Laserfiche WebLink
CONSTRUCTION <br />the Evergreen _ CITY OF <br />everett PERMIT <br />CITY HALL 2590745 <br />EVER ETT, WA 98201 COMBINATION • BUILDING MECHANICAL • PLUMBING <br />OWNER <br />µµ <br />evere" <br />MAIL ADDRESS <br />ZIP PHONE <br />ffT C IR I 5311_South arH <br />ARCHIT CT OR DESIGNER MAIL ADDRESS <br />25 - 262 <br />IR <br />PHONE LICENSE NO. <br />GENERAL 6141 gACTOR <br />MAIL AD Dq ESS <br />PHONE LICENSE NO. <br />Everett Build <br />MECHANICAL CONTRACTersOR <br />5606 Evergreen Way <br />252-7161 223-01-EV ER EB <br />j3� z <br />Pf� C <br />MAIL ADORES- <br />PHONE LICENSE NO. <br />'"� <br />W <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />PHONE <br />:0 <br />LICENSE NO. <br />O <br />PERMIT <br />CLASS OF WORK <br />X-1 <br />❑COMBINATION <br />1` <br />[BUILDING ❑PLUMBING <br />[]MECHANICAL <br />❑NEW <br />❑ADDITION gJALTERATION ❑REPAIR <br />VALUATION OF WORK <br />S 4,850.00 <br />❑DEMOLISH <br />❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />bath remodel and <br />finish basement bedroom <br />PROPOSED USE <br />MECHANICAtUN <br />LEGAL DESCRIPTION OF PgOPE <br />RTV (SHOW BELOW OR ATTACH <br />TYPE OF ENER <br />FOUR COPIESI <br />❑ELEC. <br />LOT 6 BLocK 24 of <br />Town of Lowell <br />NO. NT <br />FEE <br />AIR CONS <br />I <br />REFRIGERATION ITS-H.P. EA. <br />5311 South 4th Avenue <br />PLUMBING <br />TER SERVICE SIZE SLDG. SUPPLY SIZE <br />IEYAROSETBACK ISTREETSETBACK REAR YAROSET13 <br />❑YES ONO <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />SPgCE & WALL HEATERS <br />UNIT HEATERS-O.T.U. I <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS 1 <br />VENTILATION FAN i-- <br />RANGEHOOO I <br />_ AIR HANDLING UNIT- C.F.M. <br />I <br />WATER HEATER T <br />FAC. BUILT FIREPLACE & CHIMNEY I <br />_ AS. SYSTEM: NO OP OUTLETS <br />SUB TOTAL S I <br />PERMIT S <br />TOTAL FEE S I <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUG <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED, <br />1 HERESY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND COnr ECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMP_IED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAN REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCT ION. <br />9/13/78 <br />51UNATURE OF CONTRACTOR OR AUTH.AGENT DATE <br />LAN CHECK NUMBER PLAN CHECK FEE <br />FEE IRECEIPT NO, <br />FEES I VALUATION I FEE <br />..•--.• �.w. vim. yr slurclts MAX. 'CC. LOAD 3UILDING I <br />$ 4,850.00 321 00 <br />FIRE ZONE BASEMEhi FIRE SPRINL LERS PLUMBING B 1 00 <br />REQUIRED <br />❑YF_S ONO <br />MECHANICAL I <br />SPECIAL CONDITIONS: OTHF13 I <br />_ I <br />PENALTY SEC. 303(M I <br />TOTAL11 ,/��1 (( 9 401 00 <br />ATION <br />IN IrLi(fL-TTED A111{t AI'ACS14L.111R'Mli 1 <br />U R YOU R RF•CElP% <br />' A iPPLIGiION ACCCPifUtlY: IMANSUIECKLOby. IA�novir)IOFVJNSUA .1 Y I' •N� Y�1o u THANJV YOU <br />j <br />eb t •. <br />j �d t { ► ' <br />r 1 r :.._ <br />