Laserfiche WebLink
the Evergreen <br />CITY OF <br />everett <br />.. 1, <br />f af�:n AiSxryifuY <br />°F" DI I,.••,•" . <br />BUILDING <br />,, .. <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING '11I e <br />OWNER MAIL <br />�/��i1� MAIL ADUH£SS ZIP PHONE <br />II " r rs I ,: r _ __ <br />ARCHITECT OR DESR;N`L FI MAIL ADDRESS PHONE LIC NSE NO. <br />w <br />W <br />m <br />z <br />/- <br />Q <br />1 <br />GENERAL CONTRACTOR MAIL %DDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE IJCENSf NO <br />hift <br />r•E RMIT CLASS OF WORK <br />❑BUILDING PLUMBING [:]MECHANICAL <br />NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />- <br />VALUATION OF WORK <br />f <br />❑OEMOL ISM ❑FENCE ❑SIGN 05WIMMING POOL. <br />DESC RIB) WORK --- -- <br />- 2482 <br />PROPOSED USE <br />MECHANICAL <br />FYPE <br />OF fUEI ❑WL ❑GAS ❑LPU <br />IRT <br />EC <br />EL <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH <br />COPIES) <br />LOT .BLOCK —OF <br />NO_. <br />TYPE OFEOUIPMENT <br />PEE <br />AIR COND UNITS- M.P. EA. <br />f I <br />REFRIGERATION UNITS --HP. EA. <br />BOILERS- MP EA <br />I <br />GAS F IREO A UNITS -TONNAGE EA. <br />_. <br />FORCED AIR SYSTEMS R T U. M FA <br />1 <br />JOB ADDRESS <br />+�-'r EF: •a <br />WALLHEATERS ST.0 M <br />1V141T HEATERS. B.T.U._ _ M <br />1 <br />PLUMBING <br />EVAPORATIVE COOLFT— <br />1 <br />CLOTHES DAYERL <br />VENTILATION FAN <br />RANOEHOOD <br />I <br />AIR HAMOLING UNIT- C F.M. <br />TAPE OF FI--%TORE OR ITEM <br />FEE <br />WAT_EWLLOSET (TOILETI <br />f —�— <br />INCINERATOR <br />I <br />BATHTUB <br />LAVATORY fWASHBASIN) <br />SHOWERi— <br />KITCHEN SINK B DISP. <br />�— <br />SUB TOTAL S <br />I <br />_ <br />DISHWASHER <br />PERMIT f <br />LAUNDRY TRAY <br />---TOTAL FEE <br />O u" <br />THIS PERMIT BECOMES NULL AND VOID W HINK 0 DAYS. <br />IS NOT COMMENCED WITHIN N O ED OR <br />TION CONSTRUCTION OR ABANDONED GOP <br />PERIOD OF ION A WORK IS TIME AFTDEDER <br />PFR100 OF 140 04V6 AT ANY TIME AFTER WORK IS COMMENCE <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS A' <br />PL'CATION AND KNOW THE SAME TO BE TRUE AND CORRECT. A! <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYI'• <br />OI WORK WILL BE COMPLIED WITH VHETHER SPECIFIED HERE <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS. <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRVCT v.! <br />OR THE PERFORMANCE. OF CONSTRUCTION <br />x <br />CLOTHES WASHER <br />�— <br />WATER HEATER <br />_ <br />_ <br />URINAL <br />_ <br />DRINKING FOUNTAIN <br />FLOOR SINK OR DRAIN <br />VACUUM BREAKERS <br />ROO RApRAp INS-RMNLEADERS <br />- <br />_ <br />SINK (SERVICE -BAR ETC.) <br />SVB TOTAL <br />PERMIT <br />f <br />TOTALFEE <br />f <br />SIGNATURE OF CONTRACTORORAUTH AGENT DATE <br />SIDE YARD BBET13ACK <br />ST RE ET SETBACK <br />REARVARDSErBACK <br />PLAN CHECK. NUMBF R <br />PLANCHECKFEE <br />FEE RECEIPT NO. <br />JSE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCVPANLY GROUP <br />NOOF OWf LUNG <br />UNITS <br />I <br />BUILDING <br />f <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE NE <br />BASEMENT FIRE <br />FIFOUIRFO <br />PRINKL RS <br />DYES ❑NO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS <br />OTHER <br />1 <br />1 <br />PENELTY <br />SEC. 3031d <br />TOTAL <br />is t00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THISSPACE) THIS IS YOUR PERMIT <br />0 <br />- - <br />ATLIGTIM ACalV _D PY <br />j"LAWU4F"EDW AYPROVEO <br />FOR 1w4'l1_Am[ BY <br />UM <br />