Laserfiche WebLink
� � <br /> fheEvCI�YOF " �� C'nNSTRUCTIOnI - ;-� <br /> PERMIT � <br /> everett PERMIT NO. 08529 <br /> CITY HALL 259�8745 <br /> EVEREIT.WA 98201 ❑ COMSINATION ❑ BUILDIN(3 �MECHANICAL ❑ PLUMBIN(i <br /> OWNER MAILADpRE55 CITT ZIP PHONE <br /> Albert Swinq 1008 Grand <br /> ARCHRECTORDESIGNEfl MAIL?ODRES$ CIiY 21P PHONE <br /> GENENALCONTRf:TOR MAILADDRE55 CIiY ZIP PHONE IICENSEI <br /> MECHANIGL CANTRACTOR MAIL AUDRESS CITY 21P PHONE LICENSE I <br /> Natural Gas Equipment 1611 East Grand 98201 258-2441 <br /> PLUTABING fANTpA�TOR MAIL F�DRE55 LITY ZIP PHONE LICENSE� <br /> CU55 OF WORN <br /> ❑NEW ❑ADDITION ❑ALTERATiON ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAIURTION OF WORK <br /> f <br /> UESCRIBE WOpK <br /> VPOPOSED USE OF BUIIDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEfJ�lDESCRIPTIONOFPROPERTYISNOWBEIOWORnTTACHFOIIRCOPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ioT BLOCK_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRE55 SIGNAi�E 0 �� T01i OF AU ED nGENT DAiE � <br /> 1006 Grand X � <br /> PLUMlINO N � � <br /> NO. T1'PE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE � <br /> ` WATER CLOSET OIIEn AIR CAND.UNIiS–H P.EA. <br /> qAlHTUB REFRI(iERATION UNITS–H.P.EA <br /> U�ATORY ASH BAS�N BOILERS–H.fl FA. <br /> �pyyEp GAS FIRED A.C.UNITS–70NNA�E EA. <br /> KITCHEN S�NK 8 DISP. FORCED AIR SYSTEMS–B.T.U. M EA. <br /> DISNWASMER WALL HEATERS–B.T.U. M <br /> UUNDRY TRAV UNIT HEAT�RS–B.T.U. M <br /> CLOTHES W�SHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> UHINAI VENTILATION FAN <br /> � ; DRINKING FOUNTAIN RANGE H00� - <br /> FLOOR DMIN AIR HANOLING UNIT– C.F.M. <br /> VACUUM BREAKERS STOVE <br /> pOOF OMINS–RAINIEADERS M[TAL FIFEPLACE 8 CHIMNEY <br /> I SINK(SERVICE–BAR.ETC.1 <br /> �I _ <br /> bY�TOTAL SUBTOT�L t <br /> PE11MR t PERMIT • <br /> ', TOTAIFEE i TOTALFEE <br /> SIDE YARD SETBACK STREETSETBACN REAR YARD SEfBACK PLAN CMECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPi N0. <br /> USE ZONE LOT AREA VACAN7 SITE — <br /> ❑YES ❑NO FEES VRLUATION FEE <br /> { 7YPE OF CAHST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> y, -- <br /> � BUILDING E <br /> SIZE OF BLDG. NO.OF STORIES MA%.UCC.LOAD - <br /> PLUMBING <br /> FIRE 20NE EASEMENT R OU RFD KLERS MECHANICAL <br /> �YES ❑NO � SO <br /> MPROVAL8 7Y DATE OTHER ' <br /> t. ENVIRONMENTAL CHECK LIST PENALN U.B.C. <br /> SEC.3J3(a) <br /> 2. BUILDING PLANS <br /> 3. FIRE HVDRANT TOTAL 7 S O <br /> d. FIRE PRUTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PqOPERLY VALIDATED QN THIS SPACE)THIS IS VOUR PERMIT <br /> �� 5. GMDING � I � 6 � O a 1. 5 O — � <br /> 6. DRAINAGE (V <br /> 7. ENVIRONMENTALIMF?.�TSTATEMENT Ln <br /> B. HEALTH DISTRICT ',' :� '1 R R�C E l PT o <br /> APPLICATION ACC.BY PUNS CHECKED BY APPR.FOR ISSUANCE BY � ���:\���!� Y O U <br />