Laserfiche WebLink
the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598885 <br />EVERETT, WASHINGTON <br />99201 <br />OEPT. OF COMMUNITY BUILDING <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING ,e <br />O �PiB•_..'a rl% �A OFj ZIP PHONE <br />U7U76 <br />ARCHITECT OR DESIGNEJOR:, MAIL ADDRESS PHONE LICENSE NO. <br />GENEgALCONTgACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHAA .NLIICAL�CgOOi.N�T�RA�CTTOORy MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />cc <br />W <br />m <br />PERMIT <br />0UILDING ❑ PLUMBING & MECHANICAL <br />CLASS OF WORK <br />NEW ❑ADDITION [y ALTERATION ❑REPAIR <br />z <br />VALUA'J L,4"SK <br />$ {�1{j�y{) <br />❑DEMOLISH El FENCE ❑SIGN ❑SWIMMING POOL <br />LU <br />a <br />DESCRIBE WORK <br />PROPOSED USE <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />TYPE OF FUEL ❑OIL ❑NAT. ❑LPG. ❑ELF_C. <br />GAS <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 />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 <br />vp <br />WALL HEATERS-B.T.0 M <br />UNIT HEATERS-B.T.U. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />WATER CLOSET (TOILET) <br />$ <br />INCINERATOR <br />I <br />BATHTUB <br />'"T" MI <br />LAVATORY (WASH BASIN) <br />SHOWER <br />Y.ITCHEN SINK & DISP. <br />SUBTOTAL S <br />DISHWASHER <br />PERMIT $ <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />TOTALFEE $ <br />WATER HEATER <br />THIS PERMIT BECOMES NULL AND VOID �F 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 ISCOMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINAN; ES 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 PROVISION- OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />X <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUM BREAKERS <br />ROOU <br />F DRAINS-RAINLEADERS <br />SINK (SERVICE -BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />$ <br />SIGNATURE OFCONTRACTOROR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />VACANTSITE <br />OYES ONO <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE wO FIECE11riou � <br />�HM C�% "i{J7 <br />USE ZONE <br />LOT AREA <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MA%. OCC. LOAD <br />BUILDING <br />S <br />met W <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT <br />FIRELERS <br />REQUIRED <br />OYES ONO <br />_ <br />MECHANICAL <br />M <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />1 <br />PENELTY <br />SEC. 30310) <br />1 <br />TOTAL <br />,.11100 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS 15 YOUR PERMIT <br />8 <br />APPLICATION ACCEPTED BY: <br />PLANS CHECKED BY: APVEP <br />FDA ISSUANCr BY. <br />/Y,I-• <br />