Laserfiche WebLink
rhr£cer�n(rn . ^O�V�����'0�1 <br />V <br />evexett PERII�IT PERMIT NO. .L52.�� <br />GTY HALL 259�8745 <br />EVEfl[TT,WA9B201 � COMBINATION C� BUILDING �� MECNANICAL ❑ PLUMBING <br />OWNIiR M<R ApJRE55 CitY IIP PNGl1E <br />Junior Orown 6618 Beverly Blvd Evreett WA 347-�400 <br />ARCHIiEGtORDE51GNEf M11L>0� ESS CITv nP o.�nuc--� <br />GENEPq CONiqRGiOR MAIL ADDRESS GITY ZIP PIIONE LILENSE � <br />Minor Home Repair (Senior Services) Paine Field Everett WA SENIOSS243)H <br />NECNANIG/L GOL �.�LiOfl MrUL AODNE55 CITY IiP PHONE LICENSE I <br />PWMBING CONTRACIOR MAIL AOpRE55 CITY pIP PMONE IIf,ENSE � <br />Jp NEW ❑ ADpIiION ❑ AITERATION ❑ qEPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ NOOD STOVFJFIREPLACE INSERT <br />VAW�710NGFWORN - " <br />:450.00 <br />DESCRItlE WORN <br />Wheelchair ramp <br />Residence <br />I E74 OESCRIPiION OF PHOPERiV �5 <br />lOT__BLOCK_Oh_ <br />lOB FDOR[SS <br />6618 Beverly Blvd <br />PLUMBINO <br />NO. TYPE OF FIXTU <br />WN ER CLOSET �TOILET) <br />B 1THTUB <br />LAVATORY�WASM BASINI <br />S90WER <br />KITCHEN SINM 4 DISP. <br />DISHtYASHER <br />Ll�UNORYTFAY <br />V ATER MEATER _ <br />CFINAL <br />DqINKWC FOUNTAIN <br />FI OOR LiiA!N <br />V�" :�. d BREAKERS <br />RUOF DRAINS - RAINLEADERS <br />SINA �SERVICE - BAR, E7G1 <br />SIIB TOTAL <br />PERMIT <br />TOTALFEE <br />OF STORIES <br />FIRE <br />AVPROVALS <br />1. ENVIRONMENTAI GHECK LIST <br />2. BUILDING PLANS <br />9. FIRE HYDRANT <br /><. FIR=PROTECTION SYS7EM <br />5. GRADIN(t <br />6. DRAINA(iE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH OISTRICT <br />stg <br />I HEREBY CEfiTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAtvIE TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAN'S AND ORDINANCES <br />GOVERNING THIS TYPE OF VJORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR N(� i. 7HE GRANTING OF A <br />PERMIT DOES NOT PHESUAIE TO GIVE AUTHORITY Tp VIOI.ATE <br />OR CANCEL ": HE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW FEGULATING CONSTRUCTION OR THE <br />PEHFOFMANCE OF CONSTNUCTION. <br />514NAT1}fj� 0� CONtg�1L'OH OH AIIIyORIZEP A6cNT DFTE <br />� <br />MEf.HANICAI <br />FEE N0. _ TYPE OF EOUIPMENT <br />AIH COND UNITS - M.P. EA. <br />REFRIGEF 4TION UNITS - H.P. EA. <br />BUILERS -- M.P. [A. <br />GAS FIREU A C. UNITS - TONNAGE EA. <br />FORCED A�R SVS7'FMS - B.T.U. M EA <br />WALL HERTERS - B.T.U. 'A <br />UNIT HEAIERS - B.i.U. At <br />EVAPORATIVE COOLLHS <br />CLOINES ORYERS <br />t <br />S <br />S <br />VACANT SITE <br />YES NO <br />FIRE SPRINNLERS <br />PEOUIRED <br />YES NO <br />CHECKEO BV � APPR. FOR IfSUSi ICE <br />lc <br />R�.NGE HO00 <br />AIR HAPIDLING UNIT - <br />S70\'E - WOOJ <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACE INSERT <br />C.F.IA. <br />_ SUB TOTAL f <br />PERMIT f <br />TOTRL FEE S <br />PLAN CHECK NUMB[R PLAN CI <br />FEE <br />FEES VA�UATION <br />BUILDING <br />PLIIMBING <br />MF.CHANICAL <br />OTHER <br />PENALTY <br />5450. 00 <br />u. e c. <br />SEC. 70J ial <br />b/1/85 <br />FEE <br />fECEIP7 NO. <br />FEE <br />TOTAL I I � � IOO <br />PE9MIT VALIDATION <br />WHEN PROPERLY V.4lIJATED QN TMIS SPACE) THIS IS Y R PERMIT _([� <br />To be constructed entirely on privaie � <br />property. N <br />u-i <br />i� <br />ADDRESS FlL[ <br />z <br />O <br />� <br />� <br />m <br />�� <br />... � <br />N + <br />m <br />co <br />mo <br />.� <br />-i c <br />0 3 <br />m <br />--1 2 <br />x -i <br />T <br />7 � <br />D —I <br />r :_ <br />-i N <br />� <br />T <br />�� � <br />T1 D <br />-� m <br />m .+ <br />N <br />O <br />or <br />�m <br />C Vf <br />3 N <br />ry <br />.-_ n <br />--i r <br />m <br />A <br />1 <br />S <br />a <br />z <br />--1 <br />2 <br />N <br />z <br />O <br />-d <br />C� <br />m <br />