Laserfiche WebLink
. . . <br /> - C'^ySTRUCTION � � <br /> � � PER�VIIT APPLICATION <br /> COMBINATION • BUILDING • MECHANICAL • PIUMBING <br /> OWNER MAILAUONESS� ZIP PMUNE <br /> David A. Brandvold P.O. Box 3066 Everett WA 98203 355-1135 <br /> ARC111TFCT'1R DESIONER All ADORE55 ►MONE LICENSE NU <br /> OENLqAL LONTpACTOR MAIL AODRESS •NONE � LICENiE NO. <br /> Same as Owner � BR AN DD A2990K <br /> MECHANICAL CONTHACTOH MAIL ADDHE55 ►NONE IICENSE NO. <br /> Evergreen State Sheetmetal • <br /> •LUMtlING CONTRACTOR MAIL AODRE55 ►NONE IICENSE NO. <br /> Ray's Plumbing <br /> ►ERMIT CLASS OF WOhK • � <br /> ❑COMBINATION ' <br /> �BUILDING �PLUMBING g]MECHANIGL � <br /> �NEW ❑ADDITION ❑ALTEf1A�IqN ❑HCI'NII j <br /> ' VALUA�JTz�9 NOf WORK —' "�-._.. ."-"'-" , <br /> Sd4,OOO ❑OEMOUSM ❑FENCE ❑SIGN ❑SwIMMINti Vt10L j <br /> OESCHIDE WORK <br /> Construct sin le famil residence ` <br /> rno.osEo use OTHER PERMITS OR APPROVAlS � <br /> Single famil residence � RE ZONE � SPECIAL USE ` <br /> LfGAI UkSCRIPTION OF VROPERTY�SHOW BE�OW OR A7TACH � i <br /> FOUR CO/IE51 <br /> �o� e�ocKLy�or�Attached y">uj+-j pF �VARIANCE � SF:ORLINE <br /> „ �,� 5 E PA CHECK LIST REQUIRED <br /> — i% /6',�Sidr✓ / � YES <br /> G-� —�7- z9- s� � No ' <br /> �oe�ooatss <br /> P� IOO� I �MECHANICAL <br /> � PLUMBING TVVE OF ENER6V � ^� �EtEC. $ <br /> • ` . N0. . rNVE OF EOUIPMENT_ � FEE �, <br /> . AIH COND.UNITS-H.P. EA. �S 1 <br /> . � NO. TYPE OF FIXTURE OR ITEM PEE RkfqIGERATION UNI�S N.V. [A.� -��� <br /> ' ` flA1MTUBS S U � pO1LER5 H.P. EA. - '��"-"--"�— � <br /> I CLOTHES WASHEH — _ ' ---"' _-"" ' _ --�-- . <br /> DISH WASHEliS iOR_CEO AIR 5'/STEMS� B.T.U.MEA. � <br /> ONINKING FUUNTAINS � � <br /> fI.00H �RAINS � SPACE 6 WALL HEATER$ �� fl.T.U. r— <br /> . KITl:11EN ti1NK5 d DI . / � UNI7 r�EA7ERS d.7.U. 1 <br /> ' _, j NAR SINKS � EVnPONATtVE COOLEHS —T- <br /> � , � fi00F ORAINS RAIN LEAOERS 1 CL0T11ESDRVEHS "" �--"'�'� " '1.� � <br /> , -� . SHQWER BATHy 1 VENTILATION FAN . <br /> � • � SERVICE SINKS ' j <br /> � � SUMPS -SEWAGE PUMP 1 MANGE HOOD _ Q <br /> � URINALS _ AIH H/1NDLING UNIT_ C.f.M. �_ f <br /> WATER CLn5GT5 � . _ . ' _' ' " ' " "' � <br /> VVATER NEATEftS - ELECTNIC � ` WATER NEATER.�. .. .. . ..-^.` _. �-- - _�_ � <br /> ' WASl1 BASINS - FAC. lUILT FIREPLACE l4�CNIMNEY r � . <br /> LAUNDRY TRA 6A5. S�'STEM: NO OP OUT�k1S � � T I <br /> � . . - �--,--- sun Tarn� s �� � <br /> � PERMIT 5 -�� <br /> SUB TOTAL � TnT��FEE 3 �__�'IO <br /> ►ERMIT s 7HI5 VEfiM1T UECOMES NVI L nND VOIU If WOIIK t1R CUNSTHUC <br /> -- TIQN AUf110R1'LED IS NOT COMMLNC[D WIT/IIN 1?O �AY., OR IF <br /> � CUNSTRUCIION OR WOhK 1:{ SU:G'FNnED QR AOANDONFO FOR A <br /> WATER SERVICE 512E BLDG. SUPVLV 512E PERIOD OF 170OAYS AT ANV IIMF. nFTEH WOf1K �SCPM1�6�ENCk�. <br /> RhARYANDSETBACK � ��ERtOY CERTIfY f11A7 I nnVE 4EAI) 4ND EXnMINEn Tn15 nP� <br /> �y/� PUCATION ANO KNOW THE SnA1E t011k Ti7UE ANU COIi11F:CL ALL <br /> 5� �F "G�/�� pF WONK WIL�L BE COMPLUF.DrWITN WNETNER CPECIFCEO+NEHfIN <br /> � UBt'IUNk � lUl ARCA VACANT 51Tk OR NOT, THE GRAN7ING OF A PEPMIT �nES NOT PFESUME i0 <br /> � Z _ C:IVE AUTIIORITY TO VIOL4tF OR CANCEL T11E PRUVISIqNS OF <br /> ❑YES ❑NO , qNv OTMER STATE OR LOCAL LAW HCGUL4TiNG CONtiTHUCTION <br /> TY �pONST. OCCU►ANC�GNOU► NOAF OWELUNG OR TME►ERFONMANCE Of CDNSTHUC710N. <br /> �� � Q �� UNITS , • <br /> n <br /> 812E OF BLOG. NO. STORIES MA%.OCC. LOAD <br /> x �._� l./ ry <br /> '�'���— � _SIG RE OF CONT ACTOl1 OR aUT/1.AGENT ��� <br /> I INk qNL IIA�'kM�A ��Ni {INf til'NINKLLII.S <br /> �J /`�O R❑YESE" �fl{(� �AN NFCKNUMBEH VLAIVCNlCKFkt <br /> n p/�� � f kC A _ ��ECE�Pi Nt�. <br /> S�kCIALCONDITIONS: �Q /l�l__`.�� <br /> ~FEES � VALUATION FEE <br /> --- �---'T— <br /> __-�_ � <br /> -""•--- - '_. ..._�_ <br /> ----- eui�oiNc s¢v�a"� / 7Z �G U <br /> --- � -- -- =�--•_ -- — •----•-r-- <br /> SEPA REVIEW COMPLETE � ❑YES ❑ NO ' ��UMIIINO ^_ • /f����j <br /> � <br /> conlocf Planeioq d�pl. Mac�uNic�� � • . �j'�(J <br /> OTNE11 � <br /> I <br /> i �Kw�cun�uv� �uwsuxcpu���. w�eovlD oe�fusw[I�� IENALTY SkC ]07fd 1 <br /> � � � __� � _"""'_'.' "_'.�.;�. <br /> V e � TOTAI �CU �J <br /> .____' __"__'�. —_-_._ ._ <br /> f <br />