Laserfiche WebLink
� rl:c Evcr�recvi <br /> i <br /> ��T� o� CONSTRUCTION everett <br />� everet� F�ERMCT <br />� fltv qp�� 159ei1s <br />� lVCFCII.l9p$IIINOf.N <br /> 9B101 <br /> °';'` °; '°'"'°°"° BUILDING MECHANICAL PLUMBING <br />, oo:unwner�i <br /> OWNER hiAILADDflE55 ZIP PHON[ <br />'� ,;�F��' ti'!i' ?'l83 �'�:�� ::�. 2 2� ucd,�L k�G•7L <br /> , <br /> AIICIIITHCT O!1 JESIGNER MAIL AODRESS °HONC LIC[NSE NO. <br /> GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> i.i-'•,.!4 <br /> M1tECHANICAL CONTRACTOR MAIL ADDFiESS PHOfJE LICENSE NO. <br /> PLUMUING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. � <br /> W <br /> � <br /> PERAIIT CLA55 OF WOfth � <br /> G <br /> �3UILDING � PLVM�ING �MECHANICA�_ 'r <br /> ❑NEN� ❑ADOITION ❑/1LTERATION ❑REPAIf. � <br /> VALIJATIOyN OF WOFK � <br /> 5 j��. ❑OEMOLISH �PENC[ ❑SIGN ❑5'NIMMING POOL a <br /> D@SCftl6[WOftK *....g�;•t a �+�� <br /> . ��x�l L �f ..:�' dti � �. ....�...,i � <br /> raoaoseo use ' MECHANICAL <br /> LEGAL UESCRIPTION OP ^'RO�'cFTV ISHOIV 6EI.OW OR ATTACII TVPE Of PUEL �OIL �`ns QLPG. �ELEC. <br /> fOUR O i SI <br /> I�j �n �? y'';�"� NO.TYPE OF EQUIPMEN7 FEE <br /> LOT OLOCK—j��F AIR COND. UNITS—H.P. EA. S I <br /> RFFliIGERATION UNITS-H.P. EA. <br /> DOILERS-H.P. EA. 1 <br /> GAS FIFEO A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SVSTEMS-B.T.U. M EA. I <br /> JOB ADORESS O'll4'l �.� Ji WALL HEATERS-B.T.U. fA T— <br /> J(v.! N <br /> UNIT NEATERS-B.T.U. M I <br /> EVAPOftFTNE COOLERS <br /> PLUMBING CLDTH[SDRVEFS <br /> 1 <br /> VENTILATIONFAN <br /> RANGENOOD I <br /> f AIR HANOLING VNIT- �.F.M. <br /> NO. l , PE OF PIXTURE OR ITEM .��FEE_ — — <br /> WATERCIOSETITOILETI I$ � INCINEflATOR I <br /> T <br /> ❑ATHTVB <br /> LAVATOHI' IWASN BASINI I <br /> SHOWER <br /> KiTCt1EN SINK R OISP. � SUU TOTAL $ � I <br /> DI^,HWASHEF PERMIT 5 � I <br /> _ LAUNDRY TR 4V -rpTAL FEE 5 � �' <br /> CI_OTHES WASHEF THIS PEFMIT BECOMES NU�L AND VOID IF V'7RK OR CONSTRUC- �'� <br /> WATEF HEATER TION AUT40R12[D IS NOT COMMENCED bVIT�'IN 120 DAVS, OFi IF �' <br /> URINAL _ CONSTfiUCTION OFl WORK IS SUSPLNOED Ofi A�ANDONED fOR !� ' <br /> DflINKING fOUNTAIN P[RIOO OF 120 DAY$ AT ANY TIM11E AFTER WORK I$COMfdENCEL). <br /> i <br /> FLOOH-SINK OR DRAIN —� i MERELIV CERTIFV THAT I HAVE READ AND EXAMWED THIS AP- <br /> VACUUAI OREA�<ERS PLICATION AND KNOW THE SAML TO fiE TRUe AND COHRECr, qLL �� <br /> qOOf DFlAINS-RAINLEADERS --� P��VISION.^ OF LAWS l�NO ORDINANCES GOVERNING THIS TY'PE �,1 <br /> OF Il�OFK LVILL f3E COMPLIEO WITH N'HETFIEFi SPLCIFIE� HEREIN � <br /> SINK (SERVICE-BAR, ETC.1 —i OR NOT, THE GRl�NTING OF A PEFh11T OOES NOT PHLSUME TO � <br /> T GIVf. AUTHORITV TO VIOIAT@ OR CANCEL THE PROVISION; OF <br /> ANV �]THEH STATE OR LOCAL LAW REGVLHTING CONSTRUCTION <br /> OR THE PERFORMANCE OF CO�JSTRUCTION. � <br /> SUBTOTAL <br /> PERMIT S <br /> TOTAL FEE $ i _ ` . � <br /> x 4 j7��/ <br /> SIGNATUREOFCONTRACTORORAUTH.AGENT D�1TE <br /> SIOEVAf�DSET�ACK STHEcTSET[1ACK REARYAliDSET6t1CKFLANCHECKNUMBER PLANGHECKFEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> �TVPE OF CONSI' OCCUPANCV GROUP VNIOS OWELLING I <br /> y� N� <br /> SIZE OF �IUG. i`IO.OF STORIES MAX.000. LO�1D �VILDING 5 I���V ��� <br /> PLVMBING � <br /> FIRBZONE ❑r.�S�nfNT FIHESPRINKLERS � <br /> Ret]UIRE� I <br /> ❑YES ❑NO MECIiAPlICAL I <br /> ;;PECIAI.CONDITIONS' OTHER � <br /> - _— I <br /> 1— <br /> _-. — — - PE�JELTY SEC.3031a1 I <br /> TOTAL � j(,� <br /> PERMIT VALIDATION <br /> WHEN PqOP[RLV VAL�DATED (IN THIS Si'ACE) TFII515 �OUR PEHMIT <br /> MPLICATIONALLCPiFOBY�. CLANSCNECNEDBY' nPFfVOVLDFOFI55UANC[!rt <br /> 3 <br /> t <br /> .�---- _._. . .. _ . � <br /> _ G..•_- - „ • - --` -- - - <br />