Laserfiche WebLink
the Evc �vPOF 10 NSTRI� CTIO N <br />everett PERMIIT PERMIT NO.O917Z <br />pTY HALL 2�9-9745 <br />EVERETT, WA 98201 C COMBINATION ❑ BUILDING �u� MECHANICAL ❑ PLUMBING <br />OWNEN MA4ADDRE55 qTY ZIP PMONE <br />Natural Gas Equipment 1611 East Grand Everett 256-2491 <br />ARCNITEGT OR Dr51GNER MNII ADCRE55 CITY ZIP PHONE <br />GENENALGONiML�OR MAILADDRE55 GI1Y ZIP PHONE LICENSEI <br />Ed Nur 2524 Harrison <br />A1ECMqNICAL CONTRA�YON MNIL ADORESS �ITY IIP PHONE LICENSE • <br />PLUMBING CONTpACTOR MAII AppFESS dTY ZIP PMONE UCENSE I <br />C1A550F WOPK <br />❑NEW ❑ADDITION ❑ALTERA7ION ❑REPAIR ❑DEMOLIT'�N ❑FENCE ❑SIGN ❑GARAGE <br />VPLUATION OF WORK <br />3 <br />DESCRIBE wORK <br />LEG4L DESCR�PTION OF FROPEFTV iSHOW BEIOW OR ATTPLH FOUR CAPIES� <br />ior e�ocK_oF _ <br />JO� PCDFE55 <br />2524 Harrison <br />PLUMBINO <br />NO. TYPE OFI <br />WATER CLOSCT (TOILET) <br />�:ATHTUB <br />LAVATDRV �WASH BASR <br />SHOWER <br />NITCHEN SINK b DISP. <br />DRAIN <br />DRAINS — <br />iPRVIC(- — <br />SIDE YARD SETBACK <br />USE ZONE <br />TYPE OF CONST. <br />FEE <br />SUBTOTAL <br />PERMIT S <br />TOTALFEE S <br />STREL7 SET�ALK RGfl YARD 5 <br />LOT AREA VACPNT SITE <br />I.iVES GNO <br />OCCUPANCY GROUP NO.Of DWEL <br />STOPIES MAX <br />=NT FIRE <br />REOI <br />f7Y�' <br />BY <br />t ENVIRONMENTAL CHECK LIST <br />2. BUILDING PL4N5 <br />3. FIRE HYDRANT <br />4. Flq[ PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. LNVIRONIAENTAL IMPACT STATEh1ENT <br />8. NEALTH DISTRICT <br />APPIJCATION ACC. BV PLANS CHECKED �Y <br />APPR.FORISSUANCE OY <br />I HEREBY CERTIFY THAT I h�VE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO B: TRUE AND CORRECT. <br />ALL PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BC COMPL�ED IYITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF .4 PFRMIT DOES NOl' <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCF'_ THE PRO� <br />VISIOR'S OF ANY OTHER STATE OR LOCAL IAW RtGULATING <br />CONF,fRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUr/RF O�' NNiPACTOR OR AUi��091TE� RG[Ni MTE <br />X i�f�-i I I t M� �I�LI l°A�.R , 4/27/81 <br />N0. TYPE OF EQUIPMENT <br />AIR COND. UNITS — H.R EA. <br />REFRIGERATION UNITS — M.P. EA <br />BORERS — HP. EA. <br />GAS RRED A.C. UNITS —?ONNAGE EA. <br />rORCED AIP �YSTEMS — B T ll. I <br />WNLLMtHI[HJ—tl.I.U. M <br />UNIT HEATEHS — A.T.U. M <br />CIOTHES DRYERS <br />PANGE HOOD <br />STOVE <br />SUBTOTAL <br />TOTALFEE <br />FEE <br />FEE <br />RECEIPT NO. <br />FEES I VALUATION I FEE <br />LDING I $ <br />OTHER <br />PENAL7V U BC <br />SEC. 3J31a) <br />TOTAL I I % I S O <br />PERMIT VALIDATION <br />\VHLN PROPERLI' VALIDATED UN THIS SPACEI THIS IS VOUR PERMIT <br />' " �n�.5�—`�%1 <br />. . , . ,, � <br />c"'� <br />� <br />. . � . . , � .� I � <br />