Laserfiche WebLink
• , <br /> ``1eE`'C�YOF � C�`NSTRUCTION �� <br /> everett PERMIT pERNlT NO. 07633 <br /> CITV HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BIJILDING ❑ MECHANICAL ❑ pLlJMBING <br /> OWNEF AIARPUDPFSS CItY ZIP PNONE <br /> �sket IHZ'rv M R91'i Fh�c ni � �}} qp��a �SS 1�Ad <br /> ARCHIiEGTOqOCSIGNER FIAILADPPE55 CITY ZIP PHONE <br /> GENERALfANiRACTOR MnILAD�RESS �ITY ZIP PHONE UGENSEI <br /> �"�OOdYs CnnStnrYion 18 n 15F�h ni r. prlinai-nn 9R77� ti5� �f7fla �7o Ma <br /> AECHAW(.ALCONipACTOR MAILADpHE55 CITY ` IIP PHONE LICENSEI <br /> PLURIBING CANTRACiOR h1AIL ADDRE:S CITY IIP PMONE �ICENSE� <br /> CtA550F WOFK <br /> ❑NEW �]ADDI710N ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑CHRAGE <br /> VALUATION Of WONK <br /> s �.6.zoo.00 <br /> DESCRIBE WORN <br /> Bedroan addition o r <br /> PROPOSEU USE OF BUILDING ' <br /> I HEREBY CERTIFY TH/1T I HAVE READ AND EXAMINED THIS AP- <br /> LCWLDFSCRIPTIpNOFPqOPEPtt�5HOW8ELOWORATTACHFOURCOPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ior 30 Bia�_aF CpyY�Lct2C1 p].�� pf ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLSTE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFOfiMANCE OF CONSTRUCTION. <br /> JOB A�DRE55 SiGNATpRE OF CONiqAJTOF UTMORI2 AGENT OFTE <br /> , <br /> � <br /> PLUMBING MECHA CAL � <br /> NO. TYPE OF FIXTURE OR lTEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 1 WATER CLOSET(TOILET) AIR COND. UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN) �OI�ERS—H.P. EA. <br /> SHOWER 2 OO GAS FIRED A C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SV�TEMS—B T.U. M EA. <br /> DISHWASHEP WALL HEATERS—flLU. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. h1 <br /> C�OTHES WASHER EVAPORATNE COOLERS <br /> WATER HEATER CLOTHES DRVERS <br /> URINAL ]_ VEN7ILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— <br /> C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK(SERVICE—BAR.ETG) <br /> SUBTOTAL <br /> SUB TOTAL S <br /> PEpM1T S PEHMIT { <br /> TOTALFEE S O TOTAL FEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> , 6 E'eet 20 F�et 20 Feet FE ZZ.00 48773 r No. <br /> USE ZONE LOT AREA VACANT�5I7E 80/7633 <br /> R—.L ❑YES x7N0 FEES VALUATION FEE <br /> TYPE OF(:ONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING <br /> 512E OF BLDG. NO.OF STORIES MAX. .LOAD S 16�ZOO.00 BO OO <br /> 2nd story PLUMBING 6 00 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> 3 REOSIRCp.O MECHANICAL 2 OO <br /> 1�l <br /> APPROVAlS BY DATE OTNER <br /> 1. ENVIRONMENTALCHECKLIST PENALTY U.B.C. <br /> 2. BUILDING PLANS � SEC.303(a) <br /> � 3. FIRE HYDRAIJ7 r TOTAL $$ OO '` <br /> 4. FIRE PROTECSION SYSTEM PEPMIT VALIDATION <br /> �5. GRADING �_ � R LY VALI� D(IN THIS SPACEI7HIS IS Y P IT � <br /> i ��.�� — `� 3044 ��1 �d. 00 — � <br /> .ne. ow,iNqce � o <br /> . ENVIROfA_'Ey L IMPA�7ATEMENT +518.00 Due on Plan Check Fee , c� <br /> B. HEAITHD151q1CT • �;-_�, � � P, R�CEIPT •�r.����� RECEIPTti <br /> GWPUCATION A BY 77lANS CHECKED BY APPR.fOR ISSUANCE BY ;,�;'� 1�u U i F-�nN K Y O U � <br /> � -� � v.c . <br /> --i <br /> � � - li �uu80 •- !i �wVBQ " . <br /> ADDRESS FIL� . <br />