Laserfiche WebLink
the Eiergreen <br />CITY OF <br />everett <br />CITY HALL 259ET45 <br />EVERETT. WA 98201 <br />C"INSTRUCTION <br />PERMIT <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />PERMIT NO. 1012 4 <br />IU_ PLUMBING <br />OWNER MAIL ADDRESS CITY PHONE <br />Wenceslao Aquirre 2934 Colby Avenue Everett 98201 252-8230_ <br />ARONITUM CR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE# <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CRY <br />ZIP <br />PHONE LICENSE <br />Coalwell'B Plumbing & <br />Heating Co. P.O. <br />Box 1181 <br />Marysville <br />98270 252-1861 <br />CUSS OF WORK <br />❑NEW (]ADDITION <br />GALTERATION ❑REPAIR <br />❑DEMOLITION <br />❑FENCE ❑SI ' O <br />L A W q E H19 JN <br />VALUATION OF WORK <br />1,ROPOSED USE OF BUILDING <br />- <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />11GAL DescRIPTION OF PRDPERTv tBHow BELowa .�1RcoPIEs1 <br />'� <br />TYPE OF WORK WILL BE i.OMPLIED WITH WHETHER SPECIFIED <br />LOT —BLOCK —OF <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />'A <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE ?RO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AAUTTHH�0,9I2 GENT DATE <br />X�.�. 12/31/81 <br />AB ADDRESS <br />2934 Colb <br />PLUMBING <br />MECHAWCAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET(TOILET) <br />AIR GOND. UNITS — H P. EA. <br />REFRIGERATION UNITS — H.P EA <br />BATHTUB <br />LAVATORY ASH BASIN <br />BOILERS — H.P. EA, <br />SHOWER <br />GAS FIRED AC. UNITS —TONNAGE EA. <br />_ <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />WALL HEATERS —BT.U. M <br />UNIT HEATERS—B.T.U. M <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATICN FAN <br />4 <br />59 <br />_ <br />DRINKING FOUNTAIN <br />1 <br />RANGE HOOD <br />AIR HANDLING UNIT — C.F M <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />1 <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK SERVICE — BAN, ETC.) <br />SUB TOTAL f <br />9 <br />00 <br />SUB TOTAL <br />PERMIT f <br />PERMIT <br />f <br />TOTAL FEE <br />f <br />TOTAL <br />FEE <br />f <br />SIDE YARD SETBACK STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />OYES ONO <br />TYPE OF CLNET. <br />OCCUPANCY GROUP <br />NG. OF DWELLING UNITS <br />BUILDING <br />a <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE REOUIIRED <br />SPRINKLERS <br />MECHANICAL <br />12 <br />00 <br />AYES <br />❑NO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />LLB C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />12 <br />00 <br />3, FIRE HYDRANT <br />d. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />W HE14 PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PFrRMIT <br />III f' <br />5. GRADING <br />.. <br />N <br />DRAINAGE <br />IL DRAINAGE <br />t 'I <br />Q <br />.. <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />