Laserfiche WebLink
7hcErcrtvOF � �jONV 1,\V V■ lO, 1 <br />everett p��M�T PERMIT NO. �475� <br />CITY HALL 259�B7d5 <br />EVERETT, V!A 98201 ❑ COMBINATION ❑ BUILDING �[ MECHANICAL ❑ PLUMBING <br />OWNER MAIL AOORE55 CITY 21P PNONE <br />Truman Olsen 3903 High Street Everett 98201 <br />AFCHITEGT OR DESIGNEfl MAIL ADDRESS CITY ZIP PHONE <br />GENERALCONTRAGTOR NRILAD�RE55 CRY ZIP PHONE LILENSER <br />MECMANICAL CONTRACTOR MAIL A��RE55 CITY ZIP PH018 LICENSE � <br />Natural Gas Equipmer,t 1625 East Marine View Drive Everett 98201 256-2441 <br />P�UMBING CONTRACTOR . MAIL AODRE55 CITY ZIP PHONE LICENSE II <br />❑ NEW ❑ ADDITION ❑ AL7ERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD S70VE/FIREPLACE INSERT <br />VALUATION <br />S <br />LOT_BLOCK_OF <br />Street <br />PLUMBINfi <br />TYPE OF FIXTURE OR <br />WATER CLOSET (TOILET) <br />BATHTUB <br />SHOWEF <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNORVTPAV <br />CL07HES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINKISFPVICF — HAR FTCI <br />BLDG, <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />NO. OF S70RIES <br />BASEM <br />11PPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />d. FIRE PROTEC710N SYSiEM <br />5. GRAO W G <br />6. DRAINAGE <br />7.ENVIRONMENTAIIMPAC7STATEMENT <br />8. HEALTH OISTRICT <br />� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TC BE TRUE AND <br />ORARACHFOIIRCOPIES� 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 PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNp T� RE OF CONTRA�TOR OR AUTHORIZE� AGENT DaTE <br />Y f'`(�-� �i �,_ Qnc I,ir., �n 4/25/85 <br />FEE <br />i <br />S <br />f <br />VACANT SITE <br />YES .NO <br />MA%.00C.LOAD <br />MECHANICAL <br />AIR COND. UNITS — H.P. EA. <br />REFRIGEFATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U.75 N� EA_ <br />WALL HEATERS — B.7,U. M <br />UNI7 HEA7ERS — B.T.U. M <br />EVAPORA7IVE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — W000 <br />METAL FIREPLACE d CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TO7AL S <br />PERMIT S <br />TOTAL FEE f <br />( NUMBER PLAN C <br />FEE <br />FEES VALUaT10N <br />BUILDING _,- <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />F] <br />1�I <br />RECEIPT N0. <br />FEE <br />20 � 50 <br />TOTAL I I ZO I SO <br />PENMIT VALIDATION <br />WHEN PROPERLY VALIDATED �IN THIS SPACE4 THIS IS VOUR PEFMIT _;��,� <br />� � .-S.. <br />i -- <br />�;' � <br />��� i <br />ADCRESS 1=1LE <br />.�MM� <br />Z <br />0 <br />-� <br />�. <br />c� <br />m <br />.. .. <br />� � <br />., .� <br />N 2 <br />0 <br />m <br />co <br />m o <br />t'� <br />� C <br />O 3 <br />m <br />�z <br />S —I <br />m <br />� <br />.O Z <br />n -i <br />rx <br />... .. <br />—1 N <br />1 <br />T <br />O A <br />T 9 <br />i <br />-i m <br />x <br />m �-+ <br />N <br />� <br />o r <br />c� m <br />C N <br />� N <br />m <br />Z C') <br />�r <br />• m <br />D <br />A <br />--1 <br />2 <br />D <br />2 <br />� <br />S <br />N <br />Z <br />O <br />� <br />("f <br />m <br />