Laserfiche WebLink
I <br /> dic Ll�rrgmrn ��p N ST R U CTI O N ��� - <br /> Giv OF �� <br /> everett PERMIT PERMIT NO. 15172 <br /> Il CITY HALL 259�8745 <br /> EVERE7T,WA9B201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING <br /> OWNER MAII ADDRESS CITY ZIP PHONE <br /> Brad Fleeson 2381 Yale Avenue Seattle 373-4026 <br /> ARCMI7ELT OR OESIGNER MAIL AppRE55 GTV ZIP PMJNE <br /> GENERAL CONTRAGTOR MAIL ADORESS CITV ZIP PMONE IIGENSE/ <br /> Same <br /> MECHANICAL CONiRACTOR MAIL ADDRESS CITY 21P PHONE LICENSE� <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PMONE UCENSE� <br /> G1A55 OF WORK <br /> ❑ NEW �C4DOITION O ALTERATION ❑REPAIP ❑ OEMOIITION ❑ FENCE ❑ SIGN ❑ WOOD STOVHFIREPLACE INSERT <br /> VALUATION OF WORK <br /> f <br /> �ESCRIBE WORK <br /> PROPOSED USE OF BUIL�ING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH zo <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND � <br /> LEGAL DESCPIPTION OF PROPERTY�SHOW BELOW OR ATTACN FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS A�D ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH m <br /> LOT_BIOCK_OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A " <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLATE � � <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR -� � <br /> LOCA LAW REGUL TING CONSTRUCTION OR THE ,.., � <br /> PER ANC ON U ON. �^ m <br /> JOB AODRE55 SIGNA OF CON OR AGENT CAiE C v <br /> 3831 Friaday Avenue X 7 18 85 m o <br /> � c <br /> PLUMBING MECHANICAL . o m <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. YPE OF EQUIPMENT FEE _ � <br /> WA7ERCLOSET�TOILEn AIR COND.UNITS- H.P. EA. m <br /> BATHTUB REFRIGERATION UNI7S- H.P.EA. A z <br /> c <br /> BOILERS - H.P.EA. <br /> ], LAVATORY�WASHDASIN) 2 r S <br /> 1 SHOWER 2 00 GAS FIRED A.C.UNITS- 70NNAGE EA. �N <br /> KITCHEN SINK 8 DISP. FORCED AIP SYS7EMS- B.T.U. M EA. .� <br /> DISHWASHER WALL HEATERS- B.T.U. M � 3 <br /> LAUNDRVTRAV UNIT HEATERS- B.T.U. M � m <br /> CLOTHES WASHER EVAPORATIVE COOLERS = <br /> m .+ <br /> WAiER HEATGR CLOTHES DRYEFS N <br /> URINAL VENTILATION FAN �m <br /> RANGEHOOD C N <br /> DRINKING FOIINTAIN m N <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. Z n <br /> VACUUM BREAKERS STOVE-WOOD ;� r <br /> m <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 8 CHIMNEY n <br /> A <br /> SINK(SERVICE- BAR, ETC.) FIREPLACE INSERT ,� <br /> HEA7 PUMP = <br /> n <br /> z <br /> --� <br /> x <br /> � <br /> SUB TOTAL i ( SUB TOTAL S o <br /> PERMIT S 0 PERMIT 3 � <br /> TOTAL FEE S TOTAL FEE S n <br /> SIDEYARD SETBACK STREETSETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE m <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AfiEA VACANT SITE FEES VALUATION FEE <br /> :�.YES ::NO <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNI7S <br /> BUILDING 5 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.lOAO <br /> PLUMBING 9 OO <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIFED <br /> . �,.YES '�.NO <br /> APPROVALS BY DATE OTHER <br /> t.ENVIRONMENTAL CHECK LIST PENALTY U.B C. <br /> SEC.303(a) <br /> 2.B111L01NG PLANS TO7AL 9 00 <br /> J.FIRE HYDRANT <br /> 4.FIFE PROTECTION SYSTEM PENMIT VALIDATION N <br /> WHEN PROPERLY VAIIDATED�IN THIS SPACEI THIS IS YOUR PERMIT <br /> S.GRADING � � ( _. . �- <br /> 6.ORAINAGE � �--� <br /> 7.ENVIPONMENTAL;•'�PAC75TATEMENT LC) <br /> 8.HEALTH DISTtiICT � � - � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR. FOR ISSUANCE BY . • � <br /> �4�DRESS FILE <br />