Laserfiche WebLink
� <br /> , , ,_,�,.,�.,� r"�I�S'��UC'��ON <br /> ��T�oF <br /> e�erett P ERM IT <br /> cirv ii�u zss-aras PERMIT NO. O 9 H 5 6 <br /> eveaerT vu ��azo� ❑ COMBINATION ❑ BUILDING xJ� MECHANICAL ❑ PLUMBING <br /> car;`a �•F��nooaess cnv z�v cHONe <br /> C. M. BEIREIS 2118 JACKSOIV EVERETT 98203 353-4468 <br /> „r,aurecr oa oe=�cNeA rnna nooaess arv <br /> 21P PMONE <br /> G!aJF%�AL CONiRACiuR MAi�qDORE55 CIiY <br /> Z�P PHONE LICENSk � <br /> IAECHnNiCA�CONiRACiOR MAIL ADDRE55 QiY <br /> OWNER Z�P PHONE �ICENSE i <br /> F W!.181NG COHiP.ACTOR f IAIL ApDRES$ CITV <br /> Z�P PH01iE �ICEfJS[r <br /> ClA'SE OF\YORN <br /> C�NEW ❑ADD�TION ❑ALTEPATION ❑pEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VFLUAiION OF WOFK <br /> b <br /> D FRIOE WORK <br /> �treplace insert <br /> rnorosEo use oF em�oiNc — <br /> Residence <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �ecuoescaiarior+oFaaoaearrisnowse�owoannncr,Fouacoaies� PLICATION AND KNOW 7HE SAME TO BE TRUE AND CORRECT <br /> ALL PROVISiONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or__oia�oF TYpE OF WORK WILL BE COMPLICG l'JITH WHETHER SPEGPIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUIvfE TO GNE AUTHORITY TO VIOLAT[^?CANCEL THE PRO� <br /> VISiONS JF qNY OTHER STP,TE OR LOGAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> �I��pE�ACK$ON, EVERETT sicnnTuaeoFcour c�oaonao��¢Eoao�r pqii <br /> X 10/1 /�i <br /> PLUMBING MECHANICAL <br /> NO. TYP'c OF FIXTUR[OR ITEM FEE NO. TYPE OF EOUIPMEN7 FEE <br /> WATER CLOSET(TOILET! AIR COND.UNITS—HP.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> IAVATORY(IYASH BASIN� BOIlERS—H.R EA. <br /> SHOWER GAS FlR'eD A.C. UNITS—TONNAGE EA. <br /> _ KITCHEN SINK 8 DISR FORCED AIR SYSTEMS—6.T.U. M EA. <br /> DISH WASHER <br /> N/ALL HEATERS—B.T.LL M <br /> LAUNDRY TFAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATWECOOLER;i <br /> VlA7EF HEATER CLOTHES UFYERS <br /> UPINAL VENTILA�ION FAN <br /> DRINKING FpUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— QF.M. <br /> VACUUM BREAKEPS STOVE <br /> ROOF DRAINS—RAINLEADEflS AfETAL FlREPLACE 8 CMIMNEV <br /> SINK�SERVICE—BAR,ETC.I . Q^'l�_�� � <br /> -._Ya o <br /> SUBTOTAL <br /> SUB 70TAL S <br /> PERMIT S _ PENMIT S �O OO <br /> TOTAL FEE 5 TOTAL FEE S <br /> SIUE YARD SETBACK STREET SETBACK REAR VARD SETBACH PLAN CHECK NUMBER PLAIJ CNECK PEE <br /> FEE RECEIPT NO <br /> USE ZONE LOT ARC' VACANT SITE <br /> ❑YES ❑NO FEES VALUAiION FEE <br /> TYPE OF CpNST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> SIZE OF BLDG. NO.OF STURIES MAX.OCC.LOAD BUILDING � <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLEFS _ <br /> REOUIRED MECHANICAI. <br /> ilVES I.-�NO �� <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST <br /> PENALTV I U.BC <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIFE HYDPANT TOTAL 1 7 50 <br /> A. FIRE PROTECiION SYSTEM PEqM1T VALIDATION <br /> 5. GPADING P�HEN PFOPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PEPMIT <br /> 6. DRAINAGE (D <br /> 7. ENVIRONMcNTAL IMPACT STATEMENT � � i i. , ---�'� <br /> 8. HEALTH DIST^':T � <br /> APPLICATION ACC.BY PLqNS CHECKED BY APPR.FOR ISSUANCE 8Y O <br /> � <br /> I <br /> �DDR�;S i=1LC <br />