Laserfiche WebLink
1 � <br />Uic Ei��rxYee�n C�"1 V I����' O 1, '. � <br />evere�t PERMIT pERMIT N0. O67Zg <br />CITY HALL 259�8745 <br />EVERETT, Y.'A 9820� ❑ COMBINATION C3nBUILDING ❑ MECHANICAL ❑ PLUMBING <br />O\4NER MAILAOpPE55 CITY ZIP PMONE <br />Robert Fiak 4706 103rd Avenue S.E. 98205 568••5769 <br />ARf,HITECTOPUE5IGNER MAILADDRE55 CITY ZIP PHONE <br />GENEPAL COYiRACTOR MAII AOOFESS CIiV ZIP PNONE LICENSE I <br />Same <br />MECHANICALCqNTpACTOFl MAILAD�RESS QTY ZIP GHONE UCENSEI <br />PWMBINGCONTHACTOR MAIIA��RE55 CITY ZIP PMONE LICENSEI <br />C1A55 OF WONK <br />❑NEW <br />S 50.00 <br />❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />repair front porch <br />PROPOSED USE OF BUILOING <br />single family residence <br />IEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ARACH FOUR I <br />�or 4 e�ocK. �BSoF �erett Div. H <br />3307 Federal Avenue <br />PLUMBIN6 <br />� . NO. TYPE OF FDCTURE OR ITEM FEE <br />. - � WATER CLOSET (TOILEq _ <br />&4THTU8 <br />LAVATORY ASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHE(i <br />WA7ER HEA7ER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />•�� <br />SIDE YARD SET9ACK <br />USE ZONE <br />TY7E OF CANST. <br />SIZE OF BLDG. <br />STREETSETBACK <br />LOT AREA <br />1. ENVIRON.IENTALCHECKLIST <br />2. BUILDING PUlNS <br />3. FIRE HYDRANT _ <br />4. FIRE PROTECTION :YSTEM <br />5. GMDING <br />6. DRAINAGF <br />7. ENVIFONMENTAL IMPACT STATE,dENT <br />B. HEALTH DIS7RICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />I HEREBY CERTIFY THAT I HAVE READ AND Ei(AMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE 'ND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REuULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAiURE OF CONTR/HGTOR OR AUTHORRED AGENT OATE <br />X /,�e-6�2:f- `Y,.�y.� 9/21/79 <br />MECHAN�CAL <br />AIR COND. UNITS — H.P. 1 <br />RFFRIGERATION UNITS — <br />;. UNITS — iONNAGE EA. <br />�YSTEMS—B.T.LL � <br />S—B7.U. � <br />i—B.TU. � <br />COOLERS <br />FAN <br />AIR HANOLING UNI7 — <br />METAL FIREPIACE 8 <br />REAR YARD SETBACK PLAN CHEGK NUMtltM <br />VACANT SITE <br />❑YES ❑NO FEES <br />NO. OF DWELLING UNI7S <br />• 9UILDIhG <br />MA7f. OCC. LOAD <br />PLUTABING <br />FIRE SPRINKLERS MECHANICAL <br />REOUIRED <br />❑YES ❑NO <br />BY DATE OTHER <br />PENALTY <br />TOTAL —J <br />APPR. FOR ISSUANCE BY <br />FEE <br />$ $0.00 <br />U.B.C. <br />SEC. 303 (a) <br />RECEIPT N0. <br />5 <br />5 <br />PROPERLY VALIDATEO (IN THIS SPACE) THIS IS VOUR PERMIT <br />263s soros.o�o.�c <br />YO U R RECEtPT <br />rEj�aNK Yr�u <br />