Laserfiche WebLink
�he Erer,�re^n � <br />everett �! �o�STRUCT��t�� � <br />CITyHFLL259�87d5 PERII�I�T PERMIT NO. 15!1� <br />eeeaeTr, wti sezoi � COMBINATION �' MECHANICAL ❑ pLUMBING <br />� BUILDIN.; <br />owr:ea ��ETH C. BERGE ❑oaess <br />4414 F'f0i'�` EVERETT WA 9820�3�tv 252-668�v Pnor�e <br />NRC4ITECT OR pE51GmER MAIL 4DpRE55 — <br />��TT Z�P PHONE <br />GENEFAL CONiFNGiOR MAIL AODRE55 <br />CITY Z�P pryONE IICENSE e <br />Same <br />Z�P PMONE LICENSE � <br />PLUMBtHG CONTRAQOq IAqIL qDDRESS CITV <br />Z�' PHONE LICENSE M <br />❑ NEW ❑ qDDITION ❑ qLTEflATION �EPAIR O DEMOLITION ❑ FENCE ❑ SIGN �] WOOD STpVBFIqEPLACE INSERT <br />y ......vv <br />DESCPIBE WORK _ <br />Reroof — <br />PLUMBINii <br />N0. TYPE OF FIXTU <br />WATEP CLOSET�TOILET) <br />BHTHTU9 <br />LAVATORV�WASHBASIN) <br />SNOWER <br />_ _ KITCHEN SINK 8 DISP. <br />LAUNDRVTRAY <br />CIOTHES WASHER <br />VJATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF �RAINS — qAINLEADERS <br />_ SINK (SERVICE — BAq, ETG) <br />USE ZONF <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />aPPROVALS <br />1. ENVIRONMENTA� CHECH LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />d. FIRE PROTECTION °YSTEM <br />5. GRADING <br />6.DRAINAGE <br />7.ENVIRONMENTALIMPqCTSTATEMENT <br />P. NEALTH OISTRICT <br />APPUCATION ACC. BV �i �,��5 CHF <br />FEE <br />� <br />5 <br />f <br />REAR VARO SET <br />VACANT SITE <br />�..YES �.�,NO <br />NO. OF DWELLIN <br />MAX.00C.LOAD <br />=1RE SPRINKLER: <br />3EOUIRED <br />VES NO <br />BY OA1 <br />APPR.FOR <br />I HEREBY CER?IFY THAT I HAVE READ AI�ID EXAMINED THIS <br />APPI.ICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL dE COMPLIED WITH <br />1NHETHER SPECIFIED HEFlEI� OR NOT. ;"HE GRANTING OF A <br />PERMIT DOES NOT PRESUME TU GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF .4hY OTHER STATE OF <br />LOC1L LAW REGULATING CONSTAUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />�SIGN �E OF COIJT�/R.g�a�p�`�t�o qIZED AGENi DAtE <br />/� G�y J�r�J— 7/25/AS <br />MECHANICAL � <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS -- H.P. EA. <br />GAS FIRED A.C. UNITS — T04NAGE EA <br />FORCED AIR SYST[MS — U.T.U. M EA. <br />WALL HEATERS — O.T.U. M <br />UNIT HEATEHS — B.7.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RAfJGE HOOD <br />AIR HANDLING UNIi — C.F.M. <br />STOVE — W001' <br />ME7AL FIP.[YLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />FEE <br />FEES VqLUATION <br />S <br />S <br />S <br />ccc <br />RECEIPT NO. <br />FEE <br />�euaoiNc 5 700.00 13 00 <br />PLUM6ING <br />MECHANICAL <br />OTHER <br />PENALTY U.B.C. <br />_ SEC. 307 (61 <br />TO7AL <br />— 1 <br />PENMIT VALIDATION <br />4NHEN PqOPERLV VALIDATED pN THIS SPACE� THIS IS YpJN PERMIT � <br />, , t'i <br />N <br />� <br />� <br />ADD.;; :,�, ; , , <br />