Laserfiche WebLink
the Eeergreen <br />��,�oF <br />everett <br />CITY 4.♦LL 259�8745 <br />EVF'tE7T, WA 98201 <br />`�� �'ONSTRUCTION <br />PERMIT <br />❑ COMBINATION ❑ BUILDING C�,p�MECHANICAL <br />PERMIT N0. 14 5 O 1 <br />❑ PLUMBING <br />OWNEfl MAIL AD�RE55 CITY <br />B ryon I']lliC]6 P. Q. B ox 1991 ZIP PHONE <br />Everett 98 �6 259-2 7� <br />ARCHITECT OR DESIGNER MAIL AODRESS CITY <br />Z�P PHONE <br />GEIJERAL CONTRACTOR MAIL ADDRESS CITV 21P PHONE �ICENSE � <br />$EII� <br />MECHANICRL CONTflACTOR MAIL ADDRE55 CITV ZIP PHONE LICENSE � <br />PLIIMBING CONTPACTOR MAIL AODRESS CITV 21P PMONE �ICENSE I <br />O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN � i� WOOD STOVE/FIREPLACE INSEPT <br />f <br />DESCRIBE WORN <br />in�axl. wood f�knn� <br />PROPoSED USE OF BUILOING <br />LEGRL OESCRIPTION OF PpOPERTY �SHOW eELOW 01 <br />LOT�BLpCK_OF <br />IOB A�ORESS <br />3811 Le c� rn� Av�+ 3$ <br />PLUMBINO <br />N0. TYPE OF FIXTURE OR ITEM <br />WATERCLOSET�TOILEn <br />BATHTUB <br />LAVATORY(WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAF, ETC.) <br />SUB TOTAL <br />PENMIT <br />TOTALFEE <br />7. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3, FIRE HYORANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.EMVIRONMENTAiiuoecrcrnn <br />BY <br />S� <br />REAfi YAqO SE70P <br />VACANT SITE <br />f_YES GNO <br />NO. OF DWELLING <br />MAX.00Q LOAD <br />FIRE SPRINKLERS <br />REOUIRED <br />"".YES GNO <br />B� DA7E <br />I HEREBY CERTIFY THAT I 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 WOqK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NO"f. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CON5TRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />X <br />MECHANICAL <br />NO. TYPE OF <br />AIR COND. UNITS — H,P. EA. <br />REFFIGERATION UNITS — H.P. EA. <br />� 801LERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES �RVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL s <br />PEpM1T s <br />TOTALFEE S <br />( NUMBER PLAN CI <br />FEE <br />FEES VALUATION <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />O7HER <br />PENALTY <br />TOTAL <br />S <br />DATE <br />z/2�/6 <br />7 <br />�O <br />—�j <br />K FEE <br />RECEIPT NO. <br />FEE <br />17 <br />171 <br />PEqM1T VALIDATION � <br />WHEN PROPERLY VALIDA7ED pN THIS SPACE) THIS IS VOUR bF�iMIT�; T..; �'� <br />_ � <br />� <br />� �. <br />ev ,�-; <br />ADDRESS FILE <br />� . , <br />z <br />0 <br />1 <br />c� <br />m <br />.. .. <br />-� � <br />.. ...i <br />Nm <br />O <br />mo <br />�c <br />o� <br />-� z <br />x --I <br />m <br />.-� <br />A 2 <br />a -� <br />rx <br />o--� 'r <br />� H <br />� <br />� <br />O � <br />��1 <br />2 <br />m .-. <br />N <br />or <br />c� m <br />C N <br />m y <br />Z f') <br />-� r <br />• m <br />a <br />� <br />1 <br />2 <br />D <br />Z <br />--I <br />2 <br />H <br />N <br />2 <br />0 <br />1 <br />n <br />m <br />