Laserfiche WebLink
r� a,e.�.em <br />an oF <br />everett <br />259-8745 <br />'1 P"�NSTRUCTION �' . <br />PERMIT PERMITNQ:_17047 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIIADORESS GTY 21P PIqNE <br />Jack and Rose Woodburn 620 Colby Ave Everett, WA 9R201 252-4676 <br />11RCHITECT M DESIGNEN MRIL ADDRE55 CITY ZiP PMONE <br />GENERAL GOM'RACTOq MAIL RDDBC55 CITY ZIP PMON! UGENSE � <br />Pac-S�est Construction, Inc. 10929 Hwy 99 5 Everett, WA 98204 34'I-1991 PACWEC*150CN <br />MCCM�NIC�LCONTR�CTOR MMLADDR[55 GITY 21P PHONE LICENSE• <br />PLUMBINGCONTNACTOR M�IIADDRE55 GTY Z�P MONE LICENSE• <br />CL�55OF WqiK <br />❑ NEM� ❑ ADDITION � ALTERATION ❑ pEPAIR <br />VI1lUAT10N OF WORN <br />f 1�8��. <br />Add deck <br />❑ EIECTRICITY ❑ 6AS O WOODSTOVE <br />Single family home <br />30 & 31 130 <br />LOT _ BLOLN __ <br />Ave <br />PLUMBIN6 <br />Legion Yark Addition <br />T1'PE OF FIXTURE uH ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV(WASH BASIN� <br />SHOWER <br />KITCi IEN SINK 8 DISP. <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINA4 <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW VREVENTERS <br />ROOF DRAINS - RAINLEACEHS <br />SINK (SERVICE -- BAR, ETCJ <br />N.A. <br />USEZONE <br />N.A. <br />1 YPE OF CONST. <br />V-N <br />SREOFBLDG. <br />N.A. <br />BUB TOTAL <br />PERMIT <br />TOTALFEE <br />REARSETB�CN <br />N.A. <br />LOT APER <br />N.A. <br />OCCUPANCYGROUP <br />M-1 <br />NO.OFSTORIES <br />M.M. � JEF <br />N.A. <br />VACANT SITE <br />❑�ES L�]NO <br />NOAF pWELLING UNITS <br />MA% OCC. LOAD <br />APPR FOflISSUANCEBY <br />O �EMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED 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 CON�LIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRAniING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR �ANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LO.;AL LAW REGULATING CONSTRUCTION OR <br />THE PERF RMANCE OF CONSTRUCTION. <br />SIGNR1UflE CONTP��MOp�ZED AG R ONTIER DATE <br />X f Q � /� �y a/zl/96 <br />MECHANICAL <br />A/C - A/HNDLG UNITS - H.P. <br />REFRIGERATION UNITS - H.P. I <br />BOILERS - 8 T.U.MP. <br />GAS FIRED A�C. UNITS - B.T,U. <br />FORCED AIR SVSTEMS - B.T.U. <br />WALL HEATERS - B.T.U. <br />UNIT HEATERS - B.T.U. <br />EVAPORATIVE COOLERS <br />CIOTHESORVERS <br />VENTILATION FAIJ <br />RANGEHOOD <br />\4ATER HEATER • <br />WOOOSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSER7 <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />PEXMIT <br />TOTALFEE <br />PLAN CHECK NUMBER FEE <br />86/17047 <br />FEES VALU <br />eui�oiNc �Z�� <br />PLUMBING �T <br />MECHANICAL N�1 <br />tpKroeflCNmtCmtREE Plan h��t:� <br />STATE BUILDING SURCHARGE B � <br />STATEENEFGYSURCHARGE <br />DRIVEWAY PERMIT <br />TOTAL <br />M EA. <br />M <br />M <br />69.15 <br />WHEN PROPERLY VALIDATEO (IN THIS SPACE) THI515 VOUfl PERMIT <br />ADDi�CSS P�L� <br />26 65 <br />1 50 <br />