R AINIEADE RS <br />SINK (SERVICE -BAR. ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />S I <br />SIG NATURE OF CONTRACTOR OR AUTH.AGENT DATE <br />SIDEYAROSETBACK <br />STREETSETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />RECEIPT NO. <br />f <br />< <br />1? <br />�r <br />FEE <br />jay <br />`"/��4' <br />USE 20NE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />,1J, �y <br />X]YES ❑NO <br />TYPE OF CONST. <br />��� <br />OCCUPANCY GROUP <br />UNO. OF NITS WELLING <br />I <br />Icy <br />SIZE OF BLOC. <br />NO. OF S»TD RIES <br />MAX. OGG. LOAD <br />BUILDING <br />�y� �.,N <br />S 47,00000 <br />1'''' fo�D <br />PLUMBING <br />N W <br />y <br />FIREZONC_ <br />BASEMENT <br />FIRE <br />REQUIRED KLERS <br />_ <br />71,10 <br />q <br />OYES_ RING <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />PENELTY <br />SEC. 303 IF) <br />I <br />_ <br />TOTAL{ <br />I <br />I <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />AMLICA� ACCEPTED BY'. PLAN�ECKED BY'. <br />APPR OVED FOR ISUANLE <br />J <br />in <br />