Laserfiche WebLink
� <br />L� <br />dtrEcer,,reen , ^ONSTRUCI'ION <br />arvo� � <br />everett PERMIT PERMITNO. 143�3 <br />CITY HALL 259�87a5 <br />EVERETf,WA9B201 � COMBINATION ❑ BUILDING G MECHANICAI ❑ PLUMBING <br />OIYNER MrIIL AODRE55 GIiY ZIP PMONE <br />Donaid Bickford 5815 Eeverly Lane Everett 98203 347-5055 <br />RRCHI7EGi OR OESIGN'.N MAIL AOORE55 GIiV ZIP °NONE <br />GENERAL LONTR/GtOR MAIL AO�RE55 GItY ZiP PMONE UCENSE � <br />Same <br />MEGMANICRL CONiRRCiOR MAIL ApDRE55 dTY ZIP PNONE IIGENSE � <br />PWMBING GONTF�GIOF MFIL AOORESS LIiY 21P FMONE LICENSE I <br />_"._' _. ___. <br />❑ NEW ❑ ADDITION ❑ ALTERhTION 1Q REPAIR ❑ DEMOLITION ❑ FENCE SIGN WOOD STOVE/FIFEPLACE INSEHT <br />VRLUAlION OF �YORN <br />s 1500,00 <br />�'_SCNIBE WORN <br />Single Femily Residence <br />lEG/L �ESCRIPiION OF PROPERTY �SMOW BELOW OR ATTACH FOIIR COPIES� <br />ior 35 e�acn_oF <br />Highland ACRF.S DIV, 2 <br />JOB ADDRF55 <br />5815 Beverly Lane <br />PLUMBINO <br />NO. TYPE OF FIXTURE OP <br />WhTER CLOSET (TOILEn <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />DISMWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />WATER MEATER <br />URINAL <br />ORINKING FOl1NTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETCJ <br />SUB TOTAL <br />PERMIT <br />70TAL FEC: <br />APPHOVALS <br />1. ENVIflONMENTFL CHECK US'. <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PRLTECTION SVSTEM <br />5. GRADING <br />6. pFAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICPTION ACC. BY PLANS CHE <br />I HEREBY CERTIFY THAT I HA`/E READ 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 />WHEThIER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PHOVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORAIANCE OF CONSTRUCTION. <br />SiGNq/�J E OF CONTqRA�/}/p R OR/p�,J1 ORIZEO ACC��EENT A OR1E <br />V i l / I/.V / \ / % �_ /I�14�85 <br />MECHANICAL <br />ITEM FEE NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />flEFRIGEflATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />MEAT PUMP <br />� <br />f <br />f <br />REAR YARD SETBACK <br />VACANT SITE <br />YES NO <br />NO. OF DWELLING UN <br />MA%.00C.LOAD <br />FIRE SPRINKLERS <br />REOUIRED <br />VeS NO <br />FOR <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />( NUMBER f <br />FEE <br />FEES f YALUATION <br />BU�LDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />S 15�0. <br />� <br />f <br />f <br />;MECK FEE <br />RECEIPT NC. <br />FEE <br />is o0 <br />PENALTV SEC JOJ�a) <br />TOTAL 25 <br />PERMIT VALIDATION <br />WMEN PROPERLY VALIDATED pN THI,S SP.AC�E� THIS IS YOUR PERMR <br />!1DDRES$ Hlh <br />�� <br />r: <br />r` <br />i <br />� <br />