Laserfiche WebLink
the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 C985 <br />EVERETT. WASHINGTON <br />SLIM, <br />OEM OF COMMUNITY BUILDING <br />OIVEIOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />ever~ett <br />PLUMBING .e. <br />OWNER 'y MAIL�AA_[D9W�N�ILESS CI��.� {�� ZII SP(�S PHUNI. <br />W� nolm, 46w RRPEFEE sm M<RE imm <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />G9}E�S5N��L�RRA�LCCOONNTTRACTOR .�.�1�M AAIIL�NA�D.DRREESS �,q ...wL,..l.6 PHONE LICENSE <br />I�� LLIICCENNSSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS I"for4rm W LICENSE NO. <br />CC <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO <br />W <br />td <br />PERMIT <br />BUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />ffNEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />� <br />Z <br />♦_ <br />2i <br />VALUATION OF WORK <br />$ ❑DEMOLISH ❑FENCE ❑SIGN [:]SWIMMING POOL <br />DESCRIBE WORK <br />Owswatwbr _` <br />G: <br />LU <br />1344 <br />PROPOSED USE <br />MECHANICAL <br />TYPEOFFUEL ❑OIL ❑NAT. ❑LPG. ❑ELEC. <br />GAS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />$ I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />JOB /�D5r5 t' _"� <br />jjJJ r <br />WALL HEATERS-R.T.U. M <br />UNIT HEATERS-B.T.U. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />I <br />CLOTHES DRYERS <br />I _ <br />VENTILATION FAN <br />RANGEHOOD <br />I _ <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />I <br />WATER CLOSET (TOILET) <br />$ <br />BATHTUB <br />1 __ <br />LAVATORY(WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUB TOTAL $ <br />I <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTAL FEE $ <br />1 <br />CLOT ES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <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 />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE r.ND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED 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 LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUMBREAKERS <br />ROOFDRAINS-RAINLEADERS <br />— <br />SINK (SERVICE -BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />$ <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANTSITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />- <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNO. OF NITS DWELLING <br />7 <br />BUILDING <br />S <br />W <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />i— <br />i <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />DYES ❑NO <br />MECHANICAL <br />SPECIAL CONDITIONS, <br />OTHER <br />I <br />PENELTY <br />SEC. 003 lal <br />I <br />TOTAL <br />) <br />I <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />0 <br />RRLICATIOII.�AC��C{aEPTED RY <br />aMaR� <br />PLRNS CHFCNEO RY: [PPF0VI0F0AeWANCEFY <br />6M <br />