Laserfiche WebLink
`heE° �t'�NSTRUCTION <br />CITY OFF ' <br />everett PERMIT PERMIT NO. 1 8 7 c 2 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION [$ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER (JAIL ADDRESS CITY ZIP PHONE <br />David Jacober 10324 56th SE Snohomish 353-3535 334-5518 <br />OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />CITY 21P PHONE LICENSEE <br />GENERAL CONTRACT OR MAIL ADDRESS <br />Owner <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br />PLUMBING CONTRACTOR MAILADDRESS CITY ZIP PHONE LICENSE E <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION [8 REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />'ALUATION OF WORK <br />$ 12,000 <br />VRepairing foundation and modification to roof structure <br />HEAT SOURCE M — Fl wnnincTnUF n OTHER <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />gifsai Residence <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL OESCRIFTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT — BLOCK _ OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE Of CONSTRIL I . <br />SIG EOF CONTACTOR, THORIZEO AGENT, WIN R DATE }7 <br />X (> f3 ��` o <br />JOB ADDRESS <br />2905 Leonard St. <br />PLUMBING <br />MECHANICAL _ <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET( <br />A/C - A/HNDLG UNITS - H.P. <br />REFRIGERATION UNITS - H.P. EA. <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />BOILERS - B T. U'H.R <br />GAS FIRED A C. UNITS — B.T.U. <br />SHOWER <br />FORCED AIR SYSTEMS — B T.U. M EA, <br />KITCHEN SINK & DISP. <br />WALL HEATERS—B.T.U. M <br />DISHWASHER <br />HEATERS—B.T.U. M <br />LAUNDRYTRAY <br />UNIT <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />URINAL <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR, ETC)) <br />METAL FIREPLACE 8 CHIMNEY <br />— <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />S <br />SUBTOTAL <br />_ <br />PERMIT <br />5 <br />PERMIT <br />TOTALFEE <br />$ <br />TOTALFEE <br />S <br />FRONT SETBACK <br />REARSETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />87/18792 <br />USEZONE <br />LOT AREA <br />VACANT $$A�TE <br />AND <br />FEES <br />VALUATION <br />FEE <br />OYES <br />BUILDING <br />�j�7j2pA00. <br />135 <br />00 <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDO <br />NO. OF STORIE. <br />MAX. OCC. LOAD <br />MECHANICAL <br />Plan <br />he<*.Fibafe) '" <br />- ` 87 <br />75 <br />tXX50D0b00&.W <br />STATE BUILDING SURCHARGE <br />NEC)( Y,` <br />3 50 <br />FIRE SPRINKLERS REQUIRED C1 YES 0 NO <br />STATE ENERGY SURCHARGE <br />APPLICAT'IONACC.BY' <br />PLANS CMECNED BY <br />APPR. FOR ISSUANCEBY <br />DRIVEWAY PERMIT <br />TOTAL <br />226125 <br />N M.M. <br />Be <br />L.C. <br />PERMIT VALIDATION <br />T <br />WHEN PROPSRLY VALIDATED (IN THIS SPACE) THIS IS YOUR PER CV <br />rn <br />ti <br />00 <br />V— <br />ADDRESS FILL <br />