Laserfiche WebLink
fho Fw'r m:^•n <br />CITY OF <br />everett <br />CIIYNA]L ANAQf <br />FVIAL II VIASNINGHH <br />9AMI <br />OIFI GI rovVUNItY <br />GFVILGFvf NI <br />cAvFeorett <br />PAW I <br />BUILDING MECHANICAL PLUMBING <br />CONSTRUCTION <br />PERMIT <br />R'.':1 I• p�� 2767 <br />N�y/ MAIL AL1DHt5!I <br />r� 1y� <br />Al CIH1FlT OR DESIGNLh--- - ---- -�- - MnIL ADDRESS <br />nr rn1 i.I �IN.A �y <br />�� Ji}ifj� taZ�/L3 <br />P IIONF. LICE Nai I. NU <br />GENERAL CONTRACT OR <br />IJLAODRES' <br />PHONE <br />sot <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESI <br />i'IiUNE <br />PHONE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />I OF <br />CLASS OF WORK <br />BUILDING ❑PLUMBING <br />❑MECHANICAL <br />LICENSE NO. <br />LICENSE NO, <br />D NEW ❑ADDITION ❑ALTERATION OREPAIR <br />VALUATION OF WORK <br />S W [:3DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />OESCRIHF WORK o=1R= 8 mum <br />I OT,_ �FHLOCK-- OF �� •`•'wf <br />PLUMBING <br />BACK IREAR YAROSE <br />SPECIAL CONDITIONS <br />II I]I)Ill 1v' TLANS CNFINF fIflY <br />❑YES ONO <br />MECHANICAL <br />COND. UNITS-H.P. FA. <br />RIGERATIONUNITS H.P. EA. <br />523 <br />It <br />LU <br />ED <br />f <br />D <br />Z <br />F- <br />cc <br />LU <br />OL <br />FORCED AIR SYSTEMS-H.T.U. M EA. 1 <br />WALL HEATERS-13. T.0 M T- <br />- 1 <br />_ UNIT I/EATERS-B.I.U. M _ I <br />EVAPORATIVE COOLERS <br />1 CLOTHES DRYERS <br />VENTILATION FAN T <br />RANGE HOOD <br />AIR HA NDI.INC. UNIT- C.F.M. T- <br />INCIh:RATOR I <br />I <br />SUIT TOTAL S <br />---_----- PERMIT 5 1 <br />TOTAL FEE S 1 <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFIII' <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS. OFF II <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FnP <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENf.EI,. <br />I HERESY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />Pt ]CATION AND KNOW THE SAME TO RE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPF <br />OF WORK WILL BE COMPLIED WITH WHE1 4ER SPECIFIED HERF IN <br />OF NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME nl <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS ^I <br />ANY OTHER STATE On LOCAL t AW REGULATIN3I:ONSTFIUCIu,': <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />X <br />•tIGNATUREOFCONTRACTORORAUTH.AGENT DATE <br />II AN CHECK NUMBER PLAN CHECK FEF <br />FEE mom <br />IAECEICNO <br />FEES I VALUATION I FEE <br />. OCC. LOAD <br />BUILDING <br />j <br />PI UMBING <br />I SPRINKLERS <br />LURED <br />YEL ONO <br />MECHANICAL <br />OTHER <br />PENELTY <br />TOTAL <br />SEC. 3U31s1 <br />-- <br />Ie go <br />WHBH PROPERLY VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT <br />