Laserfiche WebLink
r <br />n <br />L <br />( <br />�heL'�•C'¢`r�en ;.� �. C7NSTRUCTION --� -- <br />everett _ PERMIT PERMIT NO. 14099 <br />CI7V NALL 259�B7a5 <br />EVERETT, WA 98201 � COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />OWNER MAILADDRESS LITY 21P PHONE <br />f,AIIFRY R SONS 9Q07 HFWITT FVFRFTT IJA 9R201 759-5QC5 _ <br />�NGMITELT OR DESIGNER MAIL ADONE55 GTY 21P PMONE <br />GENERRLCONTRALTOR MAIL�ODRESS dTY ZIP PHONE UGENSEI <br />SAMF <br />MECMANICAL CONTRACTOF MAIL ApDRE55 CITV ZIP PHONE LICENSE • <br />PLUMBING CONTR�CTOP MAIL ADDRESS GITY ZIP PMONE LICENSE 11 <br />❑ NEW ❑ ADDITION ❑ qLTEHATION O REPAIR ❑ DEMOLITION ❑ FENCE O SIGN IX WOOD STOVE/FIREPLACE INSERT <br />f <br />l0T _ BIOLK _OF <br />v�uMeiHa <br />NO. TYPE OF FI%TURE OR <br />WA7ER CLOSET (tOILET) <br />BATHTUB <br />LAVATORY ryJASM BASIN� <br />SHOWER <br />KITGHEN SINN 6 DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTMES WASHER <br />WA7ER NEATER <br />UHINAL <br />DNINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF �RAINS — RAINLEADfRS <br />SINK (SEHVICE — BAR, ETC.) <br />PERMIT <br />TOTALFEE <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAiNA�E <br />7.ENVIRONMENTALIMPACTSTAT <br />e. HEALTH DISTRICT <br />BY <br />f <br />f <br />f <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />COP16'' CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRE3UME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORIdAW£E OF CONSTRUCTION. <br />SIGNATUq%6�NUACTOR �R AUTypM�EO PGENT DATE <br />SETBACK <br />YES .:NO <br />❑YES <br />UATE <br />AIR COND. UNI7S - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIREO A.C. UNITS - 70NNAGE EA. <br />FORCED AIR SVSTEMS - B.7.U. M E�. <br />WALL HEATERS - B.7.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLEfiS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE 8 CMIMNEY <br />FIREPLACEINSEHT <br />MEAT PUMP <br />TOTAL <br />FEE <br />CHECK NUMBER � <br />FEE <br />FEES VALUqTION <br />BUILDING <br />PIUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />S <br />f � <br />f j <br />f <br />CHECK FEE <br />RECEIPT NO. <br />FEE <br />WHEN PROPERLY VALIDATE� (IN 7HIS SpACE) THIS �S XO}�R7PEAMIT ,!"j') <br />, : . ��� .. .�� I I. .� �'� —�^ 1 <br />� <br />�' <br />.. � �i���"� <br />• 1 <br />ADDRESS FILE <br />. � •...� U'i <br />� <br />