Laserfiche WebLink
lhr 6-ce!rrern ,- ^ O N ST R U CT I O �' <br />;:'.�� <br />ever�ett PERMIT PERMITNO. 1S9�C <br />GTY M�IL�. 259�B7a5 <br />eveaei �. wti sazoi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAiL �DDRE55 GRY ZiP PMONE <br />TIM FRINK 8122 BROADWP,Y E'lER�TT tdA 98204 353-3891 <br />ARCMREGT OP DESIGNER MAIL AODPE55 GRY 2iP pHONE <br />GENEHAL CONTRACTOH MAIL RDDRE55 GIiY IiP PnONE LICENEE M <br />PAC 'rIEST CONSTRUCTIOI� 10929 - Hwy 99 South Everett lJA 98204 347-1491 <br />MEGNFNICAL CONTRRCTOR MAIL ADDPE55 GITY 21P PMONE 4GENSE R <br />PACWEC150CN <br />PLUMBING CAHTRAGTOR MAIL ROORE55 CITY ZiP PMO4E LICENSE Y <br />❑ NEW C�l ADDITION D ALTERATION O REPAIR O DEMOLI7ION ❑ FENLE 0 SIGN O WOOD STOVE/FIREPLACE INSERT <br />VALUATION OF WOHH ^ <br />f �6f���.1i0 <br />Additions to bedrooms <br />�F BUILOING <br />Single family residence <br />L0T _ BLOCN _OF <br />PLUMBIN6 <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILE7) <br />BA1'HTUB <br />LAVATORY(WASHBASIN) <br />SHOWEF <br />KITCHEN SINK d DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTMES WASNER <br />WATER MEATER <br />URINAL <br />DRINNING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF ORAINS - RAINLEADERS <br />SINK �SERVICE - BAR, ETC.) <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />FouRcoviesi CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PRUVISIONS OF ANY OTHER STPTE OR <br />LOCAL LHW HEGULATING CON5TRUCTION OR THE <br />PERFORMANC CONSTRUCTION. <br />SIGNAT E OF p RP��i OP AOTMOF12ED RGENi DPTE <br />X. � � i/iiiiri <br />� SUB TOTAL i� <br />PERMIT f <br />TOTAL FEE f <br />SI�JE VARD SETBAGN Sl AE[T uETBACK REAR YARO <br />i xex 6� 2a� i zo� <br />R-1 10400 <br />iOFCONST. OCCUPAN <br />V-N R-3 <br />�d��n �60sf I"o. 2 si <br />APPROVALS <br />L ENVIRONM[NTAL CHECK LIST <br />2. BUILDING PLANS <br />3.FIREHVDRANT v� <br />4. FIfiE PROTECiION SYSiER1� <br />S,GRADING - <br />.DRAINAGE .Jy <br />'7.ENVIRONMENTALIMPACT$fAT <br />�D..HEALiHD15TRIGT _ <br />� � - . ) � <br />�- " U <br />eb _ -- � stg <br />� <br />FEE NO. TYPE OF EOUIPMENT FEE <br />0 AIR COND. UNITS - H.P. EA. _ <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GA$ FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WPLL HEATER5 - B.T.U. M <br />UNI7 HEATERS - 6.T.U. M <br />EVAPORATIVE COOLERS <br />GLOTMES DRYERS <br />VENTILATION FAN <br />pANGEHOOD <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />� FIREPLACEINSERT <br />86/15972 <br />� . YES . x!O _ <br />NO. OF OWELLING UNITS <br />� BUILDING <br />1.1A%. OCC. LOAO <br />PLUMBING <br />FIRE SPRINKLERS MECHANICAL <br />REOUIREO <br />YES NO <br />BY DATE �TMER <br />_ PENALTV <br />lc <br />SUB TOTAL f <br />PERMIT S <br />TOTAL FEE f <br />FEE 75.73 <br />VAlUAT10N I FEE <br />S 16,000. <br />U.B.C. <br />SEC. 303 la� <br />NO. <br />rorn� � � 122 50 <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDATED (IN THIS �SP���THIS I�V�IUji �Ei}Mt�j (�J� <br />u� I � � i �� —�. <br />� <br />1 " <br />. ,, i...�.� .� �� . <br />� � • .� <br />ADDRLS;; f ILE <br />, <br />0 <br />1 <br />n <br />rn <br />«+ .-. <br />-i � <br />.. -i <br />Nm <br />co <br />m� <br />�c <br />O 3 <br />m <br />=1 <br />m <br />oz <br />C <br />r 2 <br />� N <br />< <br />�'I <br />oa <br />3 <br />-� m <br />m «. <br />N <br />O <br />o r <br />t-> m <br />C N <br />3 N <br />m <br />z c� <br />-i r <br />• m <br />a <br />� <br />--1 <br />x <br />a <br />z <br />1 <br />x <br />N <br />2 <br />O <br />1 <br />f"� <br />m <br />