Laserfiche WebLink
thr Ecrrvrren <br />�verett �QNSTRUCTIOP� <br />PERnIIIT PERMIT N0. �-5��� <br />CIT1' MALL 25987d5 <br />eveRe�T,wn9ezo, � COMBINATIO;� � BUILDING �j �i�ECHANICAL ❑ PLUMBING <br />OWNER IAPILADORE55 GITY ZIP PMOUE <br />Craig Heerschap 831� ?.owell Larimer Road Everett 98204 355-8704 <br />ARLHIiEGi OR �ESiGNER MAIL AOORES$ QTV Z!P PMONE <br />GENEnPL GONiRAf,TOF MAIL ADDRE55 CITY 21P PMONE �ICENSE M <br />Same <br />MECNANICAL CONiFAGTOR MAIL ADORE55 CITY ZIP PMONE LICENSE X <br />PLUMbIRG CONiFALTOP MAIL ApDRF55 GITY 21P GHONE LICENSE • <br />❑ NEW ❑ A001'iION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVEIPIREPLACE INSHRT <br />s 650.00 <br />�ESCRIBE WORN <br />Installation oi wood stove <br />PFqPWED USE OF BUILD�NG <br />single family residence <br />LOT_BLOCK_ _OF <br />JOB ADDPE55 <br />8314 Luwell Larimer Road <br />PLUMBING <br />N0. T\'PE OF FI%TURE <br />WATER CLOSET (TOILEn <br />FJATHTUd <br />�WASH �ASIN� <br />SMOW'cR <br />KITChEN SINI:B DISP. <br />DISHNASHER <br />LAUNDRYTRAY <br />CLOTHESVJASHER <br />W/�TER HEATER <br />UN�AAL <br />CRWKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />POCF DRAINS — RAINLEADEFS <br />SINK �SEFVICE — BHR, ETC.) <br />� SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />SIDE VARD SETBACK STREEf SETBACK <br />L SE 20NE LOi AREA <br />TYPE OP CONST. OCCUPANCV GROUP <br />SIZE OF BLOG. NO. Of S70RIES <br />FIRE ZONE BASEMENT <br />APPflOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />b <br />2. BUIIDING PLANS W <br />3. FIPE HYORANT L <br />4. FIRE PRO7ECTION SYSTE <br />K�GFADING � �' � <br />'�GI DRAINA6E � " �� <br />�}1.ENVIRONb1ENTALIh1PA TATEMENT <br />. NEALTH DISTRt�T <br />�! PPLICALON ACC. BY , P'�.ANS CHECKED BY <br />��'. <br />� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION ANO KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHEH SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGU ATING CONSTRUCTION OR THE <br />PERFOAM � OF NSTRUCTION. <br />SIGN ��E OF N AGTO IAUTMORIZED PGEIIT DPTE <br />X � y�2%�85 <br />� <br />MECFFANICAL <br />FFE N0. TYPE OF E�UIPMEN <br />AIR COND. UNITS — H.F. EA. <br />REFfl13ERATION UNITS — H.P. EA. <br />BOILEflS — H.P. EA. <br />GAS FIRE� A.C. UNITS — TONNAGE EA. <br />FORCED AIR 51'STEMS — B.T.U. M EA. <br />VJALL HEA7ERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE CG^�.ERS <br />CLO�HES DR�Cr75 <br />VENTILAT'JN FAN <br />FANC�HOOD <br />PIR HANOLING UNIT — C.F.M. <br />1 STOVE — WOOD <br />METAL FIHEPLACE & CHIMNEY <br />FIREPLACEINSERT <br />HEAT PU1dP <br />� <br />S <br />S <br />IEAR VARD S <br />'ACANT SITE <br />YES NO <br />IO.OF OWEL <br />1AX. OCG LC <br />� SUB TOTAL f ] <br />` PERMIT _ S <br />I TOTAL FEE 5 � <br />CNE:K NUMOER PLAN CHECN FEE <br />FEE I RECEIPT NO. <br />FEES I �ALUATION � FEE <br />BUILDING $ ].B OO <br />PLUMBING <br />MECHANICAL i SO <br />OTHER <br />PENALTY U.B C. <br />SEC. 303 Ia1 <br />TOTAL I 20 ISO <br />PERMIT VALIUATION <br />WMEN PROPEflLY VALIDATED (IN TFiIS SPACE) THIS IS YOUR PERMIT CJ <br />3349 $C � 3.00 - `� <br />_ 1'', <br />ISSUANCE BY � '�% f� 1\ C� 1- �;' I <br />� '.,": . '" !1 <br />