Laserfiche WebLink
J`� -, - �. <br /> V ♦ �� V�� Y Y�Y �iy� Y a ����YI�T (�U. UJ .�U �I <br /> �irvHn��zs9e�ns � COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING <br /> EVERETT.VJA BB201 <br /> OWNER MAIL ADOPE55 <br /> CITY 21P PMONE <br /> Patrick Reams 2311 Fverett Avenue Everett 98201 <br /> qqCMRECT OR�ESiGNER <br /> MAILADDPE55 GITY '.iP PHONE <br /> GENERALGONiPACT00 <br /> MAIL AD�PESS GITY 21P PMONE UCENSE I <br /> GITV ZiP PMONE LICENSE� <br /> MEGMANIGAL CANiRACTOR MAIL AODRE55 9 8 2 O l 2 5 8-2 4 41 <br /> Natural Gas Equipment 1611 East Grand EveTrett ZP rHONE ucer+se� <br /> PLUM9ING fANTPALTOfl <br /> MAIL ADDRE55 <br /> GlA55OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN GAHAGE <br /> VALUATION OF WORH <br /> S <br /> DESGRIBE WORK <br /> PPOPOSED USE OF BUIIDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS A � <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> LEGAL DtSGRIPT10t!OF�ROPERTY(SHOW BEIOW OR ATTACH FOUF CAPIE5) ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ioT eiaK_or _ TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVL P.UTHORITY TO VIOLATE OR CANCELTHE PRO� <br /> CONOSTRUOCTION OR THERPERFORMANCECOF CO STRUCTIONNG <br /> SiGNFiU�E F C . R OP AUT 12ED AGENT <br /> onTE <br /> JOBAD�PE55 2311 Everett Avenue X J <br /> fJ1tGFM � <br /> PLUMBING FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT <br /> AIR COND.UNITS—H.P.EA. <br /> WAT[P CLOSET(TOILET) REFRIGERATION UNITS—H.P.EA <br /> BATHTUB BOILERS—H.P.EA. <br /> LAVATORY(WASH BASIN) GAS FIRED AC.UNITS—TONNAGE EA. <br /> SHOWER 1 FORCEDAIRSYSTEMS—BT.U�S O'A�� EI .00 Y YH <br /> KITCHEN SINK&DISP. WqLL HEAiERS—�.T.U. �`�' <br /> �ISHWASHER UNIi HEATERS—B.i.U. M <br /> LAUNDRY TRAY EVAPOF7ATIVE COOLERS <br /> CLOTNES WASHER CLOT�aES DRYERS <br /> WATER HEATER VENTILATION FAN <br /> URINAL qpNGE HOOD <br /> DFINKING FOUNTAIN q�q HANDIING UNIT— C F.M. <br /> FLOOF DRAIN STOVE <br /> VACUUM�REAKERS METAL FIREPLACE 8 CHIMNEY <br /> ROOF DRAINS—PAINLE/1DERS <br /> SINK(SERVICE—BAR,ETC.) <br /> SUBTOTAL S 6 00 <br /> SUBTOTAL PERM�T S 3 00 <br /> PERMIT S TOTALFEE S 9 00 <br /> TOTAL FEE s pLAN CHECK FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER FEE RECEIPi N9. <br /> USE ZONE LOT FREA VACANT SITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> TYPE OF CONFT. �CCUPANCY GROUP NO.OF DWELLING UNITS 5 <br /> BUILDING <br /> SIZE OF BLDG. N0.OF STORIES MN(.OCC.LOAD . <br /> PLUMBING <br /> BASEMENT FIRESPPINKLERS MECHANICAL 9 00 <br /> FIRE ZONE REOUIRED <br /> ❑YES IlNO <br /> BY pATE OTHER <br /> APPROVALS <br /> PENALTY U.B C. <br /> L ENVIRONMEN7AL CHECK LIST SEC.303(a) <br /> 2. BUILDINGPLANS T�TA� 9 00 <br /> 3. FIRE HYORANT <br /> PERMIT VAL':.A'ION <br /> 4. FIRE PROTECTION SYSTEM WHEN PROPt�•�f VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GFADING ' /� '� I � O � �• " ` �` <br /> 6. DFAINAGE M <br /> 7. ENVIRONMENTAI IMPACT STATEMENT , , � <br /> � � �'j O <br /> e. HEALTH D�STRICT <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY ' - � � '_1 <br /> f i c l <br /> ADDRESS FILE <br />