Laserfiche WebLink
the Evergreen <br />CITY OF <br />everett <br />CITY NAIL R9 EEES <br />EVERETT. WASHINGTON <br />"NI BUILDING <br />OERi. Of CONNONITY <br />0[VE IOVNFHI <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING <br />OWNER <br />y R�� �}�p}�p�p.. MAIL ADDRESS ZIP PHONE <br />C EMME✓ s�L 3IJa J% ,,. " _, -L <br />LICFNSE NO. <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE <br />LICENSE NO. <br />GENERAL <br />RNN/CONTRACTOR MAIL ADDRESS PHONE <br />JiIL1P Dean � <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />cc <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />00 <br />PERMIT CLASS <br />BUILDING ❑ PLUMBING ❑ MECHANICAL <br />OF WORK <br />[I NEW ❑ADDITION ❑ALTERATION REPAIR <br />Z <br />~ <br />VALUATION O_ F WORK <br />0DEMOLI511 ❑FLtN'E []SIGN []SWIMMING POOL <br />D: <br />w <br />d <br />DESCRIBE WORK <br />570 <br />PROPOSED USE <br />MECHANICAL <br />TYPE I ❑OIL ❑GAAS. ❑LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />}}��N�� o E <br />LOT1 BLOCKMr-Ea, <br />OF <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />qIR COND. UNITS-H.P. EA. <br />S I <br />REFRIGERATION UNITS-N.P. EA. <br />BOILER.".-H.P. EA. <br />i <br />GAS FIRED A.G. 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 />EVAPORATIVE COOLERS <br />I <br />PLUMBING <br />CLOTHESORYERS <br />I <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />1 <br />WATER CLOSET (TOILET) <br />$ <br />BATHTUB <br />I <br />LAVATORY (WASH BASIN( <br />_ <br />SHOWER <br />KITCHEN SINK Bi DISP. <br />AL <br />SUB TOT $ <br />I <br />DISHWASHER <br />PERMIT S <br />LAUNDRY TRAY <br />TOTAL FEE $ <br />I <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCo <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 AP- <br />PLICr.T1ON 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 2 <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINLEADERS <br />SINK (SERVICE -BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />$ <br />SIG BUR FCONT RACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UWO DWELLING <br />BUILDING <br />S 6=0 <br />b <br />SIZE OF BLOG, <br />NO. OF STORIES <br />MA X. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />RFaU EID KLERS <br />❑YES ONO <br />MECHANICAL <br />I <br />I I <br />SPECIAL CONDITIONS: <br />OTHER <br />- - - - - <br />PENELTY <br />SEC. 3031N) <br />1 <br />TOTAL <br />(tj <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />D <br />APPLICA710NFCCEPIE08Y <br />RLANSCHECKEDOY <br />APRPOVEO fO ISWANCC BY. <br />