Laserfiche WebLink
!he !`�'erqrern <br />�verett � , � � 0 ��J �'T R U C T I G� ���� �...� <br />p�RMIiT P�RMIT N�J. 2557q <br />CITV HALI.2E9-P7d5 <br />eveaerr.waaeso, � COMIBINA'tION �� BUILDING �; MECHANICAL UC� PLUMBING <br />OYINcR MAII ADDPE55 GiTY ZIP PMGNE <br />tfarmon & Associates P.O. Box 1179 Stanwood 98292 629-4536 <br />f9CHItEGi OP �ESIGNEN �AAI: AppRE55 CITY tia PH���t <br />GEIiERAL f,ONTRFCIOR MAIL FDDRESS GITY ZIP PHONE LILENSE X <br />Same PHILEH174Q9 <br />fdEGHFNICAL CONTRRCiOR MAIL AOURESS CITY ZIP PNONE UCENSE X <br />P:.UMBING CONTRACTOR `d/IL AOOFESS GITY ZIP PHONE 4CENSE � <br />O NEW �DDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITIOiJ ❑ FENCE ❑ SIGN O WOOD STOVEIFIREPLACE INSERT <br />S .Q�����.�Q , — <br />DESCRIDE lY'JRN <br />Const�uct 1260 Sq. Ft. Additi.on <br />PROPOSED 115E JF 9UILJING <br />Office <br />LEti�l OESCNIPTION OF PROPERTY �SMONJ BELOW OR AT�AC�� FOUR COPIES� <br />�or a e�ocr._22 oF South Park Addition <br />JOB NDORE55 <br />4202 Hoyt <br />PLUMBING <br />NO. TYf�E OF FIXTU <br />2 WATERCLOSET�TOILET) <br />BATHTUB <br />2 LAVATOFY�WASH BASIN) <br />SMOWER <br />KITCHEN SINK 8 <br />LAUND.`iVTR4Y <br />CLO7HES wASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DP.AINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMI7 <br />TOiAL FEE <br />SETBACK STFF.ET SETBA� <br />LOT ARE.4 <br />B-2 <br />V-N I <br />SIZE OF BLDG. NO. Of <br />260 Sq. Ft. <br />FIRE ZONE BASEh <br />APPflOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />—�— <br />2. BU'LDING PLANS . � <br />3. fIHE HVDHAIJT o <br />d.FIPEPROTECTIONS—� Y�T.� <br />B-2 <br />� <br />5.GRPDING <br />L---- <br />6.CRAIYAGE - <br />�7.ENVIRONMENTALIMPACT�STATEMENT <br />cB. HEALTM DISTRICT <br />pAPPLICA710N ACC. BY _�PLANS CHECKED BY <br />�_ _ Jer <br />FEE <br />S lZ <br />5 ` <br />s li <br />REAR YARD SeTE <br />VACANT SITE <br />YES XXJO <br />NO. OF DWELLIN <br />0 <br />MA%.00C.LO�.O <br />iz <br />FIRE S�r7�vKLER'� <br />REOUiGen <br />:YcS NO <br />ISSUANCE BY <br />i HEREBY CERTIFY THAT I HAVE P.E.U? AVD FXAM�NcD THIS <br />APPLICATION AND KNO�N THE Si+�vle ��O BE TRUE AND <br />CORRECT. ',LL PROVISIONS OF LAWS ANL) ORDINANGES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NnT. THE GRANTING OF A <br />PERMIT DOES NOT pRESUME TO GIVE AUTHOaITY TO VIOLATc <br />OR CANCEL THE PROVISIONS OF ANY OTH[R STATE OH <br />LOC� LAW��tULATIN1 � STRUC� N�OR THE <br />PERF MANCE CONST U -ON. <br />SIGN `OLF CO/�JT /� 12EO A NT DATE <br />Y /L%�,/ %A , I ' �IL/� riln .�ii . 2/�/ <br />NO. TYPE OF EOUIPMENT <br />AIR COND. 11NITS — H.P. EA. <br />REFflIGERATION UNITS — H.P. EA. <br />BOILEHS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORC[U AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.7.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPOPATIVE COOLERS <br />CLOTNES DRYEfiS <br />VE'�TILATION FAN <br />pA'IGE HO00 <br />AIF HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHI�dNEV <br />FIREPLACEINSEflT <br />HEAT PUMP <br />PLAN CI:ECK M <br />P,5/15579 <br />HUILDING <br />PLUMB�NG <br />AIECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />SUB 70TAL <br />PEHMIT <br />TOTAL FEE <br />FEE154.70 <br />VALUATION <br />sq0,000 <br />ree <br />5 3 00 <br />S <br />s 3 00 <br />CHECK FEE y <br />RECEIPT NO. <br />80920 <br />FEE <br />21t3 00 <br />ii o0 <br />i <br />3 I 00 <br />I SEC. 3091a) <br />r� 233 00 <br />r� <br />—'"_ ._) <br />IIDATED �1N TMIS SFACE) THIS IS VOUfl PEflMIT <br />E;02 C��u.00-'1 <br />� <br />... `�� _, �.. <br />_ �,!i`��� <br />aooRess r��� <br />'r"..',:!; �:i:C�!; ; <br />� � ,, ,. „ <br />; i . ,i.�:, Y � : <br />