Laserfiche WebLink
r <br /> `"�`'�TY`o° ^ONST�UCTION <br /> � everett PERMIT pERMIT N0. 1.OZHO ► <br /> CITY HALL Z59�B745 <br /> eveaErr.wn sazo� ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> 01VNER MAIL AfJORE55 CiiY �11�' Bi�O!IE <br /> BLAGOAE VRANAIN 2719 Fulton Ave Everett WA 98201 252-3985 <br /> \RCNITEGi OR DESIGNER M41L AU�RESS CITY ZIP P��OtlE e <br /> GENEfiAICOI.iRACiOti I.IAiLADpRE55 GIiV ZIP PnONE IICENSEe <br /> Owner <br /> IdEG11ANICAI CONTMGTOR AIAiI AD�R[55 LiiY ZIP PNONE LICENSE� <br /> P�UMBINGCOMRACTOR AIAILAD�fiESS Clir ZIP PHONE LIGENSEr <br /> CLASS OP WORK <br /> �t�'EW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> S <br /> DESCRIBE\VOPK <br /> Install wood stove <br /> PROPOSED USE OF pUIIU�NG <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> �ew�oEun�anoNOFPRorearr�sNowee�owoannnc�+FouncoPiesi PIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior e�ocK_oF TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUA4E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JW rID�RESIi SIGNAiURE OF CONtPNCiOR OR AUiMORiZED AGENT DATE <br /> 2719 Fulton X ' <br /> PLUMBING MECHANIC L <br /> NO. TYPE OF FIXTURE OR ITEM PEE NO. TYPE OF EOUIPMENT FEE <br /> VJATER CLOSET(TOILET) AIR COND.UNITS—HP.EA. <br /> BATHTUB �EFRIGERATION UNITS—H.P.EA <br /> LAVATORY�WASH BASIN) BOILERS—H.P.EA. <br /> SHOWE9 GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 OISP. FORCED AIR SYSTEAIS—B T.U. h1 EA. <br /> DISHWASHER N�ALL HEATERS—B T.U. M <br /> LAUNDRY TRAY UNIT 11EATLRS —B.TL. M <br /> CLOTNES WASHER EVAPOfiATIVE COOlERS <br /> �:.\TER HEATER CLOiHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UN!T— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF ORAWS—RAINLEADERS METAL FIREPLACE&CHIMNEV <br /> SINK(SERVICE—�AR.ETQ� W��. Q_ <br /> SUBTOTAL SUB TOTAL S <br /> PEPMIT 5 PERMIT S 0_ <br /> TOTALFEE S TOTAL FEE S <br /> SIDE YAFD SEiBACK STREET 5[7BACK REAR YARD SETBACK PLAN CHECK NUM�EP PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TVPE OF fANST. OCCUPANCY GROUP NO.OF DWELIING UNITS <br /> BUILOING $ <br /> SIZE OF BLDG. N0.OF STORIES MA%.00C.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> . REOUIRED MECHANICAL �� 5O <br /> !lYES f'.NO <br /> APPHOVALS BY OATE OTHER <br /> t ENVIRONMENTAL CHECN LIST PENALTY U 0 C. <br /> ?. BUILDING PIANS SEC.30J W) <br /> � 3. FIRE HYDRANT TOTAL �J SO .I <br /> a. FIFE PROTECTION SYSTEM PEHMIT VALIDATION <br /> WHEN PROP[l1LY VALIDATED QN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING <br /> [ OA <br /> 6. DRAINAGE 5 I 8 5 � 0 ' �. J O ��7�-{ <br /> 7. ENVIFONMLNT�L IMPACT STATEMENT � <br /> B. HEALTH DISTRICT . � <br /> APPLICATION ACC.�Y PIANS CHECKED BY APPR.FOR ISSUANCE 6V YO�J.R R EC E t Pi`� <br /> TNANY. YOU <br /> , .. ,, � �., <br />