Laserfiche WebLink
thc Erc� irren <br />CITY OF <br />everett <br />[IiY �IAtI }59BR95 <br />EVFNLn, CWLnNG10N <br />ytl1Jl <br />n[ri nf rmaz�u•mr BUILDING <br />OEVEIUCr,![ry� <br />CONSTRl7CTI0PJ <br />PERMIT <br />MECHANICAL PLUMBING <br />everett <br />OWNER M/11�ADORE55 ZIP FHONE <br />'^► C teri �:•p�& • r. <br />�1:3"t l7 <br />ARCHITECT OR OESIGNEfi MAIL AODRE55 PHONE LICENSE NO. <br />GENERAL CONTRqCTOR MAIL ADDRESS PIIONE LICENSE NO. <br />MECHANICALCONTRACTOR MAILADDRESS PHONE LICENSENO. <br />'�'u'F' <br />PWMOINGCONTRACTOR MqRADDRE55 PHONE LICENSENO. � <br />W <br />m <br />S <br />PERMIT CLA55 OF WORK � <br />Z <br />❑ OUILDING � PLUMBING �] MECHAYICAL �y F <br />LyNEW ❑ADDITION ❑ALTERATION ❑REPAIH � <br />Vl1LVATION OF WOfiK � <br />5 ❑DEMOLISH ❑FGNCE ❑SIGN ❑SWIMMING POOI. � <br />DESCFIB@ WOqK <br />.. . _I•.Li. F..` t"�i �" ^ �.� �. � <br />PROPOSED VSE <br />MECHANICAL <br />TVPEOPFU[l �OLL QNAL ��LPG. �ELEC. <br />LFGAL �ESCRIPTION OF PROPERTV (SHOW DELOW OR ATTACH GAS <br />FOUP COPIE51 . <br />LOT oLOCK_oF NO. TVPEOFEQUIPMENT FEE <br />AIR COND. UNITS-H.P. EA. 5 I <br />REFRIGERATION UNITS-H.P, EA. —��— <br />DOILEliS-H.P. EA. 1 <br />GAS fIRED A.C. UNITS-TONNAGE EA. <br />FOPCED AIR SVSTEMS-B.T.U. M El1. I <br />J06 ADDRESS WALL 11EATERS-�.T.U. M <br />��;l;p Fn'. — — <br />'� �•� UNIT HEATFRS-B.T.U. M I <br />PLUMBING EVAPORATIVECOOLERS __ <br />CLOTHESORYEftS � <br />VENiIl.AT10N F�1N <br />RANGEHOOO I <br />NO. TYPE OF FIXTURE OR ITEM FEE nia HANDLING UNIT- QF.M. <br />WATER CLOSETITO�LETI § INCINERATOq � <br />❑l�TH7U0 SR� T . <br />LAVATORY (WASH BASIN) � <br />SHOWER �-..�—� <br />_ KITCHEN SINK & DISP. _ SU9 TOTAL 5 �W <br />OISHWASHER PEFMIT 5 <br />LAUNORYTRAY TOTALFEE 5 I <br />CLOTHES WASHEfi TIIIS �'ERM1T OECOMES NULL 11ND VOID IF WORK OP CONSTRVC� <br />WATEfi HEATER TION AUTHOPIZED IS NOT COMMENCED WITHIN 120 DAYG, OR IF <br />URINAL CONSTRUCTION OR WORK IS SUSPEN�ED Ofl A�ANDONED FOq A <br />ORINKING FOUNTAIN PEfiIOD OF 120 DAVS AT ANV T�ME AFTEFi WOFK IS COMMENCED. <br />FLOOR-SINK OR �FAIN � HEHE6V CERTIFV THAT I NAVE READ AND E%AMINED THIS AP� <br />VACUt/M11 BFEAKERS - PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />ROGP DF/11NS���RAINLEADERS NROVISIONS OF LAWS ANO OFDINANCES GOVERNING THIS TVPE <br />OF WORK WILL BE COAIPI.IED WITH WHETliGR SP[GFIE� HEREIN <br />SINK ISERVIC[-�AR, ETC.) OA NOT, THE GpANTING OF A PERM1t1T DOES NOT PP[SUh1E TO <br />GIVE AUTHORITV TO VIOLATE OR CANCEL 7HE P(iOVIS10NS OF <br />— l�NV OTNER ST�Tt r)q LOCi1L LA\V REGULATING CONSTRUCTION <br />OR TFIE PERFOPIdAI�.CE OF COYSTFiVCT�ON. <br />SUB TOTAL __�_ <br />PERMIT S <br />TOTALFEE S <br />x � <br />SIGNATUREOFCONTRACiOROAAUTH.AGENT DA��B <br />SIOEYAqOSET�ACK STREETSETOACK flEARYARDSET[3l�CKPLINCHECKNU�1BER PLANCHECKFEE <br />FEE RECEIPT NO. <br />USEZONE IOTARFA VACANTSITE <br />❑YES ❑NU FEES VALUATION FEE <br />TVPE OF CONST. OCCUPANCV GROUP NO.Of OWELLING � <br />UNITS � <br />SIZE OF pLOG. NO.OF STORIES MAX.00C. LOAO OVILOING 5 � <br />I <br />PIUMBING � <br />FIREZONE BASEMENT q�pUIRE�DY.LEPS _ _�_ <br />❑VES ❑NO MECHANICAL Y� �� <br />SPECIAL CONDITIONS: OTHEfl � <br />I <br />PEN'e: T�' SEC. 309 6i1 I <br />TOTAL J jC� <br />PERMITVALIDATION � <br />WHEN PROPERLY VALIDATED IIN THIS ;V/iCL) THI515 VOUFi PERNIi <br />:d+'iu:.�tipry nCC[�1lpllY FLPNSCNECNCOBV: APPIVOVC�iOP1:SUANCfIIY <br />� r. • <br />_ 3 <br />