Laserfiche WebLink
�, <br /> dre Evergreen <br /> ��T�oF � CC� 'STRUCTION everett <br /> everett PERMIT <br /> CiiY NAIL nseees <br /> EV[qETT.WASNIMGTOM <br /> 9It0� <br /> OLYi.OfC04Mpxrtv gUILDING MECHANICAL PLUMBING <br /> OCVElOVMENI <br /> OWNER MAIL AD�RE55 ZIP PMnNE <br /> �IO 123 1139-77 <br /> ARCNITECT OF�ESIGkER MAIL 4DORE55 PMONE �ICENSE NO. <br /> GENERAL CONTRACTOR MAIL ADDFE55 PHONE LICENSE NO. <br /> Everntr. si co�oun <br /> MECHANICAL CONTFAC70R MAIL ADDRESS PMONE LiCENSE NO. <br /> PLVMBING CONTRACTOR MAIL ADOqE55 PNONE LICENSE NO. �` <br /> W <br /> m <br /> PERMIT CLA55 OF WORK j <br /> ❑UUILDING �] PLUMBING �MECHANICAL Z <br /> ❑NEW ❑ADDI710N ❑qLTERATION ❑REPAIR ~ <br /> VALUATIg N F WORK ]�� � <br /> $ JO�.O7 ❑OEMOLISH ❑FENCE Z]SIGN ❑SWIMMING POOL W <br /> DESCRIBE WORK . <br /> a <br /> �:_��� Ao� sii��pataa si� 2954 <br /> PFOPOSEO VSE <br /> MECHANICAL <br /> LEGAL DESCRIPTION OF PROPERTV ISHOW BELOW OR qTTACN TYPE OF FUEL �OIL ❑GnS, ❑LPG. �ELEC. <br /> FOUR COPIE51 <br /> Lo7 B�OCK_oF N�• n'PEOFE�UIPMENT FEE <br /> Alq COND. UNITS-H.P. EA. $ � <br /> 9EFRIGERATION UNITS-N.P. EA. <br /> OOILERS-H P. BA. � <br /> `� / � GAS FIRED A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-B.T.V. M EA. � <br /> JO��,p{J�SSF1C��tQ WALLHEATERS-�.T.U. M <br /> 97C'i i <br /> UNIT NEAT[fl5-B.T.I/. M � <br /> PLUMBING BV APORATI V E COOLERS <br /> CLOTHESDRVERS � <br /> VENTILATION FAN <br /> RANGEHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE A�R HANDLING UNIT- C.F.M. <br /> WATER CLOSET �TOILET) g INCINERATOA � <br /> OATHTUB <br /> LAVATOHVIWASH6ASIN1 � <br /> SHOWER <br /> KITCHENSINK & DISP. <br /> OISIiWASNEF SUB TOTAL $ � <br /> LAUNORY TfiAY PERMIT $ <br /> CLOTNES WA51iER TO7AL FEC a � <br /> WATEP NEATER TNIS PERMIT DECOMES NULL AND VOID IF WORK OR CONSTRUC- <br /> 710N AVTHORIZED IS NOT COMMENCED WITNIN 1�0 OAVS, OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPEIJDEO OR A�ANOON[D f-OR A <br /> ORINKING FOVNTAIN PEf110D OF 120 OAVS AT ANV TIME AFTER WOPK IS COMMEN�ED. <br /> FLOOR-SINK OR DRAIN I HEREOY CERTIFV THAT I HAVE REAO ANn E%AMWED THIS AP. <br /> VACUUM [3REAKGRS PLICATION AND KNOW THE SAME Tp �E TfiUE AND CORRECT. ALL <br /> fi00F ORAINS-RAINLCADERS PAOVISIONS OF �AWS AND OfiDINANCES GOV[FNING THIS TVPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED NEHEIN <br /> SINK (SERVICE-6AR. ETC.) OF NOT, TIIE GRANTING Of A PERMIT �OES NOT PRESUME TO <br /> I GIVE AUTHOfiITY TO VIOLATE OR CANCEL THE PRDVISIONS OF <br /> ANV OTN[(i STATL OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PEHFORMANCE OF CONSTRVCTIOP:. <br /> SUDTOTAL <br /> PERMIT $ -� <br /> TOTALFEE $ ,��IG�,1,7 <br /> x <br /> SIGNATUREOFCONTfiACTORORAUTH.AGENT OATE <br /> SIOEYARDSETDACK STREEiSETOACK REARYARDSETBACKPLANCHECKNUMBER PLANCHECKFEE <br /> I FEE RECEIPT NO. <br /> I <br /> I USE ZU'•.� LOT AREA VACANT SITE <br /> �vES ❑NO FEES VALUATION FEE <br /> � TYPE OF CONST, OCLUPANCV GROUP NO.OF DWELLING <br /> � UNITS � <br /> SIZE OF BIDG. NO.OF STORIES MA%.OCC. IOAU BUILDING S � �` �" �� - ' <br /> 1 I I PLUMBING � <br /> FIRETDNE BASEMENT FIRESPRINKLERS � <br /> � RfQUIRED <br /> � ❑YES ❑NO MECHAGICqL � <br /> i SPECIALCONOITIONS: OTMER � <br /> I <br /> iPENELTV SEC. 3031a1 � <br /> i TOTP.L ,•� I <br /> � � <br /> FER�":IT VALIDATION <br /> IWNEN PRpPERIY VALIDATED IIN TMISSPACEI TNIS IS YOUR PEfiMIT <br /> I <br /> � <br /> I I <br /> � <br /> � nr�ur.rnim�n¢rrrrom. r�nrvsortcv,�nnr nrrnovvoronisunncrnv � <br /> � �,.�. . 4 <br />