Laserfiche WebLink
_ _ + <br /> tl]C EVCfIf/BE/1 <br /> �,TY �F CONSTRUCTION everett <br /> �vcrett PERMIT <br /> Li11' INII ]59Pz9� <br /> (VENEt1,1Y>S+iNGION <br /> i5N11 7 <br /> „Eo, OVCOfi1.1LYIiV BUILDING MECHANICAL P�_UMBING <br /> ecvE.avz[xr � <br /> OWNER MAIL ADORE55 ZIP YHONt <br /> h 'f i�i ?'T~.x::..`.'�f Z.Q3.7. "A�"L' ',�f:-7E <br /> ARCHITEC'f UR DESIGNER MA�L ADDRE55 PHONE LICENSE NO. <br /> GENERALCONTRACTOfl MAILA�DRESS PHO E IC ENO. <br /> �y 77£�.�i9 P.23-�•�` <br /> YC(� � 1..:1'.Il'i� 1 C'�'M'� �,• ♦ <br /> "AT�it <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> PLUM131NG CONTRACTOR MAII ADORESS PH(1NE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLA55 OF WOR1: � <br /> Z � <br /> �6UILDING ❑ PWMBING �MECHANICAL 'l F <br /> uNEW ❑ADDITION ❑ALTERATION ❑REPlUR � <br /> VALUATION OFqWrp�fyi�Kry��� � <br /> `�•'w ❑DEMOLISI/ �FENCE ❑SIGN ❑SW114MING POO� W <br /> S _ a <br /> DESCRIB[WORK �/�� <br /> LH° �'t7F�' iJ ' h:� TI�^I! L <br /> PFOPOSED USE MECHANICAL <br /> LEGAL DESCftIPTION OF PROPEFTY �SNOW 6ELOW OR AI'TACH TYP[ Of FUEL �OIL ❑GnS. ❑LPG. �ELEC. <br /> FOURCq_PIE51 ^ — <br /> LOT �1 uIOCK t oP ���� �, NO. 1"YPE OF EQUIPMEN7 FEE <br /> . Aln COND. UNITS-N.P. EA $ I <br /> R'.FRIGERATICN UNITS-H.P. EA. i <br /> DOILERS -H.P. EA. I <br /> GAS FI(iED A.C.UNITS-TONNAGE EA. --� <br /> FOFC[D AIR SVSTEMS-[t.T.U. M EA. I <br /> J06 ADORESS *M. f�t-��,e W 1LL IiEATERS-�.T.V. M <br /> y��� � �{ UNIT HEATERS-6.T.U. M I <br /> E V APO FAT N E COOI[RS <br /> PLUMBING CLOTNHS DqVLRS I <br /> VENTILATION FAN <br /> RANGEHOOD I <br /> NO. 7YPE OF FIXTURE OR ITEM FEE _ nIR HAYDLING VNIT- C.F.M. _ <br /> WATER CLOSET(TOILETI 5 �NCINEfiATOR _ 1 <br /> OATHTUB � �— <br /> LAVATOHYIWASHBASINI ' <br /> SIiOW ER <br /> KI'fCNFN5INK & DISP. SUOTOTAL 5 � <br /> pISHWASHER PERMIT 5 —� <br /> LAUN�RV TR,-,Y � TOTAL FEE 5 I <br /> CLOTIIE'�WASHEFi � THIS P[RMIT OECOMES NULL AND VOIG If WOliK OR CONSTRUG <br /> WATEN IIEATER �— TION AUThlOf912[D IS NOT COMMENCED WI i HIN 120 DAYS, OR IF <br /> URINAI. CONSTRUCTION OR 1VORK IS SUSPENDEO OF A�AN�ONED FOR A � <br /> DRINKING FOUNTAIN — PEfllO� OF 120 DAVS AT ANV TIM11E AFTEN IYOPK IS COM1IMENCED. <br /> FLOOR-SINK OR DRAIN I HERE�V CERTIFV THAT I HAVE RcAD f�ND E%aMWEU ?HIS AP� <br /> VACUVM ElFEAKEfiS PLICATION AND KNOW TNE SAME TO �E T RUE AND CORFiECT. ALL <br /> PROVISIONS OF LAWS ANU OFDIN4NCLS GOVERNING TMIS TVF.' <br /> P^Of DFlPINS-RAINLEAOEPS OF WOf�K WILL t3E COMPLIEn INIT!1 WHETHGR SPEC�FIED HEREIN <br /> SINK (SERVICE-[SAR, ETC.) —��-- OR NOT, THE GFANTING OF A PLRMIT �OES WOT PFESUAIE TO <br /> CIVE ACT!!CRIi\' TO VIOLATE OR CANCEL THE Pf10VI510NS OF <br /> � ANY OTHHR STAiG OR LOCA1. L�\V REGVIATING CONSTRUCTION <br /> OH THE PERFORMANCE OF CONSfRUCTION. <br /> _ __ SUBTOTAL _' <br /> PERMIT 5 <br /> TOTALFEE 3--� <br /> — x � c�x� l,�53q 1�2�.ft6 <br /> SIGNATUREJPCONTRACTORORl�UTH.AGENT DATE <br /> SIOEYARDSETOI�CK STP[ETSETOACK REARYAROSETI3ACKP�ANCHECKNUMBEft PLANCHECKFF.E <br /> FEE RECEIPT NO. <br /> USE ZUNE �OT AREA VACANT SITE <br /> ❑vEs CNO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GFOUP NO.OF OWELLING � <br /> UNITS <br /> SIZE �F BLOG. MO.OF STORIES MA%.00C. LOAO �UILUING 5 1GUV�A � �J <br /> PI.VM�ING � <br /> FIflE20NE UASEMENT FIftESPRINKLERS � <br /> REOUIREO � <br /> ❑YES ❑NO MECHAPJICAL I <br /> SPECIAL CONDITIONS'. pTHER � <br /> I <br /> --- PENELTV SEC.3031a1 � <br /> TOTAL j YA! <br /> PERMIT VALIDATION <br /> WHEN PfiOPLFLY VA(.IOATED IIN THIS;PACLI THI51$VOUR PERMIT <br /> nPPIICnTIONnCL[Plf�[IY �LPNSCNWHEDIfY. APPpOV[OIOi169lnNC[OY_ <br /> Y� C• <br /> a <br />