Laserfiche WebLink
dre£�•ergreen <br /> � �CONSTRUCTIO� ` <br /> everett I 1510 � <br /> PERMIT PERMIT NO. <br /> GTV HALL 259�67a5 <br /> EVERETT,WA98201 ❑ COMBINATION Cx�C BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILAO�RESS CITY ZIP PMONE <br /> Brent Edwards 1929 Lombard Everett 98201 259-6429 <br /> ARCHITEC�OR�ESIGNER MAIL ADOflESS CITY ZIP PHONE <br /> GENERAL WNTRFGTOR MAIL ADDRE55 CITY ZIP PHONE UCENSE Y <br /> Same <br /> MEGHANICAL CONTPACTOfl MAIL ADDNESS CITY 21P PHONE LICENSE N <br /> PLUMBING CONTRAGTOR MAIL ADDRE55 CITY 21P PHONE LICENSE N <br /> CLA55 OF WOPK <br /> ❑ NEW ❑ ADDI710N ❑ ALTERA710N �I}¢7EPAIR ❑ DEMOLI710N ❑ FENCE ❑ SIGN O WOOD STOVEIfIREPLACE INSERT <br /> VALUATION OF WOriK <br /> S ZZ��.Q� <br /> DESCPIbL WORK <br /> Re-roof composition <br /> PROPOSED USE OF DUIL�ING <br /> I HERE81' CERTIFY THAT I HAVE READ AND EXAMIP7ED THIS <br /> APPLICATION AND KNOW THE SAME TU BL• TRUE AND <br /> LEGAL DESCRIPTION OF PFOPERTY�SHOW OELOW OR ATTACH FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 15-7,(v�K 3830� Everett Div. K GOVERNING THIS TYPE OF WORK WILI. BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> __.__ PERFORMANCE OF CONSTRUCTION. <br /> JOB FODRESS SIGNA OF CONTR TOR OR AUTHORRED A NT A OATE <br /> 1929 Lombard X �' � � 7/17/85 <br /> PLUMBING MECHANICAL �— <br /> NO. T'fPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET�TOILEn AIR COND. UNI75— H.P. EA. <br /> BATHTUB REFRI�ERATION UNITS— H.P. EA. <br /> LAVA70RY�WASH BASIN) BOILERS — H P. EA. <br /> SHOWER GAS FIRED A.C.UNITS—TO�JNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRY TRAV UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WA7ER HEATER CLO7HE5 DRVERS <br /> URINAL VENTILATION FAN <br /> �RINKING FOUNTAIN RANGE HOOG <br /> FLOOR�RAIN AIR HANOLING UNIT— C.F.M. <br /> VACUUM BREAKERS S70VE—WOOD <br /> ROOF DRAINS— RkINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR, ETC.) FIREPLACE INSER7 <br /> HEAT PUMP <br /> SUB TOTAL S SUB TO7AL 5 <br /> PERMI7 5 PERMIT S <br /> TO7AL FEE S TOTAI FEE 5 <br /> SIDE YARC SE7BACK S7REET SETBACK REAR YAR�SETBACK PLFN CHECK NUMBER PLAN CNECK FEE <br /> FEE RECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> '�;YES i.�NO FEES VALUATION FEE <br /> 7YPE OF CONST. OCCUPANCY F NO.OF DWELLI.NG UNI7S <br /> BUILDING S 12��.�� Z� Jr� <br /> S2E OF BLDG. N0.OF STORIES MAX. OCC. LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIFE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> YES .NO <br /> APPROVALS BY DA7E OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS <br /> 3.FIREHVDRANT TOTAL GO SO <br /> 4.FIRE PRO7ECTION SYS7EM PERMIT VALIOATION � <br /> 5.GRADING WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR�,PERMI7--(� <br /> 6.DRAINAGE � <br /> '� <br /> 7.ENVIRONMEN7ALIMPACTSTATEMENT , .{� <br /> B.H[ALTH DISTFICT � '� <br /> APPLICA710N ACC. BY PLANS CHECKEO BV APPR. FORISSUANCE BY � <br /> ,�;DrG�_.� I-N_� <br />