Laserfiche WebLink
r <br />���� ����"�������� ^,O NSTR U CTIO �' <br />everett PERMIT PEHMIT NO. 13H�1� <br />CITV MALI 159�H7a5 <br />eveaeTr wnyaao� [] COMBINATION �cBUIIDING _� 1'AECHANICAL �_J PLUMBING <br />OWNER MAq ApDRE55 GiLV i1P PNONE <br />PHILIP LA BOSSIERE 6807 Berkshire Drive �;verett WA 98203 355-6214 <br />nRCMITELi OR OESIGNER MAIL RDORE55 CrtV ZIP pNONE <br />GENERAL CONTN�CtOa M��l AOORE55 C�LY ZiP PHONE LICENSE • <br />Same <br />MEGHANiC�I LONlR�CTOR M�4 AOOFE55 d7Y 21P PNONE IiCENSE r <br />P1�M81NG CONTRACtOR MML AODRE55 GTY ZiP PnONE LICENSF. � <br />.. CL�55 OF VIONK <br />C�NEW ❑ ADDITION ❑ ALTERATION ❑ qcPA1R ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSF.RT <br />VAIU�TON OF WORR <br />fIQ00.0� <br />UESCRIBE WC11R <br />18" tall deck 10'x 12' on front of house <br />L� <br />Reaidence <br />tc�L UtSGRIPfION OF FROPEHTY �SHOW BELOW OR ATT�CM FOUR COPIES) <br />11 3 Beverly Hills No 1 <br />lOT_BIOCN__OF _ <br />OB �OORE55 <br />6807 Berkshire Drive <br />PLUMBINO <br />FI%TURE <br />BATMTl1B <br />SHOWEH <br />NITCMEN SINK 8 DISP. <br />LAUNDRVTRAY <br />CLOTMES WASHER <br />WATER HEATER <br />URINAL <br />DRINNING FOUNTAIN <br />FLOOR �RAIN <br />VACUUM BREAKERS <br />ROOF ORAINS - PAINLEADERS <br />SINK �SERVICE - BAR, ETCJ <br />SUB TOTAL <br />PERMIT <br />TOTALfEE <br />S <br />NO OF STl.91ES <br />a <br />I <br />APPROV�LS <br />1 ENVIPONMENTAL CMkCN UST <br />2 BUILOING PLANS <br />3 FIRE MVDRANT <br />d. FIRE aROTEC710N 6VSTEM <br />5 GPADING <br />6�ORAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. MEALTM IIISTRICT <br />eb <br />m <br />� <br />f <br />f <br />REAfi YARO SETI <br />VACANT SITE <br />YES NO <br />NO OF DWELLIN <br />MA%.00C LOAD <br />lc <br />I HEREBY CERTIFY THAT I HAVE HEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS Of LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEf1E1N OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CA4CEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTFUCTION. <br />SiGNr1T� (li �ON ALLOP npiNORiZE� /.GENL O�tE <br />X i�t �� 9/6j�4 <br />fJR COND. UNITS - M.P. EA. <br />HEFHIGERATION UNITS - HP. EA <br />B04ERS - MP. F.A. <br />GAS FIRE� A.C. UHITS - TONNA( <br />FORCED AIR SYSTEMS - B.7.U. <br />WALL HEATERS - B.T.U. <br />UNIT NEATERS - B.T.U. <br />EVAPORATIVE COOLERS <br />CLOTHESORVERS <br />VENTILATION FAN <br />RANGEMOOD <br />AIN MANDLING UNIT - <br />ST(1VE - WOOD <br />METAL FIREPLACE 6 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />EA. <br />M EA. <br />M <br />M <br />C F.M. <br />SUBTOTAL f <br />PEPMIT f <br />TOTAL FEE f <br />84/13840 FEF 11,38 Receivtno <br />71574 _ __ <br />__— - . _ _. _ _ . _ — <br />FEES VpLUAT10N FEE <br />_--_. — __—. _ _ _ i __—__—. .__— <br />eu��o�Nc _ f l000.00�___ i� <br />PLUMBING <br />MECHANICAL <br />OiHER <br />_—__—__. _. _.__..._ <br />PENALTV <br />T°T"` I I i7 I SO <br />PEPMIT VRLIOATION <br />WHEN VNOPFRLV VA'.IDAi[O IIN TIIIS SPAGF� iN1515 YqU� P�PMIT Q <br />I - � <br />� <br />M <br />e"i <br />� <br />r� <br />� <br />