Laserfiche WebLink
;hr Ei,.x•rr„ <br />��„ ��F <br />everett <br />GTY HALL 259-87<5 <br />';ONSTRUCTIO�' <br />PERMIT PEttMIT NO. �-��0�.3 <br />EVEREiT. WA 98201 �] �OMBINATICN ❑ BUILDING ❑ ME�HANICAL U PLUMBING <br />ov,�,ER Darrell Unger 251p4 Harrison Everett, Wa.ZP 252-7952 E <br />ARGMITEGT OR DESiGNlA MAIL AppPESS dTY ZIP PHONE <br />GENERALC�NTRPCTOR MAILA�D9ESS CITY ZIP PHONE LICENSE� <br />Same <br />IAECIIANIGAL CONiRAGTOR MRIL ADDRE55 dTY ZIP PHOHE LICENSE � <br />PLUMBING CONTR4CTOR tAAIL AD�flESS CITV .'.IP PMONE L�CENSE M <br />Same <br />❑ NEW O ADDITION XJ; ALTERFTION ❑ REPAiR ❑ DEMOLITION ❑ PENCE CJ SIGN ❑ WGOD STO�FJFIREPLACE INSERT <br />Foundation Repair, Plumbi <br />Single family residence <br />LOT24�Z.�gLpLWa� OF <br />Company's <br />2514 Harrison <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />WATER CLOSET (TOILGn <br />BA7HTU� <br />LAVATORV�WASH BASIN) <br />SHOWER <br />KI7CHEN SINK 8 DISP. <br />DISH W ASH ER <br />LAUNDRYTRAY <br />CLOTHES WASMER <br />WATER HEA7ER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKEHS <br />ROUF ORAINS - RAINLEADEFS <br />SINK �SERVICE - BAR, ETC.) <br />PF.AMIT <br />TOTALFEE <br />$IZE OF <br />APPROVALS <br />1. ENVIFONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br /><. FIR[ PROTECiION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />� <br />7.ENVIRONMENTALIMPACT'STATEMENT <br />� B. HEALTM DISTRICT <br />_�1PPLICATION ACC. BY , .� PLANS CHECKEI <br />�: I <br />� <br />i <br />r, Electrica <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNO\N THE SAME TO BE TRUE AND <br />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 STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR "�HE <br />PERFQRMANCE OF CONSTRUCTION. <br />SIGNAT E OF GONTR,r�c OR OR AUiHOR12ED AGENT DhTE <br />x �nnc1�Y /.l.Yi.ii6'L iO-S-Y`� <br />MECHANICAL <br />FEE N0. TYPE OF EOUIPMENT <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION IiNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. h". EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVl.POFATIVE COOLERS <br />2 CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT -- C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHIMMEY <br />FIPEPLACEINSER7 <br />HEAT PUMP <br />S <br />S <br />5 <br />VACANT SITE <br />YES NO <br />MAX. <br />�VES —NO � <br />Bl I DATE <br />BY IAPPR.FOF <br />BUILDING <br />PLUMBING <br />MECNANICAL <br />OTHER <br />PENALTY <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />f <br />FEE <br />VALUATION <br />�f���. <br />U.B.0 <br />FEC. 90d (a) <br />FEE <br />� <br />S <br />S <br />�MECK FEE <br />RECEIPT NO. <br />FEE <br />roTa� � I 6; <br />PERMI7 VALIOATION <br />WHEtI PROPERLY VALIDATED pN THIS SPACE� THIS IS'lOUR P�EiMJT <br />':'.. )l� !; <br />P,DDKE�^ 1=1L[ <br />i � . <br />z <br />0 <br />-� <br />ci <br />m <br />.. .. <br />-i � <br />..� <br />N 2 <br />m <br />co <br />m o <br />-i c <br />O � <br />-1 7 <br />S --1 <br />m <br />A Z <br />C <br />n -� <br />rx <br />�-. �--i <br />-1 N <br />< <br />O � <br />T � <br />--i m <br />2 <br />m .-� <br />N <br />O <br />o r <br />t-� m <br />C N <br />� N <br />'m <br />Z C'1 <br />�r <br />• m <br />Y <br />A <br />-i <br />S <br />n <br />z <br />� <br />._-. <br />N <br />2 <br />O <br />-i <br />.. <br />n <br />m <br />� <br />