Laserfiche WebLink
�tie e�•�.R.�� <br /> everett � ��%ONSTRUCTIOP'^� � <br /> PERMIT PERMIT N0. 1664Z <br /> CITY HALL 25&8715 <br /> EVERETT,WA 98201 � COMBINATION C� BUILDINO ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAIL ADDNE55 CITY ZIP PHONE <br /> Albin Nowak 8814 F2nerson Place Everett 9e2nn '+a�-3596 <br /> 11i�:NITECT OR OESIGN R MAI�ADDRESS GTV ZIP PMONE <br /> SaGlB d8 BbOVE <br /> 6ENERAL CONTRAGTOR M�IL ADONESS CITY ZIP PMONE LICENSE 1 <br /> same as above <br /> MECMANICAL CONTRACTOR MAIL ADORESS CITV ZIP PNONE LICENSE II <br /> PLUMBIN6 CONTPACTOR M�IL AODPESS CITY ZIP PMONE LICENSE I <br /> CLASS OF WORK <br /> ❑NEW ❑ ADDITION �] ALTERATION ❑REPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WORk <br /> f <br /> DESCPIB WORN <br /> LO C Lt. <br /> PROPO£ED USE OF BUIlU1NG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Worksho APPLIC.ITION AND KNOW THE SAME TO BE TRUE AND <br /> IEGAL DESCRIPTION OF PROPEHTY�SHOW BELOW OR ATTACH FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 7 e�ocrc__oF �rrected Plat of F]ners n GOVERNING THIS T'fPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANIING OF A <br /> Park in Volte 32 100. records o PERMITDOESNOTPRESUMETOGIVEAUTHORITYTOVIOLATE <br /> � OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> a d tor o Snoh ish Co t • PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGNATURE OF GONTRAGTOfl OF AIITHORIZED AGENT DATE <br /> X <br /> PLUMBINO MECHANICAL <br /> NO. TVVE OF FIl(TURE OR ITEM FEE NO. TYPE OF EUUIPMENT FEE <br /> WATERCLOSET(TOILEn AIR COND.UNITS- H.P.EA. <br /> BATHTUB REFRIGERATION UNITS- H.P. EA. <br /> LAVATORY(WASH BASIN) BOILERS - H.P. EA. <br /> SHOWER GAS FIRED A.C. UNI75-TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCEO AIR SYS7EMS- B.T.U. M EA. <br /> DISHWASMER �NALL HEATEPS- B.T.U. M <br /> LAUNORYTRAY UNIT HEATERS- B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER MEATER CLOTHES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE-WOOD <br /> ROOF DHAINS- RAINLEADEtiS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE- BAR.ETC.) FIREPLACEINSERT <br /> HEAT FUMP <br /> SUB TOTAL S SUB TOTAL S <br /> PEHMIT f PEHMIT S <br /> TOTAL FEE f TOTALFEE S <br /> SIDE VARD SETBACK STRE[T SETBACK REAR YARD SETBACK PLAN CHECK NUMBER ��� �L9��F� � <br /> 20� 20� 6� 86�B-011 FEE1C�25 RECEIPTNO. <br /> USE 20NE LOT AREA VAGANT SITE <br /> R-1 I:YES X:NO FEES FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 BUILDING <br /> MOIYI„�6�00 25 0 <br /> S12E OF BLDG, NO.OF STORIES MAX.OCC. LOA� <br /> Add1t10R 312 S£ ]. PLUMBING <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> YES I :NO <br /> APPROVALS BY DATE OTHER�eYglr ppd0 S harge . <br /> 1. ENVIRONMENTAL CHECK LIST PENALTV U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS <br /> 3.FIRE HVORANT TOTAL <br /> 4.FIRE PfiOTECT10N SYSTEM PERMIT VALIOATION <br /> 5.GRADING WHEN PROPERLY VALIDATE�(IN TMIS SPACE)THIS IS VOUR PEFMR (�,1 <br /> 6.DRAINAGE � <br /> L�� <br /> 7.ENVIRONMENTALIMPACTSTATEMENT <br /> Cf� <br /> 8.HEALTH DISTRICT �-.� <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY <br /> SG SG LC <br /> ADDRESS FILE <br />