Laserfiche WebLink
the Evergrrro <br />CIEY Of CONSTRUCTION evereri <br />everett PERMIT <br />Ply xltt 1599M5 <br />FYf xl fl WAS"Mr.104 <br />NMI <br />f IVI I1 RUIl HNG MECHANICAL PLUMBING �e <br />"`°' °E vilmZNIopm4 <br />OWNER MAIL Ailillif SS ZIP 1'I10Nl <br />Civet ewmu-2m JACK y .,I --" 2IE_9"_. '.�rM <br />24-76 <br />� <br />W <br />D] <br />L <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR AIL ATA D�RE55 - PHONE LICENSE NO, <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE No. <br />PLUMBING CONTRACTOR MAIL ADDRESS - PHONE LICENSE NO. <br />PI. RMIT <br />}}11 <br />�1 BUILDING ❑ PLUMBING []MECHANICAL <br />CLASS OF WORK <br />NEW []ADDITION ❑ALTERATION []REPAIR <br />� <br />Z <br />c <br />VALUATION OF WORK <br />8 ^=Dow <br />Cl DEMOLISH ❑FENCE []SIGN ❑SWIMMING POOI. <br />cc <br />d <br />DESCRIBE WORK �� •91Jr9d <br />PROPOSED USE <br />MECHANICAL <br />iVP OF FUEL ❑OIL HAT. ❑LPG, ❑ELff <br />OAS <br />N0. TYPE OF EQUIPMENT Ilr <br />AIR COND. UNITS-H.P. EA. S I <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT �LOCKjff.som -OF_ <br />p <br />REFRIGERATION UNITS-H.P. EA. <br />I <br />BOILERS H.P. EA, <br />1 <br />OAS FIRED A.C. UNITS TONNAGE EA. <br />FORCED AIR SYSTEMS-O.T.U. M EA, <br />I <br />JOB ADDRESS f � <br />�J <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS A.T.U. M <br />1 <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE H000 <br />I <br />AIR HANDLING UNIT-C.F.M. <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />F E <br />WATER CLOSET (TOILET) <br />5 <br />INCINERATOR <br />I <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />I <br />SHOWER <br />KITCHEN SINK 8 UISP. <br />SUBTOTAL $ <br />1 <br />01591WASHER <br />PERMIT 5 <br />LAUNDRY TRAY <br />TOTAL FEE s <br />1 <br />C LOI'HEB 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 19 SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />1HERESY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO DE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETMF.R SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />DIVE AUTIIORIiY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />X <br />WATER HEATER <br />URINR.L <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUJM BREAKERS <br />ROO DRAINS-RAINLEn DER3 <br />— <br />SINK IBE RVICE-DA. R, ETC.) <br />9U8 TOTAL <br />PERMIT <br />S <br />TOTAL FEE <br />S <br />_ <br />�IGNATUflE OF CONi RALTON OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREETSETBACK <br />REAR YARD SETDAC <br />PLAN CHECK NUMBER <br />764NO.% <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />VALUATION FEE <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />❑vEs [I NO <br />FEES <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />