Laserfiche WebLink
�� <br />everett <br />259-8745 <br />�-3D-E � <br />�` ('�7NSTRUCTlON `� � � qp qC <br />PERMIT PERMIT NQ: _ I o� I`� <br />❑ DEMOLITION � COMBINATION '�1 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />ONRJER MAIL AOORE55 CItY ZIP �110NE <br />A.W. Kelley 2516 Hil?side Lane Everett, WA 98203 355-9755 <br />RRLHITECT OR DESIGNER MAIL AODRESS LItV 21P PMONE <br />GENEP�IGONTRAGTOR MRIIADORESS CITV ZIP PHONE UCENSE� <br />Monna han Bros. Inc. 15315 Utley Rd. Snohomish 98290 334-7608 MONNAB1168MI <br />MECHANICAICONiRACTOR MAILAD�PESS CITY ZIP PHONE UCENS_� <br />PLUMBING CONTRRCTON MAIL NDD�E55 QTY 21P PNONE UCENSE / <br />❑ NEW V � ADDITION ❑ ALTERATION ❑ REPAIH <br />��LU�TION OF WORN <br />i %800. <br />OESCRIBE WORH <br />Add to den by approx 144 sf <br />MEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />Single family residence <br />ior 1 eiocK _2 <br />Seaview Heights Addition <br />ui west half of Lot 1 <br />2516 Hillside Lane <br />PLUMBING <br />TYPE OF FIXT� <br />WATER CLOSET (TOILET� <br />BATHTUB <br />LAVATORV(WASH BASIN) <br />SHOWER <br />KITCHEN SINN 6 DISP. <br />TFnV <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKiLOW PREVENTE <br />ROOF DRA�NS — RAINI <br />SINK (SERVICE — BAR. <br />25' <br />R-S <br />TYVE OF GON <br />V-N <br />SIZE OF PIOG <br />169 sf addn. <br />❑ DEMOLITION <br />❑ OTHEH <br />❑ BUILOING REIOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERN{NG 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 <br />VIOLATE OR CA�CEL THE PROVISIONS OF ANY OTHER <br />STATE OA LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERF RMANCE OF ONSTRUCTION. <br />SIGNATU�E ONiRACTOR. A IIORIZED AGENT, OF OWNEP � � <br />X a <br />MECHANICAL <br />OR ITEM FEE NO. TYPE OF EOUIPMEN7 <br />A/C - A/HNDLG UNRS - H.P. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - B.T.UIHP. <br />GAS FIRED A�C. UNITS - B.T.U. <br />FORCED AIR SVSTEMS - B.T.U. M EA. <br />WpLL HEATERS - B T.U. M <br />UNITHEATERS-BTU. M <br />EVAPORATIVE COOLERS <br />CLOTNESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER MEATER • <br />�5 WOODSTOVE <br />METAL FIREPLACE d CHIMNEY <br />FIREPLACE�NSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />iEARSETBRCN <br />25' <br />.aT nnEn <br />1118�� <br />OCCUVRNLVGA <br />R-3 <br />NO OF STORIES <br />1 <br />SH I BE <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />�cK PLAN CHECK NUMBER FEE <br />'7� 87/18415 64.35 <br />yq�ANT S11E <br />❑ YES CE NO <br />NOAF OWELLW� <br />1 <br />MA% OCC lOAO <br />NA <br />ror+ issunNce or <br />8�¢x6 L.C. <br />FEES <br />BUILOING <br />PLUMBING <br />MECHANICAL <br />INVESTIGA710N FEE <br />STATE BUILDING SURCHARG <br />STATE ENERGV SUtiCHARGE <br />DRIVEWAY PERMIT <br />� <br />B Sdc�.�b4(el 9�'�.Jtl <br />snds 9oazs <br />TOTAL � I <br />PERMIT V�LIDRTION <br />WHEN PROPERLV VAIIDATED (IN THIS SPACE) THIS IS YOl1R PERMIT <br />�1�lUll[�:•:� �'I'. C <br />3 <br />102� 50 <br />