Laserfiche WebLink
the Evergreen <br />CITY OF <br />everett <br />CITY HALL 7598985 <br />EVERETT. WASHINGTON <br />98201BUILDING <br />DEPT. OF COMMUNITY <br />DEVELOPMENT <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING <br />OWNER MAIL ADDRESS ZIP PHONE <br />rtf '2ft, Z <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />1-.7-�'-'%r' j <br />GENERAL CONTRACTOR MAIL ADOHESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL AOD RESS PHONE LICENSE NO. <br />W <br />m <br />PERMIT CLASS <br />❑BUILDING ❑PLUMBING ]MECHANICAL <br />OF WORK <br />�� <br />❑NEI ❑ADDITION ❑ALTERATION FIREPAIR <br />z <br />I- <br />VALUATION OF WORK <br />S <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />LU <br />W <br />1 <br />DESCRIBE WORK '25 �.." "t': <br />���111 <br />1454 <br />PROPOSED USE <br />MECHANICAL <br />❑LPG. ❑ELEC. <br />TYPE OF FUEL []OIL GAS <br />IPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FLEGAL OUR COPIES) <br />LOT BLOCK —OF <br />NO. <br />OF EQUIPMENT <br />FEE <br />____TYPE <br />AIR COND. UNITS-H.P. EA. <br />S <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. %I EA. <br />I <br />JCB ADDRESS <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />EVAPORATIVE COOLERS <br />PLUMBING <br />- <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />WATER CLOSET ITOIL ET) <br />$ <br />BATHTUB <br />SUBTOTAL S <br />PERMIT S <br />I <br />I <br />LAVATORY AWASH BASIN) <br />SHOWER <br />KITCHEN SINK Ri DISP. <br />DISHWASHER <br />LAUNDRY TRAY <br />TOTAL. FEE S <br />I <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VUID IF WORK OR CONSTIUC- <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREIN CERTIFY THAT I HAVE ROAD AND EXAMINED THIS A <br />PLACATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />CF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED H'.REIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUJTION <br />OR THE PERFORMANCE- OF CONSTRUCTION. <br />n�y7 J <br />Y � <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />_ <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />t <br />ROOF DRAINS-RAINLEADERS <br />SINK (SERVICE -OAR. ETC.) <br />SUB TOTAL <br />PERMIT <br />S <br />_ <br />TOTAL FEE <br />$ <br />SIGNATU REOF CONTRACTOROR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO, <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE: <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OSF DWELLING <br />BUILDING <br />S <br />I <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRESPFIINKLERS <br />RCYES ❑NO ❑YES <br />MECHANICAL <br />I <br />I� <br />I <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />PENELTY <br />SEC. 3031N1 <br />TOTAL <br />I <br />Y1� <br />_ <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT <br />Q <br />APPLICATION ACCEPTED RY: <br />PLANSCHE!KEDUY. <br />JAPPROVEDF 1*11ofI L BY. <br />Q� <br />