Laserfiche WebLink
ripe Evergreen <br />CITY OF <br />eve nett <br />(III All :SI Aw.! <br />EVERT 11v. WASHING!ON <br />9RNI <br />DVI Of EONNUNIIY BUILDING <br />OfNr.OPNE NI <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everett <br />PLUMBING �,e <br />OWNER MAIL ADDRESS /W PHONE <br />roll w. rolls Pma Rio Sled 't. 9am3 3•Q?22 <br />Yhdr + <br />W <br />m <br />Z <br />~ <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />90 C30m* 33D ?., visa " !4o tr._ <br />GENERAL CONTRACTOR MAIL ADDRESS FHONE LICENSE NO. <br />wao se* nnsifto m,. l2w, law is mo .r <br />MECHANICAL CONTRACTOR MAIL ADDRES5 PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PERMIT CLA550F WORK <br />BUILDING ❑PLUMBING ❑MECHANICAL <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION_ OF WORK <br />yTION Of��_m" <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />W <br />D' <br />Cs <br />D9amq IBE Ama ash <br />13 3 0 <br />PROPOSED USE <br />MECHANICAL <br />TY E OF FUEL QOIL NGAT, LPG. ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOURINESI L 4 � 0f M7 <br />LOT �(� BLOCK --OF_ <br />NO. <br />TYPE OF EOUIPMZNT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REFRIGERATION UNITS-H.P_ EA. <br />BOILE95-H.P. EA. <br />I <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />JOB ADDRESS <br />2mo ei to <br />WALL HEATERS- B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />I <br />WATER CLOS ITOILE-T) <br />S <br />BATHTUB ---_ <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK. DISP. <br />SUB TOTAL f <br />) <br />DISHWASHER <br />LAUNDRY TRAY <br />PERMIT S <br />TOTAL FEE S <br />I <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <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 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AIR <br />PRIVATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />OF WO IONS OF LAWS AND ORDINANCES HER GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER NO SPECIFIED HEREIN <br />GI NOT, THE GRANTING LA A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />x "7676 <br />_ <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM <br />AfNS-R I <br />ROOF DRAINS-RAINLEADE RO <br />SINK (SERVICE -BAR ETC.) <br />SUBTOTAL <br />PERMIT <br />S <br />TOTAL FEE <br />S <br />SIGNATURE OF CONTRACTOROR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REARYARDSETBACK <br />PLAN CHECK NUMBER <br />7 <br />PLAN CHECK FEE <br />FE�E�j.� RECEIPT NO. <br />VALUATION FEE <br />USE 20NE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNITS DWELLING <br />BUILDING <br />SI <br />.SS�� I /y� <br />32 1 W <br />SIZE OF BLDG. <br />NO. OF STORI S <br />MA%. O(: C. LOAD <br />PLUMBING <br />FIR N <br />BASEMENT <br />INKL S <br />RrQUI D DYES ❑NO <br />YES <br />_ <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />j <br />PENELTY <br />SEC. 200 bl <br />TOTAL <br />3 1 W <br />PERMIT VALIDATION <br />WHEN PROPE FLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT <br />B <br />AMUCAl10N ACCOfFp BY <br />PIANS CNFf M <br />MN <br />APPROVfU!(1 ISSWN(:F BY <br />C1q <br />