Laserfiche WebLink
_ �i <br /> theev��Yeo° � �NSTRUCTION , <br /> everett PERMIT pERMIT N0. 11150 <br /> CITY HALI 259�8745 <br /> EVERETT.WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING �-; <br /> OVMER MAILADDFESS CITY ZIP PMONE <br /> MARK t�1AC NAUGEiTON 4706 FOREST DR �verett 98201 None <br /> ARCNITECT OR DESIGNEP MAIL PD�RE55 Cli\' ZIP FHONE <br /> GENEFFLCONiRACTOR IANLAO�RE55 GTY ZIP P,IONE UGENSE♦ <br /> LVERETT BLDRS 5605 Evergreen {Vay Everett 93203 353_7:.51 <br /> ME( :ANICFLGONTRACTOR MAILADDRESS CITY ZIP PM96E LICENSEI � <br /> 223-01-CV ER EE 301PH <br /> PLUM�INGCONTRACiOR � 61AILAD�RE55 d7Y ZIP PHON UCENSE� <br /> CLA55 OF YlORK <br /> ❑NEW ❑ADDITION �ALTERATION ❑REPAIR ❑DEMOUTION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATIONpOF WORK <br /> S ��OI . 00 <br /> UESCRIOE WOAN <br /> Interior shee�rocic, remodel - no structural chan es � <br /> PBOPOSED USE OF BWLDING <br /> Res idence I HEREBY CERTIFY TFIAT I HAVE READ AND EXAMINED THIS AP� <br /> -�Ecn�oescamno�roFraroearviswwee�o�,voannncNFouacoaiesr PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PRO�/ISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �o���Z e�ocK�02 oF Forest Park Add t0 TYPE OF WORK WILL BE COMPIIED WITH WHETHER SPECIFIED <br /> 'VL eTBLt IT�].V. OU t O Ot HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESU'1E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> 4495 000 072 0205 VISION� OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTR TION OR THE F�RFORMANCE OF CONSTRUCTION. <br /> JOB ADORE55 SIGNATU .OF ONiRA TQFi�JR FUiHORIZED AGENi OFiE <br /> 4706 Forest Dr X C� � irt,l�.�{�/ 10 20 82 <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF f!XTUPE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) A�R COND.UNITS—H.P.EA. <br /> BAiHTUB REFRIGEf1ATI0N UNITS—H.P.EA <br /> LAVAWFiY(WASH BASIN) BOILERS—HP. EA. <br /> SHOWER GAS FIRED A.G UNITS—TONNA6E EA. <br /> HITCHEN SINK&DISP. FORCEU AIR S:STEMS—B T.U. M EA. <br /> DISHWASHEF WNLL HEATERS—O.T.U. M <br /> IAUNDRV TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES URYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN F7ANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIi— QF.M. <br /> VACUUM BREAKERS STOVE <br /> POOF DRAINS—RAINLEADERS MEiAL FIPEPLACE 8 CHIMNEV <br /> SINK(SERVICE—BAfl.ETC.) <br /> SUBTOTAL SUBTOTAL S _ <br /> PERMIT S PERMIT S <br /> TOTALFEE f TOTAL FEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUM�ER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACAN7 SITE FEES VALUATION FEE <br /> LIYES ❑NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OP DWELLING UNITS <br /> BUILDING ��$� , Q� 6g S� <br /> SIZE OF BLDG. NO.OF S70RIE5 MAX,OCC.LOAD <br /> PlUM01tJG <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL � <br /> REOUIRED <br /> - ❑YES ❑NO <br /> APPPOVALS BY OATE OTHER <br /> I. ENVIRONMENTAL CHECK LIST PENALTY U.B C. <br /> SEC.303�a) <br /> 2. BUILDING PLANS ' <br /> 3. FIRE HYDRANT TOTAL G Q S O <br /> 4. FIRE PFOTECTION SYSTEM PEHMIT VALIDATION r <br /> WHEN PROPERLY VALIDATED QN THIS SPACE)THI51S YOUR PEflMIT . <br /> 5. GRADING O � <br /> 6. DRAINAGE 9 0 i 9 S 0 b S.5 0 —�1° <br /> 7. ENVIflONMENTALIMPACTSTATEMENT <br /> t—'� <br /> B. HEALTH DISTRICT <br /> APPLICATION ACC.BV P1.1N5 CHECKED BY APPR.FOR ISSUANCE BY YO i1 R REC E 1 PT`� <br /> ' iHf�NK YOU <br /> . . ,� - � ;1 nr� C?9 <br />