Laserfiche WebLink
f�e Everp�een <br />cin oF <br />everett <br />BUILDING DEPARTMEN f <br />259-8810 <br />�.e'P11��4T�OtV F�ie <br />�ONSTRUCI'1(�N <br />PERMIT <br />TO B'c COMPLETED IN INK • PLEASE PRINT <br />❑ DEMOLITIUN C.1 COMBINATION <br />� N /YJ_ � ��%7 / <br />Mni� noonEss <br />' �. <br />everctl <br />� <br />❑ BUILDING ❑ MECHANICAL ❑ PL'JMBING ❑ SIGN <br />CIPi LiP PHONP <br />rJ�9� ��ST�e� f�go2-S8 GS3 a02-5�.- <br />;.m �ia vrmru <br />GtNLFaI. coNiqFcloR M1�/i� .�Oo��EtiS c�iv br oq�pNE ucFr15[ <br />,�--..e_Sq�� M� �/in / 8o P� <br />MECMavirSLco:+�nacioq mni�nwrcon wn ..0 ri�aNe L�cRlsf. <br />VWIAP���.WN�A4CIDR ��A��-/•GO��E55 CITV 21P PHONF Li"t1lSF • <br />CLA55 F WORK <br />NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLIT�JN ❑ WOODS7GVE�FRPLINSERI" ❑ BUILDING RELOCATION <br />vswn��o�+ov wo�aK�cosr oF m�rEa�n�s rws �aaon� <br />1/,3�000 � <br />�«�o,o�,,,��,u � <br />� /�7 q�� <br />LEGhL DESCRIP N O� PFO <br />«„ /go�o��� <br />�'Q -n - �% IC�-��P <br />'ISMD1VNpElOW FFiTaL11FUlIR/C�O�'IFS <br />I�G�Se�'! /`�4 <br />O 9a � 9� f�� S�' <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET �TOILET� <br />BATFITU� <br />LAVATOR/,K'ASM BASIN� <br />SHOwER <br />KITCHEN SINK R DISP <br />OISHWASHER <br />LAUN�RVTRAV <br />CLOTHES VJASNER <br />�JRINAL <br />DRINNING FOUNTAIN _ <br />�ACKFLOW PREVENTEFS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — 6AR. ETC 1 <br />��rURt .FipaCM <br />l lON[ <br />rtve or�vsr <br />�` y✓ <br />sitL oP B� OG <br />//.?o� sZ <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />iVELfi iFi�PCK <br />�OiAREn <br />OCCUPAtlCY GPO <br />�-� <br />NO Of SiORiE i <br />� <br />u,�'i...l:.�v..•i.. ,�. PLANSCNECHEDJv <br />��` /�- <br />vacanr srt[ <br />❑YES ON� <br />NO Of �Wfl <br />/ <br />�n�� occ ic <br />1 HERGBY CERTIFY THAT I HAVE READ AND EXAMINED TfilS �P� <br />PLIC�TIONAND KNOWTHESAMETOBETRUEANDCORRFCT. A�L <br />PROVISIONSOF LAWSANDORDINANCESGOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE� <br />IN OR NOT. THE GRANTING Of A PERMIT DOES NOT pRESUME TO <br />GIVE AUTHOHITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMO,NCE OF CONSTRUCTION. . <br />sicNnru�i or cor�rancroH on r,un:on�zeo acer�r na.e <br />X�,. ����, �.�a�/�7 <br />nPv�iCUJLSCiivPUSiN[SSUCU:.�EaO ��— <br />MECHANICAL <br />FEE NO. fYPE OF E�UIPMENT <br />NC — MHNDLG L1NIT$ — H P <br />REFFIGERATION UNITS — NP. EA <br />BOI�EPS—BTUMP <br />GASFIREDAC UNITS—BSU. <br />FOfiCE� AIR SYSTEMS — 0 T U. M EA. <br />WALL HEATEFS — B.T.LL M <br />UNIT HEATERS — B T.U. 61 <br />EVAPORATIVE COOLERS <br />� CLOTHESORVERS <br />VENTILATION FAN <br />RANGE h100D <br />WATER HEATER <br />WOODSTOVE <br />�AETAL FIREPIACE S CHIMNEV <br />FIREPLACE INSEfiT <br />HEAT PUMP <br />GAS PIPING <br />� EXHAUSTFAN <br />APPR fOR ISSUANC[ BY <br />SUB TOTA�. <br />PEfiMIT <br />TOTALFEE <br />PIAN CHECKNUMOER FEE <br />� lI �U � I ,� � <br />TI ON <br />ow�oinc <br />PLUMB�tJG <br />MECHANICAL — <br />OTHER <br />STATE BUIIDING SURCHAF7G <br />STATEENERGYSURCHARGE <br />PUBLIC bVORK$ <br />TOTAL <br />FEE <br />RECEIP� NO. <br />FEE <br />� I'FOF[RiYOWNE175�'��ERLPONSIOLLFORD[TER411NINGALL <br />fROPGi71Y LINf LOCGTIONSl.fJU F,EL'�i(D EASEf.1NJT5. <br />