Laserfiche WebLink
r <br />f� <br />!hC L��PfCrPP�t <br />�:���o� <br />everett <br />GTV HALL 259�8745 <br />� � CONSTRUCTI��f <br />PERMIT <br />PERMIT NO. 1�643 <br />EVERETi,5NA98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OIYNER MAIL A�ORE55 CITV 21P PHONE <br />L. J. Ploschilli 5020 Dogwood Drive Everett 4�a 9R2o1 �5�.�.fLla <br />APCMITECT OR DESIGNER IdAIL AODPESS CITV ZIP PHOY.E <br />GENERALCOWTRACiOR MAILAOOPE55 dTV ZIP PMONE UGENSER <br />Sather & Newell v0 Box 140 Everett !JA 982n6 �F�-sta5� SSIHENC3ADRR <br />MECHFNICAL GONTRqLTOR MAI� AU�NE55 CITY ZIP PHONE UGENSE M <br />PLUMBING CONTRACiOP MAIL AODPESS GITY ZIP PHONE LILENSE I <br />� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VA�UATIOr�N OF WORK <br />s GO��.�O <br />Patio and sundeck <br />Residence <br />5020 <br />PLUMBING <br />TYPE OF FI%TURE OR ITEM <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KI7CHEN SINK 8 DISP. <br />LAUNDRYTRAY <br />CLOTHES WASHEP <br />WATER HEATER <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR, ETQI <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />APPROVALS <br />1.ENVIRONMENTA� CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYGHANT <br />4. FIRE PROiECTION SYS7EM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTS7ATEMENT <br />B. HEALTH DISTRIC7 <br />APPLICATION ACC. BY PLANS CHE <br />stg � hef <br />I HEREBV CERTIFY TIiAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />RACNFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />Terrace 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 AUTHOR�TY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LQCAL LAW REGULATING CONSTRUCTION OR THE <br />PEfiFORMANCE OF CONSTRUCTION. <br />SIGNAiU OF CO TRACTOR AUTMORIZED AGENi OATE <br />X 7 <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGE(iATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN _ <br />RANGEHOOD <br />AIR HANOLING UNIT — C.F.M. <br />S70VE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />fIREPLACEINSEFT <br />� <br />S <br />f <br />REAR VARD SETf <br />VACANT SITE <br />GVES ..NO <br />NO. OF DWELI.IM <br />� <br />MA%.00C.LOAD <br />fIRE SPRINKLER: <br />REOUIRED <br />YES NO <br />BY DA1 <br />FOR <br />lnc <br />PLAN CHECK NUA <br />84/13643 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTi1ER <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />FEE 21 .1 3 I]O] F�CEIPT NO. <br />4 <br />VALUATION FEE <br />PENALTV � SEC 303 (a1 <br />TOTAL 3Z JO <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED pN THIS SPRCEI THI5+6 hOUR1PQP�1T_._ (Y� <br />�., � �' <br />i.� <br />: I !' � �—{ <br />BY <br />�) <br />ADDRESS FILE <br />�i <br />J �,� �; <br />� <br />� <br />r, <br />