Laserfiche WebLink
the Evergreen <br />CITY OF <br />everett <br />CITY HALL EEBEEBS <br />EYE BELT. WAEHINCTn4 <br />SFMI <br />OTPT OF COMMUNIIv BUILDING <br />OEVELOBMENI <br />CONSTRUCTION <br />PERMIT <br />MLCIIANICAL <br />evereti <br />PLUMBING �e <br />OWNER MAIL ADDRESS ZIP PHONE <br />t+= CWT.. M 9%0 5 OW Me e Y. =06M <br />86 1g. <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />N181�E <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />O: <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />m <br />P��E++//RLLMIT <br />[DUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />2 NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />Z <br />~ <br />VALUATION OF WORK <br />snma <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />LU <br />LU <br />a <br />DESCRIBE WORK c=Arty t .qT(r,.Aw ya_ <br />w+L� <br />792 <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL OIL NGAAg. LPG. ELEC. <br />LEGAL DESCRIPTION OF PROPERTY ISHOYY BELOW OR ATTACH <br />FOUR COPIES) <br />LOT AO— BLOCK _OF l 1 IL <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />OAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />I <br />JOB ADDRESS B�BBBFB�.. //1E,�.�'�_� �YyB� E, <br />W fth Sbo `» U� <br />WALL HEATERS-R.T.U. M <br />UNIT HEATERS-B.T.U. M <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT- C.F.M. <br />lm� <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />INCINERATOR <br />WATER CLOSET ITOILETI <br />S <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK d DISP. <br />SUB TOTAL S <br />I <br />DISHWASHER <br />PERMIT IllLAUNDRY <br />TRAY <br />TOTALFEE 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 A <br />PRIVATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER NOTPSPECIFIED S HEREIN <br />GI NOT, THE ITT TO I OF A PERMIT DOES NOT PRESUME TO <br />OF <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE CONSTRUCTION <br />ANY OTHER STATE C LOCAL LAW CTIOREGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />WATER NEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINLETC.) <br />SINK (SERVICE -BAR ETC.) <br />SUB TOTAL <br />PERMIT <br />$ <br />TOTALFEE <br />S <br />SIGNATURE OF CONTRACTOR Ofl AUTH. AGENT lA-EE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REARYARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE %op RECEI <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCYGROUP <br />UNIOSDWELLING <br />BUILDING <br />s V(, am <br />wig <br />512E OF BLDO. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />IRE ZD E <br />BA T <br />R OUIRED YL <br />OYES ONO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />1 <br />PENELTY <br />SEC. 000 IBI <br />I <br />TOTAL <br />I0D <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT <br />0 <br />A"Ll"TIONAL PTEDBY' <br />.a <br />PUNSCMCFE�Bv'fO� <br />�M <br />BNCE BY. <br />B`1i <br />