Laserfiche WebLink
�he EvrrRreen , O N ST R U CT I O P� <br />CITV OF r��'�� -n � . . <br />everett RERMIT PERMIT NO. 16493 <br />CITY HALL 259�B7a5 <br />EVERETT,WA98Y01 ❑ COMBINATION ❑ BUILDING 7�t.I MECHANICAL ❑ PLUMBING <br />ONMER MAIL ADDRE55 CITY 21P PMONE <br />AOBERT MULHOLLAND 4960 DOGWOOD EVERETT WA 339-8414 <br />IIRCMITECT OR DE IGNER MnIL ADDRESS QTY ZIP FHJNE <br />GENERAL GONTR�CTOR NAIL �ODRESS CITY 21P PHONE LICENSE • <br />MECHANIC�L CONTRACTOR MAII AUDHESS CITY ZIP PHONE LICENSE I <br />VALLEY NATURAL GAS 11323 Hwy 99 Everett WA 355-7730 VALLENG153LI <br />MUMBIN6 CONTRACTOR MAIL AODRE55 CITY ZIP PHONE LICENSE • <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ HEPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />V�LU�TION OF WOflK <br />f <br />Install furnace and hot water heater <br />Residence <br />LOT_BLCCK_OF <br />4960 Doqwood <br />PLUMBINO <br />TYPE OF FU(TURE OR ITEM <br />WATER CLOSET ITOILE7) <br />BATHTUB <br />LAVAiORY(WASH BASIN) <br />SHOWER <br />KITCHEN SINK d DISP. <br />OISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINNING FOUNTAIN <br />FLOOH DRAIN <br />VACUUM BPEAKERS <br />ROOF ORAINS — RAINLEADERS <br />SINK (SERVICE — BAR, E7C.) <br />SUB TOTAL <br />PERMIT <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />7. FIRE HYDRAN7 <br />d. FIRE PHOTEGTI01 <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONM <br />8. HEALTH DI <br />COPIES� <br />FEE <br />� <br />i <br />s <br />REAR YARD SETE <br />VACANT SITE <br />GYES �. �.NO <br />NO. OF �WELLIN <br />MAX.OLC.LOFD <br />FIRE SPRINK�ER: <br />REQUIRED <br />.-:VES 1:N0 <br />BY <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMIHF(? ; HIS <br />APPLICATION AND KNOW THE SAME TO BE T�iUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />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 VIOLAT[ <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNAIURE F CON/T9ACTOR OR AUi10 ZEO AGENT UATE <br />X -�i�L[�,c, �. / ,ri(ifi•-Lk�2i 5/1/86 <br />MECHANICAI ✓ <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />dOILEHS — H.P. EA. <br />GAa FIRED l..C. UNITS — TONNAGE EA. <br />1 FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALL NEATEP.S — B.T.U. M <br />UNIT HEl.TERS — B.T.U. M <br />EVAPORATIVE �OOLERS <br />CLOTHES DFYERS <br />VENTILATIOiJ f,1N <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />S70VE — WOOD <br />METAL FIREPtACE A CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />� NUMBER 1 <br />FEE <br />FEES VALUATION <br />BUIIDING <br />PLUMBING <br />IdECHANI:AL <br />OTHER <br />PENAL7Y <br />Ei <br />U.B.C. <br />SEC.30� <br />rat <br />S 9 00 <br />f 10 00 <br />s 1.9 �� <br />CHECK FEE <br />RECEIPI' NO. <br />FCE <br />19 00 <br />TOTAL I I lc <br />PEHMIT VALIDATION <br />WNEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT <br />2^,r2 W019.00 <br />� �� . _ <br />. . ., <br />ADDRESS PILE � � ��� � � <br />