Laserfiche WebLink
Me EveFyTcen <br />CITY OF <br />everett <br />CITY HAGS 2S9 CNS <br />1VF ATM NASHIMGIDM <br />91101 <br />DIPT or Colo - A;Ty BUILDING <br />DIVELOPMHI <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />everell <br />PLUMBING �e� <br />OWNER MAIL ADDRESS Zil` PHONE <br />NEW, aAnV IT i coo <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE - LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />O: <br />LU <br />m <br />PERMIT <br />❑ BUILDING ❑ PLUMBING ZMECHANICAL <br />CLASS OF WORK <br />J,.� <br />aY L7EW ❑ADDITION ❑ALTERATION ❑REPAIR <br />Z <br />VALUATION OF WORKcc <br />f <br />❑DEMOLISH []FENCE ❑SIGN ❑SWIMMING POOL <br />d <br />DESCRIBE WORK <br />2092 <br />PROPOSED USE <br />MECHANICAL <br />TYPE Of FUEL []OIL NAT. LPG. ELEC. <br />GAS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK_OF <br />NQ <br />TYPE OF EQUIPMENT <br />E <br />AIR COND. UNITS-H.P. EA. <br />f <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H,P. EA. <br />I <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-S.T.U. M EA. <br />WALL HEATERS-B.I.U. M <br />JOB ADDRESS C05 om ly tt v_ <br />varJ WIY! 9n1� ✓� '7 <br />UNIT HEATERS-B.T.U. Al <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR MANGLING UNIT- C.F.M. <br />WATER CLOSET (TOILETI <br />f <br />INCINERATOR <br />I <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />1 <br />SHOWER <br />KITCHEN SINK & OISP. <br />SUB TOTAL f <br />330 <br />DISHWASHER <br />PERMIT f <br />LAUNDRY TRAY <br />TOTALFEE f <br />CLOTHES WASHER <br />WATER HEATER <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 1Y0 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION 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 SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />is IV � WIMPIA7/" <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINLEADERS <br />SINK (SERVICE -BAR ETC.) <br />SUB TOTAL <br />i <br />PERMIT <br />S <br />TOTAL FEE <br />f <br />GNATURE OF CONTRACTOR OR AUTH. AGENT GATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ]NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />I <br />BUILDING <br />f <br />I <br />SIZE Of BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIR ON <br />BAS T <br />IR RI KL S <br />RFOUIRED <br />OYES ONO <br />MECHANICAL <br />SPECIAL CONDITIONf. <br />OTHER <br />I <br />PENELTY <br />SEC. 303 WE <br />I <br />TOTAL <br />3 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PEF AIT <br />APPLICATION ACCEPTED BY <br />PLANS GUMMED M. APPROVED <br />FOR ISSUANCE BY <br />