Laserfiche WebLink
-z <br /> (hr Lirr¢recn � p N ST R U CT I O N <br /> CIivC� I " r+—r b►�i <br /> everett PERMIT PERMIT N0. 13H54 <br /> GTV HALL 259�87a5 <br /> EVERETT.WA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNER MAIL ADDRE55 GITY ZIP PMONE <br /> JAMES R. HENDRICKS 2901 Everett Ave 258-1771 <br /> ARCHIiELT OR DESIGNER MAIL AOORE55 C171 Z�P PMONE <br /> GENERAL GONTRACTOR MAIL ADOflE55 CIiY ZIP PHONE LICENSE N <br /> MECMRNICIL CONTRALTOR MAIL P��RE55 GTV 21P PMONE LICENSE I <br /> LANGS MECHANICAL PO Box 68853 Seattle WA 98168 575-6707 LANGSM202N7 <br /> PLUMBING CONTRAGTOR MAIL A�ORESS GITY 21P PHOFE UGENSE N <br /> CLA55 OF WORN <br /> O NEW � ADDITION X�I ALlERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIHEPLACE INSERT <br /> VALUATION OF WORK <br /> 3 <br /> OESCRIBE WORN <br /> Convert elec water heater to gas <br /> PROPOSEO USE OF BUII.DING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LFGnL OESCRIPTION OF PROPERTY�SMOW BELOW ON ATTAGN FOUR COPIES� CORRECT. ALl PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK_Of GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE PUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAI. LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB S SIGNAT GONTRACiO OR MORIZEO AGENT <br /> g�� �Everett 9llf X 84 <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WA7ERCLOSE7�TOILEn AIR COND.UNITS — H.P. EA. <br /> BATHTUB REFftIGERATION UNI7S— H.P. EA. <br /> LAVATONY�WASM BASIN� �OILERS— N.P. EA. <br /> SHOWER GAS FiRED A.C.UNITS—TONNAGE EA. <br /> KITCIiEN SINK 8 DISP. FORCED AIR SY.^.TEMS— B.7.U. M EA. <br /> DISHWASHER �'�'ALL HEA7ER5— B.T.U. M <br /> LAUNDRY TRAY UNI7 HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HO00 <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKEPS STOVE—WOOD <br /> ROOF DFAINS— RAINLEAOERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE — BAR, E7C.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL i SUB TOTAL S <br /> PERMIT S PENMIT S <br /> TOTAL FEE S TOTAL FEE 5 <br /> SIDE VARD SETBACK STREET SETBACK REAR YARD SETeACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ::YES �:-NO FEES VALUATION FEE <br /> 7YPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLDG. N0.OF S70RIES MA%.OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL 14 5O <br /> REOUIRED <br /> "�:YES . :NO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.303�a1 <br /> 2.BUILDING PLANS TOTAL 14 5� <br /> 3.FIRE HYDRANT <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPEFLV VALIDATEO(W THIS SPAGE�THIS IS YO R PEPM(�T �,t <br /> 5.GRADING E �� r� �/ G Y V �i <br /> 6.DRAINAGE � �� ' � <br /> 7.ENVIRONMENTALIMPAC7STATEMENT � <br /> M <br /> B.HEALTH DISTRIC7 . <br /> APPLICATIOM ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE 8Y • • �''" I? �� <br /> . . . . ..� ` �. :� <br /> _ ' .e i l, '. <br /> ADDRESS FILE <br />