Laserfiche WebLink
�heEvcrgrecn � CcaNSTRU�TION r <br />CITY OF <br />everett PERMIT PERMIT N0. 09545 <br />CITY HALL 259�8745 <br />EVERETf, WA 98201 ❑ COMBINATION ❑ BUILDING �I MECHANICAL �� pLUMBING <br />OWNER Mqi�A�DfiE55 GITY 21P PHONE <br />JAMES A. SNOW 921 GRAND AVE. EVERETT 98201 252-7396 <br />ARLNIiECTORDE5IGNER MAILADDPE55 ��Ty Z�P PHaNE <br />GENERAL CANiRACTOR AIFIL ADDRESS CITY 21P PHONE IICENSE r <br />MEGHANICALCONiPqCiOR MAILADOPESS CITY IIP PNONE IICENSE� <br />SELF <br />PWMBINGCONTRACTON MAILA�DPE55 CItY 21p PMONE IIGENSEr <br />CLASS O: WORK <br />L�NEW <br />VALURTION OF WONK <br />8 <br />❑ADDITION ❑ALTERATION ❑qEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />OESCBIBE WORK <br />INSTALL WOOD STO <br />PROPoSED USE OF BUILOING <br />LEGAL DESCPIPTION OF PROPERTY �SHOW 8 <br />LOT BLOLK_OF _ <br />JOB AOORE55 <br />921 GRAND AVE. <br />PLUMBINO <br />NO. TYPE OF FI%TU <br />WnTER CLOSET (TOILEII <br />BATHTUB <br />LAVATORV (WASH BASIN) <br />SNOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASMER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />i VACUUM BREAKERS <br />SINK <br />SIDE YARD SETBACK <br />r <br />A <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />ATTACM FOURCOPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />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 CO STRUCTION. <br />SIGNATURE OF GONTFACTOR lOR AUTNORI AGENi DATE <br />l� `�/ii/i/ l!� / A �J/ �/i -i i n w i n• <br />OR ITEM <br />STREET SETBACK <br />LOi AREA <br />L ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br />4, FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPACTSTATEMEN7 <br />n Hrn�T!� r,srnicT <br />REM YARD SETBA <br />VACANT SITE <br />L]YES ❑NO <br />NO.OF DWELLING <br />MAX.00Q LOAD <br />COND. UNITS — <br />HtFHIGEHATION UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAG <br />FORCED AIR SYSTEMS — B.T.U. <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVE COOLERS <br />RANGEHOOD <br />STOVE <br />PLAN CHECK NUM�ER <br />FEES <br />BUILDING <br />PLUMBING <br />MECMANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />fEE <br />S <br />EA. <br />M <br />PLAN CHECK FEE <br />I RECEIPT NO. <br />U.B.C. <br />SEC.303(a) <br />141 50 <br />PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />� _ 1 l ^ � !; . r !� -- ty�j <br />�t <br />1.C) <br />