Laserfiche WebLink
�heEvergreen ��� NS�'RUC�109V <br />CITY OF <br />everet�t RERI�IT R�;qMIT NO.Og57Z <br />CITYHALL259�B7:5 x�cMECHAM1.r.AL ❑ PLUMBWG <br />EVERETT, WA 98201 ❑ COMBIN.��TIOf� ❑ BUIIDiNG <br />Q rJEq MAILA�DflE55 <br />citr 7.ia vHo�+e <br />9 ;203 353-3350 <br />Don Tollefson 6901 Lombar.l Z,P PHONE <br />��GNRECT OR DESIGNEP <br />MAIL AODRE55 �iTY <br />GEt�EPAL WNTMGTOP <br />MAILA�DRESS GITY ZIP PHONE LICENSE/ <br />S ame Z�p PHONE LICENSE 1 <br />iA[O�Ft11GAL GONTMCTOR <br />MPIL ADDRE55 CITY <br />PLU�A9ING CANTRAGiOR MFIL ADORESS <br />❑NEW <br />LATION OF VIORK <br />b <br />��RIBE WORK <br />Z�p PNONE LICENSE � <br />❑ADDITION ❑AL7ERAlION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />�Hoaoseo use oF emwm� <br />ir.stall wood stove <br />LEG/+L DESCPiP110N OF PROPERtY �SNOV/ �ELO\V OH ARACH FOUF <br />�or e�uc�_oF <br />.ioo nooeess <br />6901 Lombard �__ <br />PLUMflING <br />�NO. TYPE OF FIXTURE OP. ITEM <br />T�� CLOSET (TOILET) <br />BATHTUB <br />LAVATO�'�M1NFSH BASIN) <br />S�iOWEH <br />KITCNEN F'NK & DISP. <br />DISHWFSHER <br />LAUNDRYTRAV <br />CLOTHES VJASHER <br />Wl�TE� HEA7ER <br />URINAI <br />DflINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />o�.�v soo�nr[ _ RAR FTC.1 - <br />I HEREBY CERTIFY THAI' I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW Th!E SAME TO BE TRUE AND CORREGT. <br />ALL PRUVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COA1PLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRAN'ING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHUFITY TO'viUU.TE OR CANCELTHE PRO <br />CONSTRUOCTION OR THE PERFORMANCE OF ONS RUCT ONING <br />SiGN RE �F CONiPAC10R 04i AJT�ORiZED AGENT <br />DATE <br />x �.�,,.. �%? ��r,�,a ii/is/so <br />SIDE YARD SETBACK I STREET SETBACK I AE�R <br />P7tl <br />67y <br />ZONE <br />PREA <br />OF <br />1. ENVIRONMENTALCHECKL15T <br />�—�.� <br />2. BUILDING PLANS <br />J. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. IiNVIRONMENTAL IAIPACT STATEMENT <br />n Hen�ni oisralct <br />❑VES ❑NO <br />NO. OF DWEL <br />f.r`rv, FOq IccLL�NCf '.�Y <br />RIGERATION UNITS — H.P. EA <br />LERS — H.P. EA. <br />i FIRED AC. UNITS — TONNAG[ EA. <br />9CE0 AIR SVSTEMS — B.T.U. M <br />�L HHATERS — �.T.U. M <br />IT HEATEHS — B T.U. M <br />\PORATIVE COOLFRS <br />)THES DRYERS <br />VTILATION FAN <br />NGE HOOD <br />� ��.�ni iur. nuir — C <br />SUB TO7 <br />PENMIT <br />TOTAL F <br />'LAN CHECK NUMAER <br />FFE <br />iiv � <br />BUILDING $ <br />PLUMBIN9 <br />MECHANICAL <br />PENALTV <br />TOTAL <br />U.B.C. <br />SEC.303 <br />RECEIPT NO. <br />7� <br />1 vwuvwu.n. <br />PROPERLY VALIDATED (IN THIS SPALE) THIS I$ YOUR PERMI <br />o�;a� �007.50 —;i <br />� <br />� <br />. . . . _ y ' " ^ � ' 1 r` � <br />� .. �T <br />� <br />