Laserfiche WebLink
� <br /> � <br /> `"�E'��i�e�° �- -�ONSTRUCTIOP' <br /> everett PERMIT PERMIT N0. 12999 <br /> CITY HALL 259�U7a5 <br /> EVERETf.WA98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> r MAIL AD�RESS CITY ZIP PHONE � <br /> OWNER <br /> 60 F R A DP.. EVERER`T WA. 98203 <br /> 355-0449 <br /> ARCMITECT OH OESIGNER MAIL AD�HE55 CITY ZIP PMONE <br /> GENERALLONTRAGTOR <br /> MAIL ADDPE55 CITY ZIP PHONE LICENSE N . <br /> OOFFI G 19728 43 rd. BOTHELL WA. 98012 481-93401v pMONE LICENSEX <br /> MECMANICAL CONTRALTOR MAIL A�OHESS <br /> PLUMBING CONTRACTOF <br /> MAIL A�PAE55 CITY 21P PHONE LICENSE N � 1 <br /> CLASS OF WORN <br /> ❑NEW ❑ ADDITION ❑ ALTERATION �REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WaOD STOVEIFIREPLACE INSER <br /> VALUATION OF WORK <br /> s 1939,00 <br /> DESCRIBE WORK <br /> REROOF COMPOSITION <br /> PROPOSED USEOF B111L�ING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCPoPTION OF PROPEflTY�SHOW BELOW OF ATTACH FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �pT�_BLOCN 7 oF PLAT OF BEVERLY PARK GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.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 CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB AD�RESS SIGNATURE OF CONTRACTOR Ofl AUTHORIZED AGENT �NTE <br /> X � 2/15/84 <br /> � MECHANICAL <br /> pLUMBING FEE <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT <br /> WATERCLOSETITOILEn AIR COND.UNITS— H.P.EA. <br /> _ REFRIGERATION UNI7S— H.P.EA. <br /> BATHTUB <br /> LAVATORY(WASH BASIN) BOILERS — H.P. EA. <br /> GAS FIRED A.C.UNI7S—TONNAGE EA. <br /> SHOWER <br /> FORCED AIR SYSTEMS— B.T.U. M EA. <br /> KITGHEN SINK 8 DISP. <br /> WALL HEATERS— B.T.U. M <br /> DISHWASHER <br /> UNIT HEATERu— B.T.U• �4 <br /> LAUNDRYTRAY <br /> EVAPORATIVE COOLERS <br /> CLOTHES WASHER CLOTHES DRYERS <br /> WpTER MEATER <br /> VEN7ILATION FAN <br /> URINAL <br /> DRINKING FOUNTAIN RANGE HDOD <br /> AIR HANOLING UNIT— C.F.M. <br /> FLOOR DRAIN STOVE—WOOD <br /> VACIJUM BREAKERS <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 6 CHIMNEY <br /> SINK(SERVICE— BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL S SUBTOTAL S <br /> PERMIT s <br /> PEHMIT s <br /> TOTAL FEE S TOTAL FEE _ <br /> PLAN CHECK FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHEGK NUMBER FEE RECEIP7 NO. <br /> USE ZOI�E LO7 AREA VACANT SITE FEES VALUATION FEE <br /> ',�YES :7N0 <br /> TYPE OF CONS7. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING $ 1939.00 32 50 <br /> SIZE OF BLDG. NO. OF STORIES MAX.OCG LOAD pLUMBING <br /> FIREZONE BASEMENT qEOUSRED KLEFS MECHANICAL <br /> YES ❑NO <br /> BY DATE OTHER <br /> APPAOVALS U.B.C. <br /> 7. ENVIiiONMENTAL CHECK LIST PENALTY SEC.3031a) <br /> 2.BUILOING PLANS TOTAL 3 SO <br /> 3.FIRE HYDRANT <br /> d.FIRE PROTECTION SYSTEM PERMIT VALIOATION <br /> WHENPROPERLVVALIDATED(INTHI�S8PA�C4THIS�S�C1j13�P�M17__� ` <br /> � 5.GRADING a � c u <br /> 6.ORAINAGE � <br /> 7.ENVIRONMENTALIMPAGTSTA7EMENT �� <br /> � <br /> 8.HEALTH DIS7RICT �(�.. ' 'J �; �L C[I P �—' <br /> APPUCATION ACC.BY PLANS CHECKED BY APPR. FOR ISSUANCE BY '�� ' ��;�� YO U <br /> LC i i i. .. � R <br /> LC <br /> 15 �E6o4 <br /> l.DD^ES� FILE <br />