Laserfiche WebLink
the Evcrgreen <br /> ��T, �� CONSTRUCTION everett <br /> everett PERMIT <br /> [RY HAtL }59AAR5 <br /> EV[flE1i,pRSNIN4I0N <br /> 9B1a1 <br /> °"' °"°"'"°""' BUILDING MECHANICAL PLUMBING <br /> o[vuocM�xr <br /> OWNEq MAIL ADDRE55 ZIP PMONE <br /> Ciit^.��.� L�'..0*�i.�'i 2Pa�5 "1nP?k' �39�A ]G9rr?S <br /> AR� HITECT Ofl DESIGNER MAIL 11DDRE55 PHONE LICENSE NO. <br /> GENEPAL CONTRACTOR MAI�ADORESS PHONE LICENSE NO. <br /> ��� <br /> MECHANICAL CONTRACTOR MAIL ADDRE55 PHONE LICENSE NO. <br /> PlUMf31NG CONTRACTOR MAIL ADORESS PHONE LIC[NSE NO. � <br /> W <br /> m <br /> PERMIT CLASSOF WpRK � <br /> �BUILDING Z <br /> ❑ PLUM�ING [�ht[CNANICAL s F, <br /> ❑NEW ❑ADDITI7N ❑ALTEPATION I,�AEPAIR � <br /> VA LV ATION�y�(J�C <br /> 1C7�MN � <br /> 5 ❑DEMOUSH ❑FENCE �]SIGN ❑SWIMMWG POOL W <br /> a <br /> DESCRI6E WORK r� � y,��j��, 1 �• 1 e�f C <br /> 117GJ <br /> PROPpSED USE '— <br /> MECHAhICAI I <br /> TYPEOFFUEL �OIL �NAT. �LPG. �ELEC. <br /> FOUnL DESCRIPTION O.F�1P�wq,OPEATV (SHOW B[LOW OR ATTACH GAS <br /> Lo7�OLOCK�F �` � ?�� � NO. TYPE OF E�UIPMENT FEE <br /> AIA COND. UNITS-H.P. EA. G � <br /> REFRIGEFATION UNITS-N.P. EA. <br /> OOILERS-HP. EA. � <br /> GAS FIqED A.C.UNITS-TONN/1GE EA. <br /> f-ORC[O AIR SYSTEMS-0.T.V. M EA. � <br /> JOB ADORESS � <br /> 7��/ n,.y��.ry.y�� _I WALL NEAT[RS-p.T.U. M11 <br /> J�7R ''A: d:^LL <br /> UNIT HEATERS-�.T.U. M � <br /> PLUMBING EVAPORATIVECOOL[RS _ _ � <br /> CLOTHESDRVERS � <br /> VENTILATIOh FAN <br /> I RANGFHOOD � <br /> NO. TVPE OF FIXTURE OR ITEM FEE A�H ��nN��ING UNIT- C.F.M. <br /> WATEF CLOSETITOILETI 5 WCINERAI'OR � <br /> BATHTUd <br /> _� <br /> LAVATORY(WASHBASIN) � <br /> SHOWER <br /> KITCHEN SINK & OISP. SUB TOTAL 5 � <br /> DISMWASNER PERMIT 5 -7— <br /> LAUNDRVTFAY <br /> CLOTHESWASHER TOTALFEE 5� � <br /> WATER HEATER THIS PEPMIT BECOMES NULL AND VOI� IF WOHK OR CONSTRUC- <br /> TION AVTHORIZEO IS NOT COMI,AENCED WITHIN 120 DAYS, Ofi IF <br /> URINA� CONSTRUCTION OR 1NORI( IS SUSP[NDED OR ADANDONED FOR A <br /> DRINKING FOUNTAIN PEFIOD OF 120 OAVS AT ANV TIME AFTER WORR IS COMMENCEO. <br /> FLOOR-SINK OP�PAIN I HLCEAV CEFTIFY THAT 1 HAVF RBAD AND [Xl�MINED THIS AP. <br /> VACUUM f3REAKEflS �� WLICATION AN� KN04V THE SnME TO BE TRUE AND CORRECT. ALL <br /> ROOF ORAINS-RAINLEA�ERS P�aVI51ON5 OF LAWS .1ND OROINnNCGS GOVERNING THIS TVPE <br /> OP WONK WILL !3E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> SINK �SERVICE-IiAF, ETC.1 OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO <br /> — GIV[ AUTHOftITV TO VIOLATf OR CANCEL THE PqOVI510N5 OF <br /> -r— ANY OTHER STI�TE OR IUCAL LAW (iEGULA7ING CONSTRUCiION <br /> __� OR THE PEHFORMANC& OF CDNSTPVCTION. <br /> SU� TOTAI I <br /> PERMIT S <br /> TOTALFEE 5 /� <br /> -- X ZCr�J� r�s <br /> SIGNATUREOFCONTRACTORORAUTH.AGENI' DA-fE <br /> SIDE YAqD SET[lACK SiREET SET[3ACK fiEAR VARDSETGACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE I HECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑No F[ES VALUATION FEE <br /> TVPE OF CONST. OCCUVANCV GROUP NO.OF DWELLING <br /> UNITS � <br /> SIZE OF F3LDG. NO. UF STORIES MAX.00Q LOAU 9UILOING § ��W{y� sl� <br /> 1 <br /> PWMBING I <br /> RREZONE BASEMENT FIRESPRINKLERS <br /> RE(]UIRED � <br /> ❑V[5 ❑NO MECHANICAI � <br /> SPECIAL CONDITIONS: OTHER � <br /> --- I <br /> �- <br /> — -- PENtL1Y ;EC. J031a1 I <br /> 1 <br /> TOTA L j��^j <br /> PERMIT VALIDATIGIJ <br /> WHEN PROPERLY VALIDATED IIN 7HIS SNACCI T1115 i5 VOUR PCHMIT <br /> APf(IGTIONM1CCfPI(OflY �It.N5L11CCKCDOV' /PPqOVCpPO{IISSIIl�NLCOY. <br /> � �� <br /> n <br />