Laserfiche WebLink
the Evergreen <br /> CITY OF CONSTRUCTION (werelt <br /> everett PERMIT <br /> CRY NAIL )SSBus <br /> WINE IT,WASHINGTON <br /> RNV <br /> ovT or COMMA IV BUILDING MECHANICAL PLUMBING <br /> OI VE IGPIHhrY[NI <br /> OWNER <br /> MAIL ADDRESS ZIP I ntlNl <br /> Nat/�li fi1Ri +_ WWi - PHONE LICENSE NO. <br /> ARCHITECT OR DESIGNER MAIL ADDRESS <br /> 1101 - 4Zett "11lre _ <br /> GENEBR�AL CON TRAC�TO`R <br /> MAIL ADDRESS PHONE LICENSE NO. <br /> N� ae ES — <br /> - - PHONE LICENSE NO. <br /> MECHANICAL CONTRACTOR MAIL ADDRESS <br /> Cc <br /> M All ADDRESS PHONE LICENSE NO. W <br /> PLUMBING CONTRACTOR CO <br /> CLASS OF WORK <br /> PERMIT Z <br /> BUILDING ❑PLUMBING []MECHANICAL it <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br /> K <br /> VALUATION OF WORK W <br /> S MM m [3 DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL Wa�� a <br /> DESCRIB�1E1�W��ORK��� 1234 <br /> vw onidMon <br /> PROPOSED USE MECHANICAL <br /> TY OF FUEL UOIL NG^S. LPG. ELEC. <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FEE <br /> FOUR CNESI Np, TYPE OF EQUIPMENT <br /> LOT BLOCK—OF ftl hemAIR CONO.UNITS—H.P. EA. S 1 <br /> REFRIGERATION UNITS-M'. EA. <br /> BOILERS- N.P EA. <br /> OAS FIRED A.C. UNITS-TONNAGE EA. <br /> FORCED AIR SYSTEMS-B.T.U. MEA. <br /> --- WALL HEATERS-B.T.U. M <br /> JOB ADDRESS I <br /> y�E `N- ��, UNIT HEATERS-B.T.U. M <br /> 3w WYa EVAPORATIVE COOLERS <br /> PLUMBING CLOTHES DRYERS <br /> VENTILATION FAN <br /> RANGE HOOD <br /> AIR HANDLING UNIT- C.F.M. <br /> NjSHjoWF.R <br /> OF FIXTURE OR ITEM FEE INCINERATOR I i <br /> ET(TOILET) S <br /> WASH BAMNI <br /> SUBTOTAL f I _ <br /> K B DISP. -- PERMIT S <br /> DISHWASHER <br /> LAUNDRY TRAY TOTAL FEE f I <br /> CLOTHES WASHER THIS PERMIT BECOMES NULL AND VOID W WORK OR CONST RIF <br /> WATER HEATER TION AUTHORIZED 19 NOT COMMENCED WITHIN 170 DAYS,OR F <br /> CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br /> URINAL PERIOD OF 170 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br /> DRINKING FOUNTAIN I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br /> FLOOR-SINK OR DRAIN PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.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 /> SINK (SERVICE-BAR,ETC.) OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> OANY OTHER STATE OR LOCAL LAW R THE PERFORMANCE OF CONSTRUCTION.ATIN6 CONSTRUCTION <br /> SUB TOTAL <br /> -- PERMIT <br /> TOTAL FEE S <br /> FCHECK <br /> TRCACTOR OR AUTH.AGENTDATE <br /> PLAN CHECK FEE <br /> SIDE YARD SETBACK STPEEi 6ETBACK REAPYARDGETSAC FEE RErll9.LNO- <br /> � ]0p7vUSE ZONE LOT AREA VACANTSITE❑YES ❑NO VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY ORO P NO.OFOWEL INGI <br /> UNITSs3�11a00u 00 <br /> SIZEOF BLDG. NO.OF STORIES MAX.OCC. LOAD —_ <br /> 1 <br /> PLUMBING <br /> FIR ONE BAS T J=nraua <br /> MECHANICAL <br /> I <br /> SPECIAL CONDITIONS' OTHER <br /> PENELTY SEC. 007(A) <br /> I <br /> TOTAL ou <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> AWIIGIION AC OFPTEO 11Y rj uN [N FGBjR BY, ANNOVFD SSIIAWF BY <br /> l a <br />