Laserfiche WebLink
!he Ll�rr,�rren <br /> � ,,�� ^ONSTRU�YIIa {�' <br /> everett p�R� OT PERMiT N0. 131O1� <br /> CITY HALL 259�87d5 <br /> EVERETT.VJA98207 ❑ COMBINATION ❑ BUILDIMG X�XI MECHAt�11CAL ❑ PLUMBING <br /> OWNER MAILApORE55 CITV 21P PMONE <br /> MIKE SEARLES 127 E INTERCITY EVERETT WA 98204 353-0186 <br /> FRGNIiECT Of10[SiGNER fAAiL AppRE55 CiTY Z�F PMO�IE <br /> GENERAL GONiHACTOR MAIL ADORE55 QTY ZIP PnONE LICENSE� <br /> Same <br /> MECHANICAL GONTRACTOR MAIL PpORESS CITY 21P PHONE �IGENSE N <br /> PWMdINGGONTRACiOR 1dAILADORE55 GIiY ZIP PMONE LICENSE+ <br /> CtASS OF WORN <br /> �NEW O ADOITION ❑ 4LTERAfION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WO00 STOVFIFIREPLACE INSERT <br /> VALUATION OF WOPN <br /> S <br /> DESCRIBE WORK <br /> Install fireplace insert _ � <br /> PiOPOSED USE OF BUILOiNG <br /> Resi dence I HEREBY CtRTIFY THAT I HAVE READ AND EXAMINED THIS <br /> H <br /> — APPLICATI�JN AND KNOW THE SAME TO BE TRUE P.ND � <br /> ��cn�oesceianor+oFvaoPeRrr�sHowe�ioa�oannncHFouacociEs; CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOi_BLOCN__OF GOVERh�ING THIS TYPE OF WORK WILL BE COMPLlED WITH <br /> - W4ETHER SPF.GFIED HEREIN OR NOl'.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> � OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE �"� '"' <br /> PERFORMANCF OF CONSTRUCTION. y � <br /> J06 ADDRESS SIGNNiURE 0 CONTBRCTOB OR AIITNORIZED AGE �ATE ~ � <br /> N <br /> 127 E. Intercity X '� 3/13/84 � Q4 <br /> PLUMBING MECHANICAL � <br /> k0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE � <br /> WATERCLOSET(TOILEn AIR COIJD.UNITS— H.P. EA. y <br /> B4THTU0 REFRIGFRATION UNITS—H.P. EA. �� � <br /> LAVATOflY�WASH BASIN� BOILEFS— H.P.EA. 1 � z <br /> $MOWER GNS FIRED A.G U�IITS—TONNAGE EA. bF <br /> KITCHEN SINK&DISP. � FORCED AIR SYST[MS— B.T.U. M EA. H � <br /> DI511'.NASHER WALL HEATEPS— B.T.U. M K <br /> �r <br /> LAUNDRYTRAY UNIT HEATEPS— 9.T.U. M O �I <br /> CIOTHES WASHER EVAPORATIVE COJLEHS y 3 <br /> WATER HEATER CLOTHES DRYERS S �*, <br /> C+] H <br /> URINAL � VENTILATION FAN Ql <br /> DFINKING FOUNTAIN P.ANGE HOOD r(x7 <br /> fLOOF DRAIN AIH HANULING UNIT— C.F.M. ' N <br /> V,4CUUM BREAKERS STOVE—VlOOD (((��� <br /> _ fl00F DRAINS— RAINLEA�ERS METAL FI�VEPLACE 8 CHIMNEY � <br /> SINK�SERVICE — BAR,ETC.) FIRtPLC.CE INSERT <br /> HEAT PUMP <br /> _ a <br /> � <br /> N <br /> _ SUB TOTAL i SIIB TOTAL S � SO N <br /> PENMIT b PERMIT 5 �G OO <br /> TOTAL FfE S TOTAL FEE f ] 5O <br /> SIDE YARD SETBACK STHEET SETBACK REAft YARO 3ETBACK PIAN CHECK NUMBER PLAN CHECK FEE n <br /> FEE RECEIPT NO. [� <br /> USE?ONE LOT AREA VAC ANT SITE <br /> '. .YES :.NO FEES VALUATION FEE <br /> TYPE OF CONS'. OCCUPANCY GROUP IIO.OF OWELI.I�G UNIiS <br /> _ BUILDING f <br /> SIZE OF BLDG. NO. OF STORIES AIA%.OCC LtiFC --- <br /> PLUMBING <br /> FIREZONE BASEMENT pcOUSRED KLEBS MECHANICAL ` �] �O <br /> VES NO <br /> APPROVALS IIY DhTE OTHER <br /> 1. ENVIflONMEN?AL CHECK LIST pENALTY U.B C. <br /> --- SEC.307�a) <br /> 2.BUILDING PLANS — -- — <br /> 9.FIREHYDRPNT TOTAL �� 5O <br /> 4.F!RE PROTECTION SYSTEM PENMIT VRLIDATION <br /> 5.GRADING _ WHEN PROPERLV VALIDATED QP;THIS�SPACE�THIS hS YIOI��E�1.�T_�j, <br /> 6.DRAINAGE I (J �! <br /> 7.ENVIRONMFNTAL IMPACT STATEMENT M <br /> 8.HEALTH DISTRIPT ' . �- . . .. '+�� <br /> APPLICATION ACC BY PLANS�:MECKED BV APPF,. FOR ISSIIANG°CY ' - <br /> ` <br /> ACI`.�<CS��.. I�ili . � . . <br />