Laserfiche WebLink
`hem' o <br />ON <br />(INSTRUCTION <br />PERMIT PERMIT NO. <br />_ 22 102 <br />259 - 8810 <br />❑ DEMOLITION <br />❑ COMBINATION R) BUILDING ❑ MECHANICAL <br />0 PLUMBING ❑ SIGN <br />OW.,ER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />Robert J. <br />Moore 4121 Federal Ave. Everett 98201 <br />259-2569 <br />TENANT <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />PHONE <br />LICENSE* <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />Owner <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE* <br />PI NMRINC CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE 0 <br />CLASS OF WORK <br />D NEW m ADDITION 91 ALTERATION aREPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONT. T PERSON AND PHONE N0. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Renew expired permit # 85/14843 <br />PROPOSED USE OF BUILDING <br />Single family residence <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />7 Swalwell's 3rd Add <br />LOT — BLOCK — OF <br />PLUMBING - <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET( <br />A/C — A/HNDLG UNITS — H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS — B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />1 <br />KITCHEN SINK, d DISP. <br />VENTILATION FAN <br />1 <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE S CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />2 <br />ROOF DRAINS — RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE —BAR. ETC.) <br />L <br />j <br />SUB TOTAL <br />$ <br />Sue <br />PERMIT <br />S <br />PER <br />TOTALFEE <br />S <br />TOTAL <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />ELEC $10 <br />CHED' 74.75 <br />RECEIPT NO. <br />00 <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />❑ YES El NO <br />FEES <br />BUILDING CODE VALUATION <br />FEE <br />BUILDING <br />TYPE OF CONSTRUCTION ALLOWABLE <br />TYPE OF CONSTRUCRON ACTUAL <br />°c ouo `'NO.OF <br />OWEILING UNITS <br />PLUMBING <br />SIZE OF BLDG. <br />NO. OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />OCCUPANCYLOAD FIRE SPRINKLERS REO'D <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />HEIGHT LIMITATION <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATIONACC.BY <br />SH.. <br />_ <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />64 <br />25 <br />wuaM Danoaal v vAt <br />N]ATEn THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 2 27 U G <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />