Laserfiche WebLink
fhr F.r�rFr�rn <br />C�1 Y Oi <br />everett <br />259-8810 <br />��JNSTRUCTION � <br />PERMIT <br />❑ COMBINATION ❑ BUILDING x�}{MECHANIC <br />O\\TJER <br />Hill's Hlueprint <br />TEN4N1 <br />AIMI. nODItE55 <br />2920 Rockefeller <br />A�4q �OOIt[5$ <br />4RCMIiECT OR OCSIGNE� MPIL ApDR[SS CiTY ZIP PHDN[ <br />GLNEPaLCONTRRCTOR AIAIIA�DR[5'i QTV 21P PMONE UCENSE• <br />uECHPNIGLCONTR�CTOR AINIADDRE55 CITV ZR' i'MONL IILENSE� <br />Natural Gas Eatllpment 1f25 r mw 'nr v' n r rr oa�m 258-2941 �aTnur.F>>nvr. <br />PLUNf1�NGCONiPnCipP MAILADORE55 ❑iY ZIP PIIONE ULENSE� <br />cnr <br />Everett 98201 <br />CITY <br />l• <br />PERMIT NO. _� U J`) G <br />L ❑ PLUMBING <br />�f� 259-0859 . v.� <br />zu� r�ior+� <br />❑ SIGN <br />CLAS$ O( N'ORK <br />O NEW ❑ ADDITION R}(ALTERATIDN <br />CONTRACT PRICE OF WORK'. S SOO.00 <br />OESCFIO[ WORR AND SOIinRE (OOT�GE iNVOIVED <br />Replace oil boiler with g <br />❑ REPAIR ❑ DEMC�.ITIPN ❑ BUILDING RELOCATION <br />CONTr1G1 P[RSON AND P��ONE I.J IF OiH[fi THAN AOOVE <br />aAovoseo use or ouuo�rva <br />Retail & co service <br />�ew� oescnm.ion or anoFenTv isNow oeiow on nrrnu� roi m covies� <br />LOT - BLOCN - OG <br />(19/^^/91 5•MFM MIIAN`�i7A± it13 <br />/ <br />JOB ADDPES$ <br />PLUMBING <br />NO. TYPE OF FI7(TURE OR <br />�WA7ER CLOaET (TOIIET) <br />SHOWER <br />KITCHEN SINK 6 DI�P <br />DISHWASHEF <br />IAUNDRVTRAY <br />fLOTHES WASHER <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAII�S- RAINLEADE <br />SINK (SERVICE - [iAF. ETCJ <br />[RONTSET�ACN <br />USEZONE <br />1YR OF CONSIFUCII�II AI <br />SiZ[ Of OLDG <br />OCCUPANCVIOAD <br />PI.ASON POR SPCiNN <br />SUBTOTAL <br />PERMiT <br />TOTALFEE <br />\R SEiORCN <br />l0i ARE! <br />fYfF Gi [ON9PVCIION <br />NO Of STOA!ES <br />FIRE 51'RINNLERS R[O D <br />] YES ❑ NO <br />�S <br />SipF SETOA�k <br />VACANT SITE <br />❑ ves ❑ No <br />MECH 430.00 <br />MECHANICAL <br />HO. TYPE OF EOUIPI <br />NC -- AMNDLG UNITS - HP. <br />FORCED AIR SYSTEMS - B.T.U. <br />UNIT HEATERS - OS.U. <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RpNGENOOD <br />WATEr/ HEATEP. <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />NEAT PUMP <br />GAS PIPING <br />E%HAUSLFAN <br />SUBTOTAL <br />PERMI7 <br />TOTALFEE <br />PLAN CHECK NUMBER FEE <br />�������� � NO oFnwEwrvGuvns BUILDING <br />PLUMBING <br />DASEM[NT <br />❑ YES O NO MECHANICAL <br />NEIGHTUMrtATION OTHER <br />STATE �UILDING SURCHARGE <br />S7ATEENERG�SURCHARGE <br />CITY OF EVERETT pUBLIC�'�'ORKS <br />LOCAL SAf.ES <br />TAX CODE IS rorn� <br />0 <br />5 <br />31 5 wHFN PROPER�Y VAl l <br />PERNITS EXPIRE IF WORK IS NOT CUMMEnCED WITHIN ;,, ,,. i i� � <br />180 DAYS OR C�ASES FOR MORE THAN 180 DAYS. <br />M EA <br />M <br />FEE <br />� <br />S <br />f <br />RECEIPT NO. <br />FEE <br />IS YOUR PERMIT <br />L� <br />� �C , <br />G C' `l .� �. <br />