Laserfiche WebLink
rhe Ecererrer - �-� �� ST R U CT 1 O N <br />C�rv OF � <br />everett � � R M I'� <br />CIiV HALL 259�8745 <br />EVERETT,WA58201 � COMBINATION I� BUILDING ❑ f�iECHANICAL <br />PERMIT NO. -�_J<<SS <br />❑ PLUMBING <br />lAALL ADDPE55 �" � <br />O'JlKER — <br />Joaquin Rabon 6401 Lombard Everett c4A 98203 `347 2650 PMONE <br />FRGHITECT OP. DESIGNER <br />IAAiL AODRE55 <br />_._.. ]iP PMONE LIGENSE • <br />���>' Vr ••v�•.• [�qLTERATION <br />O NEW O ADDITION <br />VFLUATION UF 1YORK <br />S ..�en nn <br />Rerocf house and garage <br />IOT.__ fiLO�K_—.OF <br />� <br />6401 Lombard <br />PLUMBING <br />NO. TYPE 0 <br />WATERCLOSET <br />BATHTUB <br />OR <br />SHU\NER <br />KITCME�: SINK 6 DISP. <br />�ISH\V4SHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />WP.TER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOiORAIN _ <br />VACUUM BREAKERS <br />ROOF DRAIN� -- RAINLEADERS <br />SINK ;SFR\'ICE — BAR, ETC.) _ <br />TOTAL <br />TOTAL FEE <br />NO. <br />t ENVIRONMENT4L CHECK LIST <br />2. BUILDING FLANS _ _ <br />;7, FIRE HYDRANT <br />4. FIRE PROTECTION SVSTEM <br />5. GFADING <br />6. ORAINAGE <br />7.ENVIRONMENTALIMPACTSTA' <br />8. HEALTH DISTRICT <br />naPl ICATION nCC. BY PLF <br />q <br />223-G1 EVEREB 301PH <br />U REPAIP ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEU THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />GOVFRNING TH�STOYPIEIOF WORK WILL BENCOMPDLIcD WITH <br />P RMIH DOES OTIPRESUMETO GIVEOAU HORITY TO V OLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULHTING CONSTRUCTION OR THE <br />PERFOAMANCE OF CONST�UCTION. pATE <br />anr�nT�IAE OF CONTRACTOF OR P�lj+foavey n�eNr <br />%� "\ii�,�_Ll9 �'_� . CL. l' � n o. i.i. . <br />MECHANICAL <br />TYPE OF EOUIPMENT FEE <br />FEE NO. <br />AIR COND. U��ITS — H.R EA. <br />REFRIGERATIOtJ UNITS — H.P. EA. <br />801LER5 — H.P.EA. <br />GpS FIREU AA. UNITS —�OI�NAGE EA. — <br />FORCED AIF SYSTEMS — 0'.U. M EA. <br />YJALL HEATERS — B.LU M <br />UNIT HEATERS — B.T �1. M <br />EVAPORATIVE COOLEFS — <br />CLOTHES DRYERS I - <br />VENTILATION FAN � <br />RANGEHOOD -- <br />AIF HANOLING UtlIT — G.F.M. �_ <br />STOVE — WOOD - <br />METAL FIREPLACE 8 CH�MNEY <br />FIREPLACEINSERf <br />HEAT PUMP _ <br />5 <br />S <br />REAR YARD 5 <br />VACANT SITE <br />!-:YES :.NO <br />MA%. <br />APPfl. <br />SUB7GTAL S <br />PERMI7 S <br />TOTAL FEE S <br />FEE RECEIPT NO. <br />VALUFTION FEE <br />BUILOING 53650 44 50 <br />LOAD <br />PLUMBING <br />JKLERS �,�ECHANICAL <br />NO <br />DATE �THEF <br />U.B.C. <br />PENALTI' SEC. 307 �a) <br />44 50 <br />TOTAL <br />PERMIT�A�IDATION p 17�_�(y <br />WHEN PROPEHLY VALIDATED pN THIS S� �C�) THISl61(O�JR� G�� � <br />� �� �� 4 J <br />� <br />_ �1 <br />' � � ... -...����r-1 <br />.,. ��cnnurc av . 1 I <br />� <br />� <br />C <br />y � <br />H �- <br />U7 ' <br />C <br />C7 <br />CG�7 � <br />i <br />G i. <br />� ' <br />�: <br />C <br />�: <br />r+ ' <br />a � <br />K' <br />O. <br />^] ; <br />� - <br />� r <br />y : <br />� <br />t ' <br />