Laserfiche WebLink
lheEu�green � c,�NSTRUCT'ION ���'' � <br />CITY OF C <br />everett PERMIT PERMITNO. ��J�� <br />259-8810 <br />❑ DEMOLITION ❑ COMBItdATION ❑ BUILDING i�] ME.CHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MqILA0DRE5S LITY 21i� PNONE <br />Al1an Schirman 921 Lombard Ave �verett, WA 98201 426-7349 <br />TENFNT M<.ILADGRESS CITY ZIP PNONE <br />ARLHITECTOFDESIGNEF MAILAOiPESS CITY 21P PHONE <br />GENERALCONTRACTOR MAILAOOPESS CITY ZIP PMONE LICENSEu <br />MECHANICAI.CONTfiICTOR MqILA00RE55 ciiY 21P PMONE �ICENSE+ <br />Reliable Sheet Metal/DBA Arco Installations 3810 196th St SW Suite 8 Lynnwood 98036 <br />PLUMBINGCONTRACTOA MAILAOORE55 CITY ZIP PHONE LICENSEa <br />670-1256 RELIASM437R5 <br />LLASS OF WORK <br />❑ NEW ❑ ADDITION %] ALTERATION ❑ REP.41R O_ DEMOLITION ❑ BUILDING RELOCATION <br />CONTRACT PRICE OF WORK: $ <br />�ESCflIBE WORK FND SOUAfiE FOOiAGE INVOLVE� <br />Install furnace <br />PFOPOSEO USE OF 9UILOING <br />Single family residence <br />LEGAI DESGFIPTION OF PROFG�iTY �SHOW BE�OW OR ASTAGH FOUR COPIES) <br />LOT - BLOGN - OF <br />JOBAD�FE55 <br />921 Lombard Ave <br />�r; PLUMBING <br />. NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET� <br />SHOWER <br />KITCHeN SINK 8 DISP. <br />DISHWA."iHER <br />LAUNDRVTRAY <br />GLOTHES WASHER <br />URINAL <br />URINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE- BAR, ETC.) <br />USE ZONE <br />TVf4 OF fON57PUCilON ALL W <br />512E OF BLOG <br />OLCUPANGYLOAD <br />REASON FOP SPPiNKLEf <br />APPLICATION ACC. �Y <br />M.M. <br />SUBTO7AL <br />PERMIT <br />TOTAL FEE <br />ae seTancK <br />CONTACT PEFSON AND PMONE NO. IF OTHER TMnrv neuvt <br />MECNANICAL <br />FEE NO. TYPE OF EQUIPA <br />A/C — A/HNOLG UNITS — H.P. <br />1 FORGED AIR SVSTEMS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />CLOTHES DRVEflS <br />VENTILATION FAN _ <br />RANGEHOOD <br />WATEF HEATER <br />WOODS70VE <br />METAL FIfiEPLACE 8 CHIMNE'! <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />s SUBTOTAL <br />S PERMIT <br />5 I I � I TOTAL FEE <br />SioE SEtOnCK PLAN CHECK NUMBER FEE <br />LOTAREA VACANTSITE FEES OU�IUIN <br />❑ YES ❑ NO <br />ttPEOfCONSiFUCr10NACiI1AL �'�'��� NO.OFOWELLINGU01i5 BUILDING ,� <br />PLUMBING / <br />NO.OFSTORIES DASEMENt " <br />❑ YES ❑ NO MECHANICAL <br />FIRESPRMNLEBSREO'� HEIGMTLIMITATION QTHER CHECf� <br />❑ VES ❑ NO <br />STATE BUILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />ANSAPPROVE�BV CITY OF EVERETT <br />LOCAL SALES PUBLIC WORKS <br />TAX CODE IS TOTAL <br />3105 yyHEN PROPERLY VALIDATE <br />FEE <br />M EA. <br />M <br />S <br />5 15 00 <br />s 26 00 <br />RECEIPT NO. <br />�oE FEE <br />p.�_ .. <br />� 2 00 <br />� <br />�26 QO <br />26 00 <br />THIS IS YOUR PERMIT <br />,� ���� ;-� _� ^ <br />PERMITS EXPIR� IF WORK IS NOT COMMENCED WITHItJ qDDRESS FILE i-: L��• _�� <br />180 DAYS OR CEASES FOH MORE 7HAN 180 DAYS. <br />_ -.� <br />