Laserfiche WebLink
, . <br /> [-- <br />' ��,° E���,�<«',� CONST��UCTION � - - everett <br /> "T� °' PER�IIIT <br /> �v+�rett �- <br /> CITY HALL 2v9�&745 <br /> ever,er�. r�a �azoi COM[31NATIOR � [3UILGfNG • MECHANICAL • PLUMBING <br />' OWNEP MAILA��IlE55 21P PHONE <br />� � <br /> American Construction Co. , Inc. All 13th Street 98201 259-0118 m <br /> � <br />. ARCHITECT OR [1E51GNER MAIL ADDRESS PIIONE LICLNSE NO. � <br /> � <br />, GENEFiALCONTflACTOR MAILADDRESS PHONE LICENSENO, z <br />� Same C <br />' MECHANICAL CONTRACTOF MAIL ADDRESS PHONE UCENSE NU. � <br />' W <br /> � m <br /> PLUMOING CONTflACTOR MAIL A�DRESS PNONE LICENSE NO. (J'� � <br /> �1 <br /> PERMIT CL1�55 Of-WORK OO <br /> �COM8INATION <br /> ��UILDING �PLUM9ING �MECHANICl�L <br /> ❑NEW ❑ADDITION ❑ALTElil�TION ❑f�[PAIR <br /> VALUATION OF WORK <br />� 5 6�959.00 ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMW(; POOI <br /> DESCRIBE WOFIK <br /> Remodel existing building <br /> PROPOSE� USE MECHANICAL <br /> Office Space <br /> 1 LEGAL�ESCRIPTION OF PqOPERTV ISHUW�ELOW OR ATTAChI T��'E OF ENERG V <br /> 1 FOUFCOPIESI ❑GAS ❑ELEC. <br /> f LOT BLOCK—oF NO. TYPE OF EQUIPM[NT FEE <br />, AIR CC�ND. UNITS-H.P. EA. S I <br />� REFRIGERATION UNITS-�H.P. EA. <br /> �OILERS II.P. EA. I <br />� FORCF.� AIR SVSTEMS-B.T.U. MEA. <br /> I <br /> 1 JOO ADORESS SPACE & WALL HEl1TER5 - B.T.U. <br />� 411 13th Street uNir ��Enrens ❑.r.�. i <br />` _ EVAPORATIVECOOLERS <br /> FPLUMBING c�oTHesoavEas i <br /> VENTILATION FAN <br /> I RANGEHOOO I <br /> I NO. TVPE OF FIX7URE OR ITEM FEE _ nIq ��inNOLwG uNi7- C.F.M. � <br />� L�ATH TUBS S <br />� CLOI"HES 'NNSHEfi � WATER IaEATER � <br /> CISH WASHERS i -------�-- - <br />+ DRINKING FOUf�!TAINS � -- FAC. FiUILT FIREPLACE R CHIMNEV � <br />� FLOOFi DRAINS � GAS. SYSTEM: NO OI` OUTLETS <br />� KITCHEN 5!NKS & DISP. � SU6 TUTAL 5 � <br />� BAR SINKS � PERIdIT 5 <br /> ROOF DRAINS -- RAIN LEADERS i TUTn� FEE 5 I <br /> j SHOWER BATHS . �_ THIS PEftMIT OECOMES NULL AND VOID IF WORK UR CONSTRUG <br /> SERVICE SINKS TION AUTIiORIZED IS NOT COMMENCED WITHIN 1:?0 DAVS, OR IF <br />� SUMPS - SEWAGE PUMP CONSTRUCTION OR WORK IS SUSPENDCD OR A[3P.IJDONED FOft A <br /> i � PERIOO OF 120 Dl1YS M I�NV TIPAE APTER WOFK IS COMMFNCED. <br /> URINALS <br /> WATF.R CLOSET$ i I HEP[RV CERTIFV THAT I H/1VE HLAD AND '_XAtdWEO THIS AP- <br />� WATER HEATERS - ELECTRIC � NLICt1TION AN� KNOW �II[ SI�ME TO f3E TRUE AND CORRECL ALL <br />� PROVISIONS OF LA'NS f�ND OFiDINANCES GOVEftNING THIS TVPE <br /> WASH BASIN$ zi QQ OP WORK WILL 6E COMPLIED WITH WHETHER SPFCIREU HEREIN <br />� LAUNDRV TRAVS OR NOT, THF GqANTING OF !� F[fiMR DOES NOT PRESUME TO <br /> � GIV[ AVTHORITY TO VIOLATE Ofi CANCEL THE PROVISIONS OF <br /> 1 ANY p7ryEfl STATF OR LOCI�I L/�W REGULATING CONSTRUCTION <br /> � OR THE P[(iFOFMANCE OF CONSTRVCTION. <br /> V � <br /> i <br />� SUB TOTAL —T <br /> PERMIT S <br /> I� TOTAL FEE � �( <br />� WATERSERVICESIZE BLDG. SUPPLVSV.E SIGNATUREOFCONTRACTOflORAUTH.AGENT Dl1TE <br />� SIDEVAFDSETOACY. STREETSET6ACK REARVARDS[TF3ACKPLnNCH[CKNUMB@fl PLANCHECKFE[ <br />� PEE flf-CEIPT NU. <br />� 79/117 26.00 36359 <br />'� USE ZONE LOT AREA VACANT SITE <br /> F ❑YES GNo FEES VALUATION FEE <br />� TYPE OF CONST. OCCUPANCY GftOUP NO.Of-DWE�LING <br />� UNITS 1 <br />� SIZE OF BLDG. NO.OF STORIES MA%.00Q LOAD 13UILDING s 6950.00 QQ IQQ <br /> 1 PLUM9ING �] �OO <br />� FIRE ZONE QASEMENT FIRESPRINICLERS <br /> REQUIRED � <br /> � ' ❑YES ❑NO MECHANICAL � <br /> i - SPECIAL CONDITIONS: p7�.y�q I <br /> I <br /> ' — PENALTY SEC.307fa) I `� <br /> W — <br /> �... I <br />;� ^ , � �, TOTAL 47 �00 . <br />' �-j ��� PERMITVALIDATION � <br /> L- :`*. — WIiE1J PROPERLY VALIDATED(����f$�f'AC[�1}�11� �g.l}�BR�[�M�� � . <br /> .� 1 ,a u v u <br /> I , � C? c:� � <br /> x � ;,a <br /> � - �; Y�Uft RECEr'P'�'� <br /> f � � 7HANK YOU � <br /> APPIICAiI iY C�I:UbY�. l�NSCIIECKkUl1Y�. /�PPIIOI(Of011�$$U�1NCI IfT <br /> II� � �� <br /> i � <br /> . 3 <br /> t . , _ ._ GJ a��Rr.-�s �i�� I R Jaji � I <br /> III <br /> I ' <br />