Laserfiche WebLink
the Evergreen <br />CITY OF <br />everett <br />L11V HAIL 7`38&95 <br />I,VERETT, WMHINGTON <br />93201 <br />DEPI. Ot COMMUNIT♦ BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING .e <br />OWNER MAIL ADDRESS ZIP PMUNL <br />H• G• DAVE bw -m%zo <br />7 ti3�74 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL � CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />-LL <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />m <br />PERMIT <br />BUILDING ❑ PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />I'`+E� <br />❑NEW []ADDITION❑C ALTERATION XEPAIR <br />Z <br />Hc <br />C <br />VALUATION OF WORK <br />tMI�M ClDEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />2 <br />LU <br />G. <br />1572 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL ❑OIL ❑GAAS. ❑LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR �COP�IEj!1 <br />LOT �I.Gil BLocKOF-i1 <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIRCOND. UNITS -NITER, <br />S 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 ADDRESS ��1EIPw��1N <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />1 <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />I_ <br />RANGE HOOD <br />I <br />AIR HANDLING UNIT- C.F.M. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />I <br />WATER CLOSET (TOILET) <br />$ <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SIIOWER <br />KITCHEN SINK & r 3P. <br />SUBTOTAL S <br />i <br />DISHWASHER <br />PERMIT $ <br />[NO, <br />LAUNDRY TRAY <br />TOTAL FEE $ <br />CLOTHES 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 />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br />PI.ICATION 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 LUCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />�`tlat✓J01. <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />�— <br />-- <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINLEADERS <br />SINK (SERVICE -BAR, ETC.) <br />SUB TOTAL_ <br />PERMIT <br />S <br />TOTAL FEE <br />$1 <br />SIGNATURE OF CONTRACTOR OR AUTH.AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO.DWELLING <br />UNITS <br />BUILDING <br />$ <br />O/N/D�. <br />sl �EI,F <br />512E OF BLDG. <br />NO. OF STORIES <br />MAX. OCCLOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />RFOUIRED <br />OYES ONO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />PENELTY <br />SEC. 3031a1 <br />1 <br />TOTAL <br />I <br />5100 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALID ATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />3 <br />APPLICATION AOCEPTEDBY <br />PLANS CYIECKED BY: <br />APPPOVED FOR ISSUANCE By <br />ere <br />