Laserfiche WebLink
thc Evcryr�:^n <br /> _��� �F CONSTRUCTION everett <br /> everett PtRMIT <br /> ��,."��� �,�aeqs <br /> [Vt NI I i.'.tiP'.IIiNf.l]N <br /> 9f:i�1 <br /> "`�' °` `°"°'°"°° gUILDING MECHANICAL PLUMBING <br /> �:«.<<o��rE,:r <br /> OWNGIa �{, �; hq14�1L�ADDR„E55Y ZIP �yy��[�.�PHONE <br /> � C � .L�iV LaWw� � �i7�'K57�` <br /> ARCHITECT OR DESIGNEf1 AtML nDDRFSS PIIONE LICENSL NO. �� <br /> GENERAL CONTfinCTO�R .�y �1ML�AD,�D!R[55 �_���PHONE�j.����}�LyICENSE NO. <br /> nY�Ps [� [.'�T � iYw� .G.�'�N'la�. cV�or'i�'7167 <br /> MECHANIGIL CONTRACI'OR MAIL ADU(iESS PHONE I.ICENSE NO. <br /> PLUMBING CONTRACTOR M1fA1L ADDRESS PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLA55 Of-WORK � <br /> Z <br /> �OUILDING �PLUM�ING [IMlCHANICAL �ye�� r <br /> ❑NEW ❑A�DITIUN ❑ALTERATION -[JREPAIP � <br /> VALUATION OF VlORK � <br /> 5 !�_/til_M ❑DEMOLISIi ❑fENCF ❑SIGN ❑SLVIM1IMING VOOL a <br /> �r�v�I <br /> DESCRIBC WORK <br /> �r �t ay��i �t�+r[��oe 17 7 <br /> PROPOSED USE MECHANICAL <br /> LEGAL DESCRIVTION OI' PROPERTv ISIiOW(3ELOW OR ATTACH �Y�t OP FUEL �OIL �Gns. �QLPG. �ELEC. <br /> FOUR IESI �) <br /> �07 � u�oCK�—• o�_ � � � NO. Tt'PE OF EOUIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. 5 I <br /> fiEFRIGGRATION UNIiS-H.P. EA. <br /> ❑OREPS -II.R EA. � <br /> GAS fIRED A.C. VNITS-TONNAGE EA. � <br /> hORCED MR SYSTEMS-B.T.U. M El�. 1 <br /> !00 AO�RESS WILLL HEATERS- 13.T.V. M <br /> � �� UNIT HEMEfiS--f3.Lll. M I <br /> LVAPORATIVECOOLERS <br /> PLUMBING CLOTHES �RVEFS � <br /> VLNTIL/1TION FAN � <br /> RANGGHOOD I <br /> AIR HANDUNG UNIT- C.F.M. <br /> NO. TYPE OF FI%7URE OR ITEM FEE —I <br /> WATER CLOSET ITOILETI 5 �NCIN[R.1TOR I <br /> pATHTVB <br /> LAVATORV IWASH 6ASIN) I <br /> SHOW E fi <br /> KITCH6N SINK R DISP. _ SUB TOTAL S � <br /> DISMWACHEF PERMIT 5 <br /> LFUNDRVTFAV TOTALFFE 5 � <br /> CLOTHLS WASHER __�_ TI!IS P[R�11T DECOMES NULL ANO VOID If WORK OR CONSTHUG <br /> WATER NEATEP IION AUTHJRRED IS NOT COMMENCE� WITHIN 120 �AVS, OR IF <br /> URIPIAL CONSTHUCTION OR WOIiK IS SUtiPENDED OH A�ANDONED POR A <br /> ORINkWC FOUNt:`.IN PERI00 OI' 120 DnV$ M' ANV TIME AFTER WORK ISCOMM1IENCED. <br /> FLOOR-SINK OP qqAIN � IIEREIiV CERTIFY THqT I HAVE READ AND E%AMINED THIS AP� <br /> VACUU�A f1REA1:l:RS PLICATION AND KNOW TFIE SAA1E TO �E TRUE AND CORfiECT. ALL <br /> PRpVI510N5 OF LAWS AND OHpINANC[S GOV[NNI^JG TNIS TVPG <br /> RUOF ORAINS-RAINLEADERS_ OF WO{iK WILL DE COMPLIED tV�TH WIIETMER SPECIFIEG HEfiEIN <br /> SINK ISEfiVICE-(3AR, ETCJ Ofi NOT, TNE GRANTING Of A PEftA911 �OES NOT PRESUAIE TO <br /> GIVE AUTHORITV TO VIOLATh OR CANCEL THE PROVISIONS OF <br /> -- — ANv OTHLR STATE OR LOCl�L LAW qEGULATING CONSTfiUCTION <br /> OR THE PEt9FOR61ANCE OF CONSTRUCTION. <br /> _ SU� TOTAL __' <br /> PERMIT 5 <br /> TOTAL FEE 5 <br /> — — —�� <br /> �N UR OF(, THACTDROR U .AGENT DATB <br /> SIDE VAqD SETBACK STREET SETOACK RLAq VARDSET�ACK PLAN CHE K NUh9[1Ffi PLAN CHECK FE[ <br /> FEE RECEIP' NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vEs ❑NO FEES VALUATION FEE <br /> TVPE OP CONST. UCCUPANCV GR9UP NO.OF DWEILING <br /> UNITS I <br /> S�LE OF E3lDG. NO.OF STOfilES MAX..00C. L0/1D BUILOING 5 � �' I <br /> 4LUM�ING � <br /> f-IRE20NE eASEMENT FIRESPRINKLERS I _ <br /> IiEOUIqED I <br /> ❑VES ❑NO MECHANICAL � <br /> SPECIAL CONDITIONS: p7HER � <br /> — - I <br /> PENCLTY SEC. 9071a) I <br /> --___ � <br /> TOTAL � <br /> PERMIT VALIDATION <br /> WH[N PflOPEPI.� VALIOAT[D (IN iHIS SPqCE) THIS IS VOUR PERMIT <br /> AM'UC/.TiON�LCLCTF�flY. CLANSCNECklDOV MPBOVCfJFOpI55U0N^.EOY <br /> 'i1N r'� <br /> � � <br />