Laserfiche WebLink
the Evergreen <br />CITY OF <br />everett <br />CITY HALL 25SRS85 <br />EVERE TT. WASHINGTON <br />58101 <br />DEFT OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />eve rett <br />PLUMBING <br />OWNER MAIL ADDHISS _ ZIP PHnNL <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />s b s s <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />IU <br />Co <br />2i <br />PERMIT <br />BUILDING [:]PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />D <br />Z <br />)— <br />VALUATION OF� WOFyyR��Kryry�N <br />❑DEMOLISH ❑FENCE EXIGN ❑SWIMMING POOL <br />Q <br />UJ <br />DESCRIBE WORK may, � dTm <br />bLYRs.♦ t1N� vN <br />810 <br />PROPOSED USE <br />MECHANICAL <br />❑LPG. ❑ELEC. <br />TYPE OF FUEL ❑OIL GAS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIESI <br />LOT BLOCK —OF <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />$ 1 <br />REFRIGERATION UNITS-M.P. EA. <br />80I LE RS-H.P. EA. <br />1 <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />1 <br />JOB ADDRESS _ur fl�Tzj. <br />�(� <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 />RANGE HOOD <br />1 <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />g <br />INCINERATOR <br />I <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />1 <br />SHOWER <br />KITCHEN SINK & DISP. <br />SUBTOTAL 5 <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />TOTAL FEE 5 <br />1 <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />T10N 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 AND 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 />X <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR ORAIN <br />--{ <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINIEADERS <br />SINK (SERVICE -BAR ETC.) <br />SUBTOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />$ <br />SIGNATURE OF CONTRACTOR OR AUTH.AGENT GAFL <br />S1DE YARD SETBACK <br />STREET SETBACK <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 />❑YES []NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNITS DWELLING <br />1 <br />BUILDING <br />���AyyLL�PN LPyPNL <br />$ iA.+VigW <br />G <br />SIZE OF BLOG. <br />NO. OF STORIES <br />MAX.00C. LOAD <br />PLUMBING <br />1 <br />FIRE ZONE <br />BASEMENT <br />REQUIRED FIRERED ItHS <br />❑YES ONO <br />MECHANICAL <br />I <br />i <br />SPECIAL CONDITIONS: <br />OTHER <br />1 <br />PENELTY <br />SEC. 000 (B) <br />1 <br />- - <br />- <br />TOTALJI <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />0 <br />n^F LIGATION AMFPTED BY: <br />PLAMS ECKEDBY: APPROVED <br />FOA ISSOANCC BY. <br />