Laserfiche WebLink
the Evergreen <br /> CITY OF CONSTRUCTION everett <br /> everett PERMIT <br /> cityHAIL )9 8811%[vt Kl f 1,wASNINGfo4 <br /> DEPT of ss"I <br /> vItDp:IIY BUILDING MECHANICAL PLUMBING <br /> p[Vf 1p.Ml Nt <br /> OWNER MI.IL AIMM:15 LIP PHONE- <br /> David ammm9 3x7 Oth Fvmm13r'7�7'6 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br /> 'h1R Clawa t 31.1 to *Scv rid�ya i?r. g%-w <br /> GENERLAFL CONTRACTORPHONE <br /> 7529MAIL ADDRESS y�P�HOONNE �LrICE NSE NO. <br /> W16 MVdo <br /> ENSE NO. <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LIC <br /> 2 <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. W <br /> Go <br /> PERMIT CLASS OF WORK <br /> N.�P.C Z <br /> BUILOING ❑PLLMBING ❑MECHANICAL ��IKL ~ <br /> 3 <br /> LJ NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br /> cc <br /> VALUATION OF WORK UJ <br /> ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL a <br /> f <br /> DESCI�RIB F.WORK 1293 <br /> FROPOSED USEMECHANICALMECHANICAL �--1 <br /> i.Q18im �0 TYPE OF UEL OIL —u GAS ❑LPG. ❑ELEC <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH <br /> rouR(IIQPIE51 d.AlfwwA Ao�S N0. TY PE OF EQUIPMENT FEE <br /> LOT Is BLOCK—OF AIR COND.UNITS-H.P. EA. f 1 <br /> REFRIGEPATION UNITS-H.P.EA. <br /> BOILERS-H.P.EA. 1 <br /> GAS FIREDAT UNITS-TONNAGE EA. <br /> FORCED AIR SYSTEMS-B.T.U. M EA. 1 <br /> JOB ADDRESS�� WALL HEATERS-B.T.U. M <br /> 30) 1.J "mmtt UNIT HEATERS-6.T.U. M 1 <br /> �" EVAPORATIVE COOLERS <br /> PLUMBING CLOTHES DRYERS 1 <br /> VENTILATION FAN <br /> RANGEHOOD 1 <br /> AIR HANDLING UNIT- C.F.M. <br /> NO. TYPE OF FIXTURE OR ITEM FEE INCINERATOR 1 <br /> WATER CLOSET ITOILETI f <br /> BATHTUB 1 <br /> LAVATORYWASH BASIN) <br /> SHOWER SUBTOTAL S I <br /> KITCHEN SINK&DISP. PERMIT f <br /> DISHWASHER <br /> LAUNDRY TRAY TOTALFEE $ 1 <br /> CLOTHES WASHER THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br /> TION AUTHORIZED IS NOT COMMENCED WITHIN 170 DAYS.OR IF <br /> URINAL CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br /> PERIOD OF 170 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br /> DRINKING FOUNTAIN I HEREBY CERTIFY THAT I HATE READ AND EXAMINED THIS AP <br /> FLOOR-SINK OR DRAIN I PLICATION AND KNOW THE SAME TO BE TRUE AND OOnnECT.ALL <br /> VACUUM BREAKERS PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> ROOF DRAINS-RAINLEADERS OF WORK WILL BE COMPLIED WITH -.'WHETHER SPECIFIED HEREIN <br /> DOES NOT PRESUME TO <br /> SINK (SERVICE-BAR ETC.) <br /> OR NOT, <br /> AUTHORITYTO THE IV OLNG OnTE ORF A RCAT'CEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTIOI 1. <br /> SUB TOTAL <br /> PERMIT f <br /> TOTALFEE f 11wCJ�(V <br /> SIGNATURE OF CONTRACTOROR AUTH.AGENT DATE <br /> 7SIDEYAD SETBACK STREET SETBACK REAR YARDSETBAC PL KNUMBER gift PLAN CHHECEEEI�NO. <br /> ,� FEE 14"6 LOT AREA VACANT SITE <br /> ❑VES ONO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP UNI OS OWE LUNO <br /> we _L <br /> I <br /> SIZ LOG. NO.OF STORIES MAX.OCC. LOAD BUILDING S I <br /> PLUMBING 1 <br /> FIRE UNE A M NT q QUIREDK R <br /> ❑VES ONO MECHANICAL 1 <br /> 1 <br /> SPECIAL CONDITIONS. OTHER I <br /> PENELTY SEC. 7071.) <br /> TOTAL <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT <br /> •WIIUfION.CCFatp BY I'L.Ns CK[p BY 6MRpl O EMAWE 6V. <br /> 1 I <br /> I B <br />