Laserfiche WebLink
\ <br /> � `"`�`'�;TY°F � �ONSTRUCTIOf�` <br /> everett ' <br /> PERMIT PERMIT N0. �.47H� <br /> CITY HALL 259�8745 <br /> EVERETT,WA98701 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEP MAILAD�RESS CITY ZIP PHONE <br /> Donald R. Benusa 2913 Panaview Blvd. Everett 98203 353-4752 <br /> FRCHIiEGT OF DESIGNER MAII ADpRE55 p1TY 21F PHONE <br /> GENERAL GONTNI.CiOR MAIL ADDRE55 GTY 21P PHONE LICENSE/ <br /> Same <br /> MECN4NIGdL CONiRRCTOR MAIL AOORESS dTY ZIP PMONE LICENSE Y <br /> PLUMBING GON7RACTOR MAIL AOORE55 GTY ZIP PNONE LICENSE� <br /> GLASS OF WORK <br /> O NEW �p1DDITION ❑ ALTERATION �REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WONI( <br /> f 15��.a0 <br /> 9ESCflIBE WORI( <br /> Extend deck <br /> PROPOSED USE OF BUILpING <br /> SYOj# Single £amily Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> LEGRLDESCRIPTIONOFPqOPERTY�5H01YBELOWOHATTACNFOURCOPIES) APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_e�ocrc_or GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> FERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE VROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE y � <br /> PERFORMANCE OF CONSTRUCTION. H � <br /> JOBApDRE55 SIGNA EOFCONTRAGTOftOR TH ZEDAGENT ORTE y <br /> 2913 Panaview Blvd. X �J� � <br /> -r��-ay1tA..-� <br /> PI�MBINO MECHANICAL y <br /> N�• TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE O <br /> WATERCLOSET�TOILE� AIR COND.UNITS- M.P. EA. � <br /> BATHiUB REFRIGERATION UNITS- H.P. EA. H <br /> LAVATORV(WASM BPSIN) BOILERS- H.P. EA. � 2' <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. �'�' <br /> KITCHEN SINK 8 DISP. FORCED AIR SVS7EMS- 9.T.U. M EA. � �"'� <br /> N <br /> DISMWASHER WALL HEATERS- B.T.U. M <br /> LAUNORY TRAY UNIT HEATERS- B.T.U. M � � <br /> CIOTHES WASMER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL ~ <br /> VENTILATION FAN � <br /> ORINKING FOUNTAIN RANGE HOOD '�" <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. �� <br /> VACUUM BREAKERS STOVE-WODD . � <br /> ROOF�qAINS- RAINLEADERS METAL FIREPLACE d CHIMNEY <br /> SINK�SERVICE- BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP ys <br /> Z <br /> � <br /> . SUB TOTAL S SUBTOTAL f N <br /> PERMIT S PERMIT f � <br /> TOTAL FEE f TOTAL FEE S <br /> SIDE YARD SETBACK STREEf SETBACK REAR YARD SETBACK PLAN CHECY.Nl1MBER PLAN CHEGK FEE �"� <br /> N/A N/A N/A 85/14784 FEE 16.25 REC�B�U' � <br /> USE ZONE LOT AREA VACANT SITE <br /> R-1 N�A i_YES ��.-.M� FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.CF�WELLING UNITS <br /> V-N R-3 1 BUILDING E 1500.00 25 00 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. IOAD <br /> N�A 1 N A P�UMBING <br /> FIREZONE BASEMENT �IRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> YES NO <br /> APPflOVhLS BY OATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2.BUILOING PLANS SEC.30J(a) <br /> J.FIflEHVDRANi TOTAL ZS OO <br /> 4.FIRE PROTECTION SYSiEM PERMIT VALIDATION <br /> S.GRADING WHEN PROPERLY VALIDATED(IN TMIS$PACE�.TMIS IS YOUR�PERMIT �+� <br /> � �� <br /> 6.DRAINAGE ' - ' ' �' <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> 8.HEALTM DISTRICT � <br /> APPLICATION ACC.BY PLANE CMECKED 8Y APPR.FOR ISSUANCE BY � <br /> ii I� <br /> STC JEF y� ' ' ' � <br /> ADDRESS FILE <br />