Laserfiche WebLink
, <br /> � - COP"tiTRUCTION '� <br /> � PERMIT APPLICATION ' <br /> COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> � MAIL PUUNESS ZIP MHUNE <br /> OMNER • <br /> David A. Brandvold P.O. Bo�c 3066, Everett, WA 98203 355-1135 <br /> MAILAODRE55 ►MONE �ICENSE NU <br /> AIICHITFCT OR OESIONtN . <br /> OENEPAICONTHACTOR MAILADDRE55 ►MONE LICENSENU. <br /> BR AN DD A299�K <br /> Same as owner IICENSE NO. <br /> MFCHANICIILCONTRACTOR MAILAODRESS � /MONE ` <br /> Ever reen State Sheetmetal uceNseNo. i <br /> ►LUMdIN6CONTRAGTOR MAILADDRES9 �HONE , � <br /> Ray's Plumbin4 . -- I <br /> ►ERMIT '1LASS OF WORK � <br /> �COMElINATION �. <br /> �DUILOINC �PWMBING [fMECMANICAL �NEW ❑NDDITIUN ❑ALTEfiAfION_ ❑HU'���� . , <br /> VALUATIOJdOf WORK • i <br /> t�5 ❑OEMOLISN ❑FENCE ❑SIGN ❑':���MMIN<i P(lOL <br /> s 3�,000 <br /> , <br /> � OcSCR10E WORK , � <br /> Construct sinqle family residence <br /> rnovosen use OTHER PERMITS OR APPROVAlS <br /> Single family residence � RE ZONE � SPECIAL USE . <br /> � �k6AL UhSCRIPTION OF YROPENT`( ISMOW BELOW UR ATTACH #�ARIANCE � SHORLINE � t � <br /> i coun or�es <br /> ; �o���E e�ocK�.os Attached r C'`�- <br /> S E PA CHECK LIST EQUIRED ' <br /> vF —TT' /1JN u'•r j� YES . <br /> ; � NO � <br /> �, �- /7-_29- 5 ` <br /> � � <br /> � ,ros nooi+tss <br /> ` Pine Street at lOth /003 ��.y1c �7• MECHANICAL <br /> TVPE OF [NEHGV ��.^j �F�EC. <br /> • � PLUMBING • • . - -- — FEE � <br /> � NO. TVPE OF EOUIPMENT_ _� _�_— <br /> AIRCOND.UNITS-11.P• EA. :S ��� <br /> ? NO. TYFE OF FIXTURE OR ITEM fEE _ REFRIGERA7�nN UN�fS 11 V. E�. __�___ �_, � <br /> f O OOIlEPS H.o. EA. i � <br /> � RA1H Ti185 � ._ . - 'T <br /> � CLOiHE5 WASHEN fORCED AIR S�STEMS� B•T•V_MEA. _ . ^�y � <br /> UISH WASNERS -•---'�T--- <br /> • ORINKING FUUNTAINS � - � � _ ' � <br /> 1 SpqCE 6 WALL NEAiENS �• fl.7.U. ' � <br /> � FLOOR DAAINS UNI7 HEn�EPS A.7.U. �_�__ . T <br /> ' ' KITCHENSINK5li �Fi . EVnFONATIVECOOLERS _ ___ � <br /> HAfl SINKS � - ""------_ � U .� <br /> . . NOOF DRAINS RAIN LEADERS _ CLO7NE5 DRVERS __ . <br /> R SHOWER BATHS VENTILAT�ON FAN i <br /> SERVICE SINKS 1 NNNGE HOOD _,._ � <br /> , � 5UMP5 •� SEWAGE PUMP AIH NnNDLING UNIT . C_�yM_` __,___,_y , <br /> "' _"______'_'.... ; <br /> UNINALS � � ! <br /> .. WATEH CLn5LT5 _.... ._. . . _ _.... " - 'T <br /> .. ._.._�.. ... .. . <br /> . . ._ � <br /> i _'_'_ ' WATER HEATER _ . . .._ .. - --1--� <br /> WATER NEATENS - ELECTRIC "' -' - -' � '� � � <br /> � WASM BAS�NS ' fAC. BUILT FIREPLACE 1Y CNIMNEY i �____T�.� � <br /> LAUN RV Tf1A _ dP�S S�STEM_NO Op OUTLt.15 p��jq�� <br /> _. _ __. ..:UfliOML $ ._ _.. 8 (./l/_ <br /> • � --- _"'- 'VERAIIT�-S ' �r <br /> 1 '—"'���--� ' TOTAL FEE 5 _�� <br /> SUR TOTAL 7111A PF.fIMIT 11ECOMES NIII L ANb VQ�U 11 Wb��K OH CUNSTRUC , <br /> �fRMIT s TION AVf110t71ZED �S NOf CbMMCNCEO W�T1UN 17O U��S, pN IF 1 <br /> ---E CONSTRUCfION OP WORK �9 SU::�f.NUED O11 AOANDONEU FOH A <br /> �� PERI00 OF 170 OAYS AT ANY IIM! AF TEN WOlIK i.^•Cnn11•�ENCEU. <br /> TER SERVICE 512E BIDG. SV�iLV SIZE <br /> p YARDSETBAC pLICAT10NCl�NO'6NOW THE SA 7E(1 tlk�T UE /�Np CO�tNFCTSALI <br /> ►(IOVISIONS OF lAM�S /1NU nIlO1NANCES GUVERNING 7H�5 TV�E <br /> � �� � ��F j ��.�.� OF WONK W�LL BE COMPLIED WITH WNETNEA SPECIFIEO MEREIN ' <br /> USL 2UNk � LUl A11LA VACANT 51'E OR NOT, T�IF CPnN:INf. nF A 7ERMIT DflES NOT PRESUME TO <br /> I � �����yy GWE AUTHORIT'/ TO VIOLA(E OA C/1NClL T��E YROV151nNS Qf <br /> I 4+ Q1E5 ❑NO , ANV OTNER STATE OR LOCAL LnW NLGULATIN[i CONtiTnVCTIOH <br /> OP THk FERiONMANCE Of CONSTNUC710N, . <br /> I Ty►E OF COMT. OCCU�RNCV 6f�OVP NO.OF DWELIING � <br /> ���nl . R- 3 uN�.s � — <br /> $1 OF BL1DG.w NQ OF STORIES MA%.00C LOAD __ w)�, ,� <br /> ��,� "✓�1' � 51 ' .._ EOFCO AUTII.AGENT OATE : <br /> �i�ry�((jry�� IIA� Mk T FlRltil`HINKI.LIIC VLANCHkCKFE! <br /> 3 qE0U1NEU �qN �IkCK NVMB6 � <br /> �l„�Q ❑YES QMO ���� {kC /�C/, f1ECE1PT Nn. � <br /> S�kC1ALCONDIT10N5: v• 1�'�� -•�^� <br /> VALUATION FEE <br /> . ._FEES � ---T— ' <br /> - i <br /> _,___�. � BUIlO1NG s4�_� _ �7�!_��{� <br /> � � .. _ ---- 1 <br /> SEPA REVIEW COMPIETE � L,YES ❑ NO ' nuMmN�� _� _ 2O�Uv <br /> (/i�/,//� � <br /> tonfatt PIOIIOIflQ d0(l�. MEC1111NIGl � _ . .. O �.;� .- <br /> i <br /> OTHER � <br /> SEC.7G71d � <br /> un �an�curnun: ruw�oncalu�r: ur�ov�o o�icuuclir IEN�LtY __ _.._""�_... __.__._..L.�.� <br /> . . . --- y Zp p�v <br /> ,, �. � TOTAI <br /> � <br />