Laserfiche WebLink
`�� � P',NSTRUCTION ; � : I <br /> evere�t PERMIT PERM�TNQ:.18897 ! <br /> ?_59 -8745 <br /> Q�DEMOLlTION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ONNER A/JSr^j MPILADDRE55 CITV 21P PNONE <br /> Donald Ipw�w+ 3817 Bells Beach Iangley 98260 221-8190 <br /> •Rp11TEGTORDE5IGNER MpILAODPESS CITY 21P PHONE <br /> GENEIULCONTRACTOR MAILAOORE55 CITV LP PHONE 4CENSE� <br /> owner <br /> MECN�NICALCONTF�CTOR M�ILAppRE55 CITY 21P PMONE IICENiE• <br /> PLUMBINO CONTR�CTOH M�IL ADORE55 dTY ZIP PMONE LICENSE• <br /> ClASS Of VIO11K <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR I.}DEMOLITION ❑ BUILDINfi RELOCATION <br /> VALUATION OF WORK <br /> s <br /> DESLRIBE WORK <br /> De�olish House <br /> NEATSOURCE <br /> ❑ ELEGTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PrlOPO5EDU5E0FBUIL0ING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Sin41e family residence APPLICATION AND KNOW 7HE SAME TO BE TRUE AND <br /> IEGAL0E5CPIPTIONOFPROPERTY�iHOWBELOWORATTRCNFOURCOPIES) CORRECT. ALL PRO'�ISIONS OF LAWS AND ORDINANCES <br /> 30-37e 630 Plat of Everett GOVERNING THIS TY�'E OF WORK WILL BE COMPLIED WITH <br /> �or_ �ocK _oF_ WHETHER SPECIFIE� HEREIN OR NOT. THE GFANTING OF A <br /> PERMIT COES NOT PRESUME TO GIVE AUTHORITY TO <br /> ! VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THEPERFOHMANCE OF CONST UCTION. <br /> JOBApORE55 SIGNATURE�OF CONTRA AUTMq{112E�A NT.GR OWNER URTE <br /> 2110 Everett Ave�. X Lr ('�i � ! ��a-�-��— <br /> PLUMSIN(i MECHANICAL <br /> NO. TYPE OF FUTURE OH ITEM FEE NO. YYPE OF E�UIPMENT FEE <br /> WATER ClOSET�TOILE T� NC—AMNDLG UNITS—H.P. <br /> BATHTUB REFRIGERATION UNITS--H P.EA. i <br /> LAVATORY(WASH BAS'N) BOILERS—B.T.U./HP. � <br /> SHOM/ER G�S FIRED A�:.UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. FORCED AIF SVSTEMS-�B.T.U. M EA. <br /> DISHWASHER WhLLHEATERS—B.T.U. M <br /> LAUNDRV TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESDRVERS J <br /> DRINKING FCIUNTAIN VENTILATION FAN <br /> FLOOR DRA�N RANGE HOOD <br /> BACNFLOW PREVENTERS WATER HEATER • <br /> ROOF DRAINS—RAIN'_EAOERS WOOD STOVE <br /> SINK(�ERVICE—BAR,ETC.) METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACE INSE(iT <br /> HEATPUMP <br /> GAS PIPING <br /> EXMnUSTFAN <br /> 8U!TOTAL f SUB TOTl1l <br /> PENMIT f PERM,IT <br /> TOTAL FEE f TOTAL FEE <br /> FRONT SETBACK REAfl SE?BACK SiUE SETBnCn P�AN CHECK NUMBER FEE RECEIPT NO. <br /> USEZONE LOTPPEA VAC/.NTSITE <br /> ❑YES ❑no FEES 4VALUATION �E <br /> TYPEOFCONST. OCCUPANCVGFOIIP NOAFOWELLINGUNITS BUI'_DING li�%:J.�E'I �"•�� ri�� Uii���i��^"�� '�-� �' �' <br /> i <br /> PLUMBING �;;,�.��„�ic�� <br /> SIZE CF BIOG NO.OF STORIES MA%.Of.C.LOAD <br /> MECHANICAL -� '��'.'••4 �` <br /> 1{U LL:• �p <br /> INVESTIGATIONFEE �,_h�le� ;� , c�l <br /> FIRE SPRINKLERS REOUIRED ❑VES ❑NO _ STATE BUILDING SURCHARGE CF�BH - !•��-� <br /> 3 50 <br /> STATEENERGYSURCHARGE <br /> APPLIL�TION�CC BY PLRNS CMECKEO BY APPR FOR ISSUANCE OY <br /> DRIVEWAY PERh11T <br /> S.H. L,�, TOTAL 3 50 <br /> PEHMIT VALIDATION <br /> WHEN PROPERLI'VAIIDATED IIN THIS SPACE�THIS IS YOUH PERMIT L` <br /> Deriolition must be completed within 90 days. <br /> 07 <br /> O� <br /> � <br /> a�— <br /> A�DRESS FILE <br />