Laserfiche WebLink
he <br />vm <br />` ONSTRUC`rm, <br />everett PERMIT PERMIT NO. 17474 <br />259-8745 <br />DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CIT( ZIP PHONE <br />Kesel & Associates 9800 Evergreen Way Everett 98204 353-1119 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENEP.AL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE N <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE♦ <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION <br />❑ ALTERATION <br />❑ REPAIR Cl DEMOLITION <br />❑ BUILDING RELOCATION <br />DESCRIBE WORK <br />RAmnyal of firp dphriq <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS LI WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />'ress <br />I HEREBY CERTIFY THAT 1 HAVE 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 />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERM OES NOT PRESUME TO GIVE AUTHORITY TO <br />VIO ATE R CAN THE PROVISIONS OF ANY OTHER <br />ST TE OR LOCA LA RE ULATING CONSTRUCTION OR <br />T PERFO MANC OF TR TION. <br />S ATURE OF NTRACTO AUTH IZE AG OWNER/DATEj <br />GAL LEESCRIPTIONO PROPERTY ISHOWBELOWOFATTACH FOUR COPIES) <br />LOT BLOCK OF <br />JOB ADDRESS <br />9800 Ever reen Wa <br />PLUMBING <br />ME ANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — A/HNDLG UNITS — M.P. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY ( WASH BASIN) <br />BOILERS — 8.T.0 /H.P. <br />SHOWER <br />GAS FIRED A.C. UNITS — B T.U. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — R.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS —BT. U. M <br />LAUNDRY TRAY <br />UNIT HEATERS—B.1'.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN 11/19/86 G: <br />7 <br />FLOOR DRAIN <br />RANGE HOOD / <br />BACKFLOW PREVENTERS <br />WATER HEATER NOW17474 <br />ROOF DRAINS —RAINLEADERS <br />WOOD STOVE SRCH $1. <br />SINK (SERV.CE—BAR, ETC) <br />METAL FIREPLACE &CHIMN€"3RCH V <br />FIREPLACEINSERT E SRCH Y1. <br />50 <br />HEAT PUMP CASH $1. <br />50 <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />S <br />SUBTOTAL <br />PERMIT <br />f <br />PERMIT <br />TOTALFEE <br />S <br />TOTAL FEE <br />FRCNT SETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PL, NCHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA VACANT <br />SITE <br />OYES ❑No <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$ <br />D <br />0 <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNRS <br />PLUMBING <br />SRE OF BLDC. <br />NO. OF SlDRIES <br />MA:; OCC. LOAD <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED DYES ONO <br />114VESTIGATION FEE <br />Sec. 304(e) <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />- -- <br />PLANS CHECKED BY <br />— <br />APPR FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />1 <br />50 <br />TOTAL <br />1 <br />50 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />L` <br />L� <br />ADDRESS FILE <br />