Laserfiche WebLink
�hc£eCgm�n ,_ - �pNSTRUCTIOP ' <br /> everett PERMIT PERMIT N0. 14OZ7 <br /> CITY MALL 259�87d5 <br /> EVERE77,WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEN MAIL ADpRE55 CITY 21P PMONE <br /> Edna J. Amos 903 Pecks Drive Everett 98203 <br /> ARCHITEGT OR DESIGNER MAIL AO�RE55 GITY Z�P PHONE <br /> GENEPRL CONTRACTOR MAIL A�DRESS CITV ZIP PNONE UCENSE I <br /> Everett Bldrs. Inc. 5606 Evergreen Way Everett 09203 353-7161 <br /> MEGM�NICAL CONTRAGTOR MAIL A�DflESS CITY Z�P PHONE LICENSE• <br /> EVEP.EB*301PH <br /> PLUMBING LONTfl6CTOR MAIL ADDRE55 CITY 21P VNONE LICENSE/ <br /> ClASS OF WORK <br /> O NEW ❑ ADDITION ❑ ALTERATION J�j REPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSER7 <br /> VALUATION OF WORR <br /> s 3138.00 <br /> OESGRIBE WONN <br /> reroof residence and gutters � <br /> PROPOSEO USE OF PUILOING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �EGRL�EF:NIPTIONOFPROPERTYISHOWBELOWORATfRCHFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 1 BLOCK_OF Fairview Heights 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 y � <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE �.,� � <br /> PERFORMANCE OF CONSTR CTION. � <br /> JOB AODRE55 SIGNdTU OF CONTRACTO F AU H IZED AG NT DATF � <br /> 903 Pecks Drive X _ /D'��' � <br /> PLUMBIN6 MECHANICAL "� <br /> NO. TYPE OF FIXTUFlE OR ITEM FEE N0. TYPE OP EOUIPMENT FEE � � <br /> WATER CLOSc7�TOILEn AIR COND.UNITS-M.P. EA. <br /> N <br /> BATMTUB REFRIGEPATION UNITS- H.P.EA. 2 <br /> LAVATORV(WASH BASIN) BOILERS - H.P. EA. <br /> SNOWER GAS FIRED A.C.UNITS-TONNAGE EA. � <br /> KITCHEN SINK 6 DISP. FORCEO AIR SYSLEMS- B.T.U. M EA. <br /> DISHWASMER WALL HEATERS- B.T.U. M O � <br /> '}7 <br /> LAUNDRY TRAY UNIT HEATERS- B.T.U. M � <br /> CLO7MES WASHEH EVAPORATIVE COOLEHS <br /> W <br /> WATER HEATER CLOTHES�RYERS � <br /> URINAL VENTILATION FAN � <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOA DRAIN AIR HANOLING UNIT- C.F.M. . � <br /> VACUUM BREANERS S70VE-WO00 <br /> ROJF ORAINS- RAINLEADERS METAL FIHEPLACE 8 CHIMNEY <br /> SINN(SERVICE- 9AR, ETC.) FIREPLACE INSERT � <br /> HEAT PUMP <br /> S <br /> H <br /> N <br /> SUB 707AL f SU8 TOTAL f <br /> PERMIT S PERMIT i � <br /> TO7AL FEE S 70TAL FEE f � <br /> SIOE YAFD SETBACK STREET SETBAGK REAR YARD SETBACK PLAN CMECK NUMBER PLAN CHECK FEE <br /> FEE RECEIP7 NO. <br /> USE ZONE LOT AREA VACANT SITE - <br /> �.:VES .:NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROl1P NO.OF OWELLING UNITS <br /> BUILDING s 3138.00 44 50 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMEN7 FIRE SPRINKLEf.� 1AECHANICAL <br /> REOUIRE� <br /> YES NO <br /> IIPPNOVALS BY DI1TE OTHEti <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.30J WI <br /> 2.BUILDING PLAl1S 44 50 <br /> 3.FIREHYDRANT T�TA� <br /> 5.GHAOINGTECTION SYSTEM 4H N' PROPER YO ALIDATED pN THCS�SPPGEI THI9�IS�VAl1R F�EFiM1T j�r <br /> I 7 l{ i� N <br /> 6.DRAINAGE <br /> � <br /> 7.ENVIRONMEN7ALIMPACTSTA7EMENT Q+. <br /> B.HEALTHOISTRICT ' ' �, I�'� t-i <br /> APPLICA710N ACC. BY PLANS CNECKED BY APPR. �:5'�SUANCE BY <br /> : ', U <br /> i . . <br /> ADDRESS FIL[ <br />