Laserfiche WebLink
��� <br />an oF <br />everett <br />259-8745 <br />'^' C��NST�RUCTION ' <br />PERMIT <br />� <br />PE:�MIT NO. 17698 <br />L�DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAiLADDPESS CITY �IP PHONE <br />Gene and Sue Closser <br />AHCHITECTORDESIGNER MAILADDBESS CITY ZIP PHOhE <br />GENEflALCONTHACTOR MA'�,.ApDRE55 ��ry <br />ZiP GHONE LICENSE M <br />Owner <br />MECNqNICALCONTRACTOR MAILADORESS CITV =IP PHONE IICENSE� <br />PLUMBING CONTRqCTOR Mqll AOORESS CITV ZIP PHONE UCENSE r <br />❑ NEW ❑ ADDITION <br />VALUATION OF WORY. <br />OESCRIBE WOPN <br />Demolition <br />4EATSOURCE <br />cirr ❑ GAS <br />�NCPOSEO USE OF pUIL01NG <br />Single family sss residence <br />❑ ALTERATION ❑ REPAIR <br />O WOODSTOVE <br />18 Cad s Addition to <br />ior _ e�ocrc _ oF y <br />Hills <br />JOAADDRESS <br />815 Madison St. <br />PLUMBING <br />NO. � TYPE OF FI%TUHE OR <br />WATER CIOSET (TOILET� <br />BATHTUB <br />LAVATORY (WASH BASIN� <br />SHOWER <br />KITCHEN SINN 8 OISP. <br />OISHWASHER <br />LAUNOflVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKIN � FOUNTAIN <br />FLOOR'JRAW � <br />BACHFLOW PREVENTERS <br />ROOF DI•AINS – RAINLEADE <br />SINK (SERViCE – tlAN, E7C.� <br />SUBTOTAL <br />PEFMIT <br />TOTALFEE <br />FqONT5ET8ACK REARSETDACK <br />USE20YE LOTAFEA <br />TVPE OF CONST. OCCUPANCV GRf <br />512EOF9LDG. NO.OFSTORIES <br />FIRESPFINKLERSREOUIRED ❑YES ON <br />APPUCATIONACC.DY CLANS CMECNED <br />M.tri. Ben <br />❑ DEMOLITION <br />❑ OTHEH <br />❑ BUILDING RELQCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMIDJED THIS <br />APPLICATION AND KNOW THE SAM[ TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />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 <br />VIOLATE OR CANCEL THE PROVISIONS (?F ANY OTHEfl <br />STATE OR LOCAL LAW REGUTATING CON�TRUCTION OR <br />TH�FORMANCE OF CONSTRUCTION. <br />SIG ATII E OF CONTRAy� OF. HORIZEO AGENT, Oii OW DATE <br />Xa0K o�_��_� <br />� TYP[ OF EOUIPMENT <br />A/C – A/HNDIG UNITS – H.P. <br />REFRIGERATION UNITS – H.P. EA. <br />BOILC-RS – B.T.U./H.P. <br />GAS FlREO A.C. UNITS – B T.0 <br />FORCEDAIRSYSTEMS–B.T.U. MEA. <br />WALLHEATEF3–B.T.U. M <br />UNITHEATERS–B.T.U. M <br />EVAPORATIVECOOLERS <br />CLOTMES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIfiEPLACE 8 CHIMNEV <br />FIREPLACEINSEPT <br />HEAT PUMP <br />GAS PIPING <br />' ' � <br />:XHnUSTFAN - <br />u res ❑ No <br />NO.OFpWELLINGUNRS BUILDING <br />PLUMBING <br />MA%. pCC. LOAD <br />rocissvnrvceev <br />L.C. <br />sua rarrtr • �-- S <br />P–Efl–�–•� uc.p � . �C�— <br />YOTAtFEE" ' <br />NUMBER FEE� ''+ �p IPTNO. <br />H0002b0�9 <br />i <br />EES U 10 FEE <br />5171-5 5217i.5a' <br />MECHANICAL <br />INVESTIGATION FCE <br />S7ATE BUILDING SURCHAFG <br />STATEENERGVSURCHARGE <br />DRIVEWAV P[FMIT <br />FEE <br />DFT.20 b7�.13 <br />1 S 1 . .� <br />nF• `^� P°� ., S •' <br />b00017698 1 50 <br />G�M1""'LFY— �.J <br />�1' �� <br />SEWEh � .50 <br />TOTAL I P`4F'('NV 2Ii �� <br />PEflMIT VALIDATION �y(�+�(�'��(� ,� <br />WHEN PROPERLY VALIDAIED �IN TH5'5PA'CEf ��S IS VOUR PEFMIT <br />S�WER B�.SG <br />C4rCf; 4,77! � . : _. <br />lJJC ";i �:; I�!; � <br />1�50 <br />