Laserfiche WebLink
rhe E�rrgrern C'1 N STR U CTI O N <br /> citr OF <br /> everett PERMIT pERMiT NO. O95S� <br /> CITY HALI 259�B7a5 <br /> evEaen. wa �ezoi ❑ COMBINATION ❑ BUILDINO ❑ MECHANICAL C� PLUMBING <br /> OWNER MA�lR0UFE5$ Cllv llf' PIIOIIE <br /> JEFFERY W. ELAM P. 0. HX. 832 MUKILTEO WA. ^0275 743-13'48 _ <br /> AYNIiELi Ofl OESIGNfR NAIL���RC55 CITY IIP �M`1NE <br /> GEHERQCONiqnC10R N�C qnDRESS CILY 21P PNONE IICENSE� <br /> 1AECNANiUI CANIRACTOA �A�IL�DDRESS Ciiv ZiP FMONE IiCENSE� <br /> PIUMBING CONTRAf,tOR A+ML�ODRC55 CIiY ZIP PHONE IICENSE 1 <br /> SAME <br /> 0.�ss o�wona �y� <br /> ❑NEW C�ADDITION L�ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑$IGN ❑GARAGE <br /> VAlU�110NGf WORv <br /> S <br /> OESCRIBE WORI( <br /> CHANG E LOCATION OF CLOTHES WASHER AND ��ATER HEATER <br /> PG01'OSE�USE Of BUIl01NG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> i[<�ni.u[scnirner�oFvuorearrisnoweeiowoa�nnc��rouecor�es�— PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING?HIS <br /> ior e�aK_ov TYPE OF WORK WILL BE COMPLIED WITH WHFTHER SPECIFIED <br /> HEREIN OR NO�. ?HE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE PUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> � CONST CTION OR THE PFRFORMANCE OF CONSTRUCTION. <br /> J0��OIIFE55 S�GI /!y �:UIIiRR lOfl R RIZf D PGFNt DtiIF <br /> 6227 CADY i:D �, /' �' � � N 7 30 81 <br /> PLUMBINO C A IC L <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF FOUIPMENT FEE _ <br /> WATER CLO5�1(IOIIET) AIP CONO UNITS--HP EA _ <br /> OATHTUB REFRIGEHATION UNITS—IIP. EA <br /> IAVATORV(WASH BASIN) POILERS—M P.EA_ <br /> _ �SHOWER �45 FlNf D A C UNITS—70NNAGE EA <br /> KITCMEN SWN 6 DISP � _ . fOPCCD AIH SY„fEMS—B T U M E� <br /> DISHWASHFR W4LL HEA7ERS—B 7 U. _ M <br /> IAUNDRV 1(7AV IINIT HEATERS—B 1.0 M <br /> ,1 CLOTNES NASHER .. _QQ_ _ ��A!'OAATIVL COOLERG __ <br /> ]_ WATLRHEAfER z CLOIhE50RVER5 <br /> W7INAL V[NTIIAl10N fAN _ <br /> DPINKING FOUNTAIN PANfiF IIW� __ <br /> FLOOR UPAIN AIR INN�LING UNIT — CF.M <br /> VACUUM�R[AKfiHS �t��� <br /> ROOF DRAINS--�7AINLFADERS METAL FIREPIACE 6 CHIMNEV <br /> SWK�SERVICE—DAR.ETC.) - -- <br /> 6UB TOTAL _ � SUBTOT�L i _ <br /> PERMIT f PEPMIT i <br /> TOTALFEE i TOTAL FEE f <br /> SID6 YAPD SETBACN Slfi[E�51 TOACh REAP YAiiU Sf.iOACh PLAN CHECK NUMBER fLAN CHECK FEE <br /> �EF. RECEI!'T NO <br /> USF lONE LOT AREA VACANT SITE - - � — <br /> iiYES IINO FEES VAIUATICM FEE <br /> ivPC OI CANST OCCUPANCY GROUP NO.OF DWELLINC UNITS � <br /> BUILDING E <br /> SIZE OF ALOG NO OF STORICS MAX IX;C 10�0 <br /> PLUMHING <br /> FIR[ZUNE BASEMEM �IRI 5�'�11NkLERS <br /> REOUIRF.D M[CHANICAL <br /> I Y[5 , INO <br /> APPHOVALS BV D�TE OTHER <br /> 1 ENVIRONMENTAL CHECK LIST PENALTY U 8 C <br /> SEC.303�e) <br /> 2 AUILOING PLANS <br /> TOTAL <br /> 3 FIRE HYDRANT � <br /> 4. FIHE PROTECTION fiYSTEM PEPMIT VRIIDATION <br /> WH[N PROPERLV VA�.IOATED(IN 1HIS SPACC)THI$IS YOUR PERMIT <br /> 5 GRnDING <br /> M <br /> 6 DPAINAGE � � � . ' ' � ' � __ � <br /> i <br /> 7. ENVIROIJMENTAL IMPACT STATEMENT u7 <br /> B. HEALTH DISTRIC7 � <br /> APPLICATION ACC.BV PUNS CNECKEO BV APPR FOR ISSUANCE OY �� � O <br /> �� <br /> ADDRESS FILE ' - ' I <br />