Laserfiche WebLink
(heEvergreen � CC�ISTRUCTION � <br />CITY OF <br />everett PERMIT pERMIT N0. 0�140 <br />CITY HALL 259�8745 <br />EVERETT, WA 98201 ❑ COMBINATION ❑ BUILDINO � MECHANICAL ❑ PLUMBING <br />OWN[R MAILApDPE55 GITY ZIV PHONE <br />Rudolph J. Hajek 98201 252-5515 <br />ARCHRECT OR D[SIGNFR MFIL AD�RESc CITY ZIP PMONE <br />GENERALCONTNACiOR MFILAUOPESS CITY TIP VMONE IICENSE� <br />Same <br />MECNANICALCONTRACiOP MAILAD�P[55 CIiY ZIP PIIONE LICENSE� <br />PWMBINGCONTRPQOR MFILAppRE55 QTY IiP PHONE LICENSE� <br />❑NEW ❑ADDITION ❑AL7ERATION ❑REPAIR ❑DEMOLITION ❑PENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />S <br />LEGAL DESCRIPTION OF PROPERT <br />lOT BLOC�_OF <br />PLUMBINO <br />DISHWASHER _ <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DflINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADER: <br />SINK (SERVICE — BAP. 6�TC.) <br />SUB TO' <br />PERMIT <br />SIDE VARD SETBACK � STREET <br />AREA I VACANT ^,ITE <br />!YES i1N0 <br />TYPE OF CONST. OCCUP <br />SIZE OF bl�G. NO OF <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLAN$ <br />3. FIRE HYDRANT <br />4. FIRE PROTEGTION SYSTEh1 <br />5. GRADING <br />G. DHAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY I PLANS CHECKED BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND 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 REGUTATING <br />CONST 6T�pN OR THE PERFORMANCE OF CONSTRUCTION. <br />SiG�!» riEOF �ViRALiOROfi IIOR12E0 Ni �ALE <br />X � �� `��� 1/15/80 <br />NO. TYPE OF E�UIPMENT FEE <br />AIR COND. UNITS — HP EA <br />REFqIGERATION UIJITS — HP. EA <br />�OILERS — H.B EA. <br />GAS FIRED A.C. UNIiS — TONNAGE EA. <br />FORCED AIR SYSTEIdS — BSL M EA <br />WALL H[A1ER;: — B.T.U. M <br />UNiT HEATEf75 — B T U. M <br />EVAPORATIVE COOLERS <br />\'ENTILATION PAN <br />AIR HAqDLI1JG UNIT — C F.td. <br />ldETAL FlREPLACE 8 CHI6�NEY <br />SUBTOTAL <br />1L FEE SI ' <br />PLAN CHECK FEE <br />FEE � RECEIPI NO. <br />FEES I VALUATION <br />BUILDING 5 <br />MA%.00C.LOAD <br />PLUMBING <br />FIqE SPRINKLERS <br />REOUIRED MECHANICAL % OO <br />f lYES ❑NO <br />BY DATE OTHER <br />PENALTY U.B.C. <br />SEG. 303 (a) <br />APPR.FORISSUANCEBY <br />TOTAL . I I 7' 00 <br />WHEN PFOPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />702►� $007.00---� <br />,1 � <br />• � � <br />YC:UR RE�EIPP� <br />i 1-Irti(�!K YO U <br />ADDRESS FILE I � �� SO <br />