Laserfiche WebLink
dic Ever9rcun <br />�� �� o� <br />everett <br />CRY Nd,l 359 8535 <br />EVEN[il. Y:TS111NIi1011 <br />9fi1L1 <br />ntcr. or ;.m+•nuvirv <br />umRora[r;r <br />BUILDING <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />PLUMBING <br />e[�� <br />s�:, .,F���*� �;:�?,.� �. .c;� :�rr 99 � l�� �°^?9�-"rG <br />'LUMBING CONTRACTOR MAIL AODflES� PHONE LICENSE NO. <br />'FRMIT CLASS OF WORK <br />❑ 6UILDING ❑ PLUMBING � MECHANICAL <br />�]]NEW ❑l�DDITION ❑ALTERA"fION ❑REPAIfi <br />/ALUATION OF WORK <br />❑DEMOLISH ❑FGNCE ❑SIGN ❑SWIP4MING POO� <br />qi9C WOFK <br />r' iRF.T. 3� k'(�.i�k.r, <br />OSED USE <br />�EGAL DESCFIPTION OF PROPE(3TV (SHOW BELOW OR <br />F O V R COPI ESl <br />LOT �LOC!C__OF — <br />J06 ADDRESS <br />�33� 33r[i :+.vs. �a�t <br />PLUMBING <br />IB <br />)F <br />i <br />N <br />P-51 <br />�J:ie\I <br />FEE <br />ARU <br />E <br />SPC-CIAL CONOITIONS. <br />MECHANICAL <br />TVPF OF PUEL <br />N UNITS–H.P. El�. <br />A. <br />UNITS–TONNAGE'rA. <br />FOFCED AIR SVSTEMS–D.T.U. M EA <br />W4LL HEATERS–B.T.0 <br />t1N1T HEATERS–�.T.U. <br />NAPORATIVE COOLE <br />CLOTHESDRVERS <br />VENTILATION FAN <br />FANGEHOOD <br />Alfi hIANDLING UNIT– <br />INCINEFATOR <br />everett <br />L � <br />e+7-c��V <br />5 <br />z�2 <br />� <br />W <br />m <br />� <br />� <br />z <br />F <br />� <br />� <br />_ TOTAL PEE 5� � I�(} <br />—f-- THIS °EFMIT 6ECOMES NULL AND VOID IF WORK OF CONSTRUG <br />TION AUTHORI7[D IS NOT COMMENCED WITHIN 120 DAVS, OR IF <br />�— GONSTflUCTION OH WORK IS SUSPENDED OR nOANOONED FOfi n <br />- PERIOD OF 120 DAYS AT /�YV TIME AFTEP WOfiK IS COMMENCED. <br />I HEREAV CERTIFY THAT I HAVE REAU AND E%l1MWFD TNIS AP- <br />PL�CATION ANn KNOW TH@ SAME TO dE TRVE f1NO CORRECT. ALL <br />PROVISIONS OF LAWS AND ORJINANCES GOVEANING THIS TYPE <br />OF WORK WILL BE GOMP!_IED WITFI WHETHLR SPECIFIEO HER[IN <br />i OR NOT, TNE GRANTING OF A PERMIT DOES NOT PRES'JME 10 <br />GIVE AUTHORITY TO VIOIATE OR CANCEL THL PROVISIUNS OF <br />ANV OTHER STATE OR LOCAL LAW REGULA?�NG CONSTqUCTION <br />OP THE PERPURMANCE OF CONSTRUCTION. <br />x tp e:�aok �Z _ 2 � <br />SIGNATUPEOFCONTfiACTORORAUTH.AGENT DATE <br />EAR YARUSETBACK PLAN CHECK NUM1IBER FLAN CHECK FEE <br />GEE �ECEIPT NO. <br />ACANTSITF <br />❑YES ❑No FEES VALUATION FEE <br />O.Of OWELLING j <br />NITS 1 I <br />MAX.00C. LOAO �UILOING 5 � <br />—t-- <br />PLUMBING � <br />FIFESf FINKLE(i5 � <br />RC�VIRED � <br />❑VES ❑NO MECIiANICAL �` <br />OTHER � <br />I <br />PENELTV SEC ]OJ la) � <br />I <br />TOTAL 't � <br />FERMIT VALIDATION <br />– WHGN PROPERLY VALIDNTGf) �IN TFIIS SPACEI T1115 15 VOUR PERMIT <br />21 cI <br />bT. <br />