Laserfiche WebLink
( the Evergreen <br /> CITY OF CON''T R UCTION everett <br /> i'verett PERMIT <br /> DUTY NAIL 0511411 <br /> LYLNF11.bASIDN00N <br /> 09101 <br /> "' °�F ttvlpm[Nl BUILDING MECHANICAL PLUMBING <br /> OWNER MAIL ADDRESS ZIP PHUNI <br /> t IMI wo Xlfi 14 0M! Mo o%7-76 <br /> ARCHITECT OR DESIGNEI. MAIL ADDRESS PHONE LICENSE NO. <br /> GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO, <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSQ NO. <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSI:NO. � <br /> W <br /> DO <br /> PERMIT CLASS OF WORK j <br /> Z <br /> BUILDING ❑PLUMBING ❑MECIIANICAL F- <br /> 0 NEW ❑ADDITION ❑ALTEFlATION ❑REPAIR 2 <br /> VALUATIONJ�]]E.&0U� ft <br /> S Q�/Y�IIV ;]OE HOLISM rk"NCE ❑SIGN ❑SWIMMING POOL d <br /> U:SCRIBE WORK ammu1- la ^ yllb� J0 <br /> 248 <br /> PROPOSED USE MECHANICAL <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATI NCl/ TYP OF FUEL ❑OIL ❑G^1 LPG. ❑FLED. <br /> FOUR COPIESI E1Ir�� M�� 1-4-- <br /> LAVATORY <br /> LOT�LOCK_OFy • l% M Z NO. TYPE OF EQUIPMENT AIR GOND.UNITS—H.P. EA.REFRIGERATIONUNITS-HP, EA. <br /> BOILERS-HP.EA.GAS FIRED P.C.UNITS-TONNAGE EA. <br /> FORCED AIR SYSTEMS-B.T.U. M EA.JOB ADDRESS ay� WALL HEATERS-B.T.U. M <br /> WW triUNIT HEATERS-A.T.U. MEVAPORATIVE COOLERS <br /> PLUMBING CLOTHES DRYERSVENTILATION FAN <br /> RANGE HOODNO. TYPE OF FIXTURE OR ITEM FEE AIR HANDLING UNIT- C.F.M. <br /> WATER CLOSET TOILET) SINCINERATORBATHTUB ----_(WASH BASIN) <br /> SHOWER <br /> 1-- <br /> KITCHEN SINK d DIBP. SUB TOTAL 6 I <br /> DISHWASHER PERMIT <br /> LAI) N 'RAY —+ TOTALFEE $ I <br /> CL -THES WASHER THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br /> NATER HEATER _ TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, UR IF <br /> URINAL CONSTRUCTION OR WORK IB SUSPENDED OR ABANDONED FOR A <br /> _ DRINKING FOUNTAIN PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br /> _ FLOOR-SINK OR DRAIN I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AN <br /> VACUUM BREAKERS PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> ROOF DRAINS-RAINLEADERSPROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> _ 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 AUTHOR)EY TO VIOLA)E OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SUBTOTAL <br /> _ PERMIT 6 <br /> TOTAL FEE $ ��11�11G <br /> SIGNATUREOF CONTRACTOR OR AUTH.AGENT DATE <br /> SIDEYARDSE10ACK STHEETSETBACK REAR YARDSFTGACK PLAN CHECK NUMBER PLANCIIECKFEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT BITE <br /> OYES ONO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP UNITS <br /> DWELLING <br /> IT1 <br /> SIZE DF BLDG. NO.OF CTORIES MAX.CCC.­­LOADBUILDING S �' <br /> I <br /> F�IJK PLUMBING <br /> I E BA REOUIPEC <br /> ❑YI':. [IND MECHANICAL I <br /> SPECIAL CONDITIONS! OTHER ) <br /> _ I <br /> _ - -- FENELTI SEC.308 U) I <br /> -- TOTAL 100 <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED (IN 1HIS SPnCE) THIS IB YOUR PERMIT <br /> A"L4 ATIONACCFPTEDNI PIANS CIIECNLp BY APMOWO AI�UAW..EfY <br /> 0 <br /> i <br />