Laserfiche WebLink
�he£verRreen � �CONSTRUCTI� . <br />ciTv oF � <br />everett PERMIT PERMIT N0. 15772 <br />CITV HALL 259-8745 <br />EVEr7ETT, WA 98201 ❑ COMBINATION � BUILDING ❑ MF.CHANICAL ❑ PLUMBING <br />OWNER MAIL AOORE55 CITY 21P PHONE <br />EDWIN P. LADWIG 6811 SKIr'�ER RUAD GRANITE FALLS WA 691-5707 <br />ARGHITECT OR OESIGNER MAIL AODRESS CITY ZIP PHONE <br />GENERRL CONTRnGTOR MAIL AD�RF.SS QTV ZIP PNONh LICENSE 1 <br />Same <br />MECMANICAL CONTflACTOH MAP. nDORE55 CITY ZIP PHONE LICENSE 1 <br />PLUHtlING GONTRAGTOR MFIL ADDRE55 CITY ZIP PHONE LICENSE I <br />O NEW ❑ ADOITION ❑ ALTERAT:ON �I REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WO00 STOVE/FIREP�ACE INSERT <br />= 3000.00 <br />DESCRIBE WORN <br />Roof, kitchen cabinets. bath fixtures <br />Rental <br />LOT_BLOCK_OF <br />PLUMBINfi <br />N0. TYPE OF FIXTURE OR <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRA�N <br />VACUUM BREAKERS <br />RJOF DRAINS — RAINIEADERS <br />SINK ISFRVIf.F — RGA. FTC1 <br />PERM�7 <br />TOTAL FEE <br />� <br />1. ENVIRONMENTAL CHECK LIST <br />2.BUILDIIJGPLANS °� <br />4. FIPE F <br />5.6RADI <br />UHMIrv9UL � (�� <br />ENVIRONMEIyTALIMPA2`STATEMENT <br />FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICPTION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �VITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT Pi�ESUME TO GIVc AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR 7HE <br />PERFOHMANCE OF CONSTRUCTION. <br />SIGNATURE Of CONTRACTOR ON 4UTHOR2ED AGENT UATE <br />X 12j 5/85 <br />MECHANICAL <br />N0. TYPE OF E�UIPMENT <br />AIR CON�. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOIL[RS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLEPS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />MEiAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />S tl UU <br />S <br />f 8 00 <br />REAR YAFiO SETBACK PI.AN <br />VACANT SITE <br />i YES C:NO <br />MAa. OCQ LOAD <br />APPUCATION AQQ. BY ��LANS CHECKED BY APPR. POR ISSUANGE <br />� � �7 <br />� � _ <br />S � <br />� <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />FEE <br />FEES VALUATION <br />f <br />f <br />s <br />Fee <br />RECEIPT NO. <br />FEE <br />BUILDING 53000.00 38 $0 <br />PLUMBING 8 00 <br />MECHANICAL <br />OTHER <br />PENALTY U.B.C. <br />SEC. 303 (a) <br />TOTAL � � <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIOATED (IN THI �� 5�) THIS � X�F�P�iyIT_ (v <br />u ts 5 u r7 <br />� <br />� <br />�� .- �,�,: Rf:CEIPT� <br />! .' .�:;� ��Ci U <br />ADDRESS FILE <br />- 5 ��c 8 5 <br />