Laserfiche WebLink
� <br />� <br />0 <br />lheEveCrgreOF '- Co,`'STR�CTIO�V ' � <br />everett PERMIT PERMIT N0. O79Z7 <br />CiTV NALL 259�8745 <br />EVERETT. WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIIPODRE55 GITY ZIP PMONE <br />John Ford 1203 Madrona 98203 252-9154 <br />FHCHITECTOROESIGNER MAILAODRE55 CIiY ZIP PHONE <br />GENEFAL fANTRACTOR MAIL ApOflE55 CITY 21P PHONE LICENSE I <br />Cascade Mill•aor.k 4716 College 98203 258-31'71 <br />MECMBNiGAL CJNTRACTOR MNII A�UFE65 C17Y ZIP F'NONE LICENSE � <br />CA SC AM *226MB <br />P4UMBINGCANTPAGTOR MAILNOORESS CITY ZIP PNONE LIGENSE� <br />�SS OF WORK <br />❑NEW <br />.UATION O�F yWORK <br />S C4� 10, <br />iCRIBE WONK <br />C�ADL`ITIOfl Si:��TERATION ❑RfPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />remodel <br />3�A Maple Heights <br />LOT__BIOCK_OF <br />1203 Madrona <br />PLUMBINO <br />NO. TYPE OP <br />LAUNDRYTRAY <br />CLOTHES WASHEI <br />WATER HEATER <br />URINnL <br />DRINKING FOUNT <br />FLGOR DRAIN <br />VACUUM BREANE <br />ROOF DRAINS — <br />SINK fSERVICE — <br />USE <br />TYPE <br />STREET <br />LOT AREA <br />� <br />1. 'ENVIRONMENfAL CHECK LIST <br />2. BUII.DING PLAN:' � _ <br />3. FIRE HYDRANT tN <br />4. FIRE PFT�STEGTION 5 STEM <br />5. Gq4DIN¢' <br />6. DIiAINP�.E p <br />Z ENYI(ip�.AENTALR�4CT S7AlEMENT <br />rs - <br />8. H[ALTRDISiRICP <br />OR <br />�kI6ATti�J ACC. (Yb PLANS CHECKED BV <br />LI <br />C � I <br />and kitchen area <br />REAR VARD SETBA <br />VAC.4NT SITE <br />❑YES ❑NO <br />NO. OF DWELLING <br />MAX.00C.LOAD <br />APPR.FORISSUA4CE BV <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THt SAME TQ BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNINCa THIS <br />TYPE OF WORK WILL BE COMP�IED WITH WHETHER SPECIFIED <br />HEREIN OR N07. THE GRANTING OF A PERNIT DOES NOT <br />Pk�SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION CR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CANiRAGTOR OR AGENT �/tE <br />., '7/ A %�i,..,/T_ 7/11/80 <br />TYPE OF EOUIPMENT <br />AIR c:(i'JD. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BOILERS — N.P. EA. <br />GAS FIFED A.C. UNITS — TONNAGE EA. <br />FOPCED AIR SVSTEMS — B.T.U. M EA. <br />WALL HCFTERS — B T.LL M <br />UNITHEATEflS—BT.U. M <br />EVAPORATIVE COOLERS <br />CLO7HE5 DRYERS <br />VFNTII ATION FAN <br />AIP HANDLING UNIT — <br />GF <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />CHECK NUMBER Pt <br />FEE <br />FEES VIILUAT <br />BUILDING <br />N <br />fOTAI <br />� 10.000. <br />U.B.C. <br />SEG. 303 <br />FECEIPT NO. <br />56 00 <br />4 �� <br />�t��J�ry,'I'�AC1ISiREL� i HIS SPACE) THIS IS VOUR PERMIT <br />4634 Ep56.00'--� � <br />U R R�CEIPr � <br />�f/'.P•!K YOU }'(`UR R�CciPT o <br />! ��/il�c'�. �'011 <br />