Laserfiche WebLink
rhe E��ergmen C�""N ST R U CTI O N <br /> CITY OF <br /> everett PERMIT NERMIT NO. O836Z <br /> CITY HALI 259�8745 <br /> EVEREIT,WA sezo� ❑ COMBINATION � BUILDING C� MECHANICAL ❑ PLUMBING <br /> OWNER MAII ADDRE55 CITY ZIP PHONE <br /> WASHO 2319 Everett Avenue <br /> 4RLMITECT OR DESIGNER MHIL ADORE55 CITY ZIP PHONE <br /> GEN[FAL I:ONTRAGTOR MAIL AOORE55 GTV ZIP PHONE LIGENSE I <br /> MECHANICALCONTRACTOR MAILA��RE55 GIiY 21P FMONE LICENSE� <br /> Natural Gas Equipment 1611 East Grand 98201 258-2491 <br /> PLUMOINGGONiFACTOR MAILADDRE55 CITY Z1P PHONE LICENSE� <br /> QASS OF W OFK <br /> ❑NEW ❑A�DI710N ❑ALTERA710N ❑REPAIR ❑DEMOLITION ❑FENCF ❑SIGN �GARAGE <br /> VALUATION OF WORK <br /> S <br /> DESCRIBE WORN <br /> PROPOSEU USE OF�WLDING <br /> I HEREBY C[RTIFY THAT I HAVE READ AND EXAMINF�TH!�".I'- <br /> LEGAL�ESCRIPTIONOPPROPE6ttI5MOW pEIOWORATTACHFOURCOPIE51 YLI1iHIIVN HFID hNUW IHt SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior e�ocK_oF __ TYPE OF WOFK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO ViOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOBADDRSS SIGNAiREOFWNTRACTORORAUINORIZEOAGENT DATE <br /> B�ZR 2319 Everett Avenue X � � � �� 9/30/80 <br /> PLUMBIN6 MECHANIC <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EUUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UdITS—H.B EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> IAVATORY(VJASH BASIN) BOILEFS—HP.EA. <br /> SHO\VER GAS FIRED AL. UNITS—TONNAGE EA. <br /> KITCHBN SINK 8 DISP. FORCED AIR SYSTEMS—B TL. M EA. <br /> DISHWASHER WALLH[ATERS —DT.U. M <br /> � LAUNURY TRAY UNIT HEATERS—G.T.LL M <br /> ,� CLOTHES WASHER EVAPORATIVE COOLFRS <br /> WATER HEATER CLOTHES DRVERS <br /> I <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE IIOOD <br /> FLOOR ORAIN AIR hiANDLING UNIT— GF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS � METAL FIREPLACE 8 CHIMNEY <br />� SINK�SERVICE—OAR.ETC.� 1 Water <br /> � <br />_ SUB TOTAL SUB TOTAL S 2 00 <br /> PERMIT S PERMIT S OO <br />= ( � TOTAL FEE S TOTAL FEE S S 00 <br /> SIDE YARD SETBACK STREE7 SETBACK REAR YARD SETBACK PLAN CHECK NUM�ER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br />— I ,r USE ZONE LOT AREA VACANT SITE <br />_ I � ❑VES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF�WELLING UNITS <br />_ I � BUILDING S <br /> SIZE OF BLDG. NO.Of STORIES MN(.OCC.LOAD _ <br />� � PLUMBING <br /> 1 � FIRE ZONE BASEMEN7 FIRE SPRINKLERS <br /> REOl1IRED MECHANICAL S 00 <br />� � i CIVES ❑NO <br />� APPNOVALS BY DATE O7HER <br />� t. ENVIRONMENTAL CHECK LIST PENALTY U B.C. <br />� . SEC.303(a) <br />' 2. BUILDINGPLANS <br /> TOTAL 5 00 <br /> 3. FIRE HYDRANT <br /> 4. FIqE PROlECT10N SYSTEM PERMIT VALIDATION F�A <br />��� WHEN PROPERLV VALI�ATED(IN THIS SsA'iE�T91S IS Y�Q O O J.IO O (� <br /> � 5. GRADING a <br /> i <br /> � 6. DRAINAGE ' ; (� <br /> �' � 7 ENVIRONMENTALIMPACTSTATEMENi ' M <br /> B. HEALTH DISTRICT � 'i'��'� :J � �R i,C E I P o <br /> APPUCATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY . �������� Y O U <br /> r <br />