Laserfiche WebLink
� the Evergree�n <br />, 'Y OF <br />E�verett <br />❑fY IIALL it9PRA�. <br />NLNFi1.14G5NING104 <br />991U1 <br />IIEPi. fd f.ONtAUYI1V <br />OEVFLORACNt <br />OWNER <br />�� �1 �`� <br />� <br />nnecr+nn <br />� <br />GOIVSTRUCTION <br />��'ERI�iiT <br />BUILDING M1=CHANICAI_ <br />MAIL AODRESS 21P <br />P�Q. Fhxc tt28 �'f:�2'�'s <br />[�BUILDING u"PLUMBING [�M17ECHANICAL <br />fi K <br />� �U �� <br />LEGA� OESCfiIPT10N OF PROP�I <br />FOUR �IE51 <br />LOT __ �LOCN_OF__ <br />JOB�(�� r__ _ Q L� <br />y Y'j� ✓� <br />PWMBING <br />YAR <br />LO <br />SPECfAL CONDITIONS: <br />PLUMBING <br />�NEVJ ❑l�DDI'iION ❑!J_TERATION ❑REPAIR <br />❑DEMOLISH ❑FENCE ❑SIGtJ ❑SWIMMING POOL <br />MEC4ANICAL <br />everett <br />i]yatL�qf'�r ` .�Pi�. NO. TVPE OF E�UIPMENT FEE <br />AIR COND. UNITS-Ii.P. EA. S � <br />FiEFRIGEFATIpN UNITS-li.f. EA. <br />BOILEFS-N.P. EA. I <br />GA$ FIqED A.C. UNIT$—TONNAGE EA. 1 <br />fORCEDAIF'aVSTEMS—B.T.U. MEA. I <br />WAIL HEATERS-9.T.U. M <br />VfJI'f HEATEFS—B.T.U. M � <br />J. EVAPORATIVE COOLEFiS <br />'�' CLOTHES DRVERS <br />VENTILl.TION FAN <br />— � __ RANGEHCOD <br />Alii I�ANDLING UNIT— C F.M. —i <br />TOTAL <br />�ACK IREARVAROSETB <br />��+a <br />❑VES ❑NO <br />�__ SU� TOTAL S' � <br />___ PEFMIT 5 a,� .y� <br />TOTAL FEE 5 —�-d�� <br />THIS PER�iIi DECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTI'OFiZED IS NOT COMMENCED N'�THIN 120 Dl�VS, OP IF <br />CONSTRUCI'ION OR WOF:K IS SUSPENDED OR AE3ANDONED FOR A <br />PERI00 OP 120 �AVS AT ANY TIMF AFTER WORK IS COMMENCED. <br />I IIERE�V CEflTIFY THAi I HAVE PLAD ANU E%AMINED THIS AP� <br />PLICATION AN7 KNOW THE SAME TO �E TFUE ANO COIiRECT. ALL <br />PROVISIONS OF LAWS ANU ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL 6E COMPLIF_D N'ITH WHETHEfi SPECIFIED HEilEIN <br />OR NOT, THE GRANTING OF A PEFMIT DOES NOT PRESUME TO <br />GNE AUTHORITY' TO VIOI.ATF OR GANCEL TNE PPO\'ISIONS OF <br />HNV OTHER STAii: OR LOCi L LAW FEGULATING CONSTRUCTION <br />Oft TNE PERFORMANCE OF CGYSTiiUCTION. <br />x � <br />SIGNATUFEOFCONTftArTORORAUTH.AGENT Di�TE <br />'LAN��NUM�ER PLAN CHECK I'EE <br />�� �FEE � � RELF��10. <br />• yr=�a <br />FEC:S VALUATION FEE <br />_ � <br />MA%. DCQ LOA� OULL�ING 5 G f�' —� <br />I <br />PIUMBING � <br />FIRESPRINKLENS <br />R�(]VIflED <br />❑VES ❑NO MECHAfJICAL <br />OTHER I <br />I <br />— PENELTY SEC.'i?31a) � , <br />TOTAL � �I <br />PERMIT VALIDATION <br />WHEN NROPERLY VAUDATED IIN lHIS SP4CE1 TI�I515 VOUR �ERMIT <br />I; <br />