Laserfiche WebLink
The Evergreen <br />CITY OF <br />everett <br />CITY HALL 2593MS <br />EVE REV. WASHING TON <br />90201 <br />UEPi. Of EVELOPMENT BUILDING <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING,,e <br />OWNER ww MAIL ADDRESS ZIP PHONE <br />m & R 9�jN5Amom <br />ARCHI' CT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />�N go RM c -%M <br />b 22 MIX <br />M EaCHA�IC ONFTPR ACTOR MA DD PHONE SE NU. <br />r <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />ED <br />PERMIT <br />=J BUILDING []PLUMBING []MECHANICAL <br />CLASS OF WORK <br />❑NEW ET4DDITION ❑ALTERATION ❑REPAIR <br />Z <br />F <br />VALUATION OF WORK <br />S <br />❑DEMOLISH ❑FENCE ]SIGN []SWIMMING POOL <br />1 <br />DESCRIBE WORK - <br />ve"t <br />042 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑GAAS. (jLPG. ❑ ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT LLOCK_OF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REFRIGERATION UNITS-H.P. EA. <br />SOILFRS-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 ADDRESS <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />1 <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />WATER CLOSET (TOILET) <br />g <br />INCINERATOR <br />1 <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />I <br />SHOWER <br />KITCHEN SINK &DISP. <br />SUBTOTAL $ <br />) <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTAL FEE 5 <br />) <br />CLOTHES WASHER <br />WATER HEATER <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 I HAVE READ AND EXAMINED THIS APE - <br />PLICATION AND KNOW THE SAME TO BE TRUAND 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 A'ITHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />x <br />_ <br />URINAL <br />_I <br />DRINKING FOUNTAIN <br />FLOOR SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINLEADERS <br />SINK (SERVICE -OAR, ETC.) <br />SUBTOTAL <br />PFRMIT <br />$ <br />S <br />TLTALFEE <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SET'-ACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANTSITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEF <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF OWELLING <br />UNITS <br />Yp <br />Nr <br />BUILDING <br />S <br />I <br />SIZE OF BLDG. <br />NO. OF STOh1ES <br />MAX. OCC. LOAD <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT <br />"RESPRINKLERS <br />_DUIRED <br />❑YES ❑NO <br />_ <br />MECHANICAL <br />OTHER <br />I <br />SPECIAL CONDITIONS: <br />- - <br />1 <br />PENELTY <br />SEC.-081a1 <br />_ <br />I <br />- <br />- <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />APPLICATION ACCEPTED BY: <br />Noce <br />PLAN501EOtE D BY: APPPONEO <br />n&_ <br />FOR ISSUAI:CF BY <br />=.f W <br />