Laserfiche WebLink
`��` " �`�JNSTRUCTION ' <br />aTv oF <br />eve�ett PERMIT <br />� 2ST�-8910 <br />PERMIT NQ:: � � O � � <br />❑ DEMOLITION O COMBINATION � 9UILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEft MAILApDlVE55 CITY 21P PHONE <br />Brian D. Johnson 6931 Lower Ridge Rd. Everett, WA 96203 353-8260 <br />ARCHITECT OR C£SIGNER MAIL ADDRESS CITV ZIP PMONE <br />GENERALCONTRACTOR MAILADDRESS CITY ZIP PHONE 4CENSE• <br />AfELMANICALGONTRhCTOP MAILAD�RE55 CItY 21P PMONE LICENSEx <br />Owner <br />PLUMBING CONiRRGTOR M114 POORE55 CITY ZIP PHONE 4CENSE • <br />CLASS Oi WOPK <br />❑ NEW ❑ ADDiTION ❑ ALTERATION O RrPAIR ❑ DEMOLITION <br />VAIUATION OF WOFK <br />$ <br />DESCRIBE WOPN ` <br />Install woodstove and stainless st�el liner in chimnel�. <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Sinlge family residence <br />LOT _ 6LOCK _ <br />6931 Lower Ridge Rd. <br />PLUMBING <br />WATER CLOSET (TOIL <br />BATHTUB <br />LAVATOF'.V (WASH BA: <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTflAY <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />FOOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />S.H. <br />SUBTOTAL <br />PEflMIT <br />TOTALFEE <br />FEt <br />Y <br />• <br />� <br />� <br />VACANT SiTE <br />❑ VES ❑ NO <br />NO. OF DWELLING UNIiS <br />rnnx. occ. �oao <br />CHEGKEO DY I APPp� FOR ISSUANCE OY <br />� BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND FXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORREC7. AL� PROVISIONS OF LA�NS AND ORDINANCES <br />GOVERNING TN1S TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVF AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CQNSTRUCTION. <br />SIGNATJ�FE QF CONTRACTCy7�(. .UTH�RED AGENT, OR OWNEH � OAt� <br />MECHANICAL <br />TYPE OF EQUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />FEFRIGERATION UNITS — H.P. EA. <br />BOILEFS — B.T.U./H.P. <br />GAS FIRED A,C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. <br />WAL_ HEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EV�PORATIVE COOLERS <br />CLOTHESORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />PEHMIT <br />TOTAL FEE <br />FEE <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAY PERMIT <br />E <br />M EA. <br />M <br />M <br />��.��c.;�. <br />RECEIPT NO. <br />304(e) -rrl���-.:'.. <br />� �� <br />TOTAL � I 30 0� <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMII� <br />r <br />r� <br />� <br />Q� <br />t� <br />Ai�i)RESS FlLE <br />