Laserfiche WebLink
, <br /> - C'''VSTR.UCTION . <br /> � . PERMIT APPLICATION � <br /> COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> OWNkH MAIL ADOHk51i ZIP PHUNE � <br /> David A. Brandvold P.O. Box 3066, Everett, WA 96203 355-1135 <br /> ARCNITECT OR OE516NlR HAIL AODRESS OMONE UCENSt NU � <br /> GENEPAL CONTHACTOR MAIL ADDRE55 �NONE UCENSE NU. '. <br /> Same as Owner � � � BR AN DD A299QK . <br /> MECNANICAr..:ON�RACTOR MAIL AODRESS �MONE UCENSE NO. �� <br /> Everqreen State Sheett�.��al • � , i <br /> PLUMBING CONTRACTpp MAIL ADDHE55 fHONE I�CENSE NU. � <br /> Ra�.'s Plumbi.n _� _ <br /> �PfRM1T CLASSOf WORK ' <br /> �COMBINATION � <br /> �BUILOINC �PLUMO�NG [3MtCHANICAL <br /> �NEW ❑ADDITIUN ❑/�LTEIIAfIUN ❑NEi'�IH <br /> VALUA{T�IO�N OF WORK <br /> : lT�OOO ❑OEMOLISN ❑FENCE ❑SIGN ❑BwIMMIN6 PUOL, <br /> DESCN�BE WORK � <br /> Construct single family residence :�.� <br /> ►ROPOSED USE OTHER PERMITS OR APPROVAlS <br /> Sinqle family residence � RE ZONE � SPECIAL USE <br /> �l6Al DtSCHIPTION OF YROPEHTV ISNOW BELOW OR ATTACH 1 <br /> FOUN COPI SI r BF < <br /> _� �/� Attached �.VARIANCE SHORLINE � <br /> �o.�.��_e�ocK14.'foF <br /> 5 E PA CHECK LIST REQUIRED <br /> ,Ev� �E T'!— u7iblSie�t! ��i " � YES . :, <br /> NO <br /> . ;; <br /> �os wocness <br /> Pine Street at lOth /007 ��.,)E Si, MECHANICAL � <br /> PIUMBING TYVE OF ENER6Y � <br /> �(;ny ❑FLEC. <br /> Np, TYPE OF EOUIPMENT FEE �; <br /> , _� __. <br /> • AIRCOND.UNITS-11.P. EA. S �� �: <br /> '_—r' _ <br /> NO. TY►EOF FI%TUREOR ITEM FEE RkPRIGERA�IONUNIfS_M.P^E4. ____ ___� � <br /> � pA1H Tl1tlS OOIlERS NP EA. � <br /> CIOTHES WASHEH FORCED AIR SVSTEM A.T.U. MEA. _�- � <br /> -L � <br /> DISH WASHENS "- -"""- '-"' "-- 1 <br /> � - DflINKING FUUNTAINS ' � --"" '-' -- � <br /> � � FLOOR ONAINS � _ SPACE 6 WALL MEATERS �� P.T.U. . � a <br /> � � UNIT 11EATERS 9.T.V. � � <br /> � ' • KITCHEN tiINKS 8 OISP. � ------ T <br /> ' � � UARSINKS � EVnVONATiVECOOLEHS ____ _ <br /> ' " f10(1F ONA�NS NAiN LEADEFlS ClO7HE5 DRVERS <br /> � � SHOWER BATNS .� VENTIIAT!ON FAN` � <br /> ' � � ��_ � SERVICE SINKS 1 qANGE HO00 _ <br /> SUMPS - SEWAGE PUMP '— ��� <br /> � U��NAL$ A�A NnNDLINfi UNIT C.(.M. � _�y <br /> WATER CLOSETS - ._ ` .u.. . ..._' -.. .'.�' _ ' <br /> WATEN HEATEH -..•_ .. .- .-r-_ I <br /> WATER MEATENS - ELECTRIC •-- � � � -' � ' � � " � �- "'L—� <br /> . WASM BNS�NS ' FAC. BUILT FIHEVLACE I4.CMIMNEY 1 <br /> N __ — '_ . • . . _- _ —"T_._ <br /> � LAU D V RAY _ aAS. S`/STEM: NO OP O,UTLEIS ��_ , <br /> SUO TOiAL 5 _"'"'� <br /> ' � '--"--� YERMIT S J-�-� <br /> � -�'--'- -'- ' TO7nl FEE S �1{yCJ <br /> sue roTn� � <br /> YERMIT S T���S PF.IIMIT OECOMES NUI l AND VOI[l �� Wf���K OH CUNSTRUC I <br /> TION AUfHORI'LED �S NOT CPMMlNCEO W�TIIIN 1?0 DAVS, OH IF <br /> p CONSTRUCt10N ON wOflK 1:{ SU%�F.NOED 011 AOnNDONED FpR A � <br /> WATEA SERVICE SIZE BLDG.SUPVLV S12E PEn10D Oc 1T0 DAVS nT nNv iIME AFTEft WonK �5 CPv�.1FNCEU. � , <br /> 1 HFNkfiV CERTIFv T1/At 1 11nVE f�EAU AND EKnMINED T1115 AP� , <br /> R 'AR YAROSETBACK p��CAT10N 4ND KNOW T�IE SnME TO UE TRUE AND COIiRf'Cf.ALl <br /> �U9[YUIVk � LUl�OF7 VACANf�SIT� OR NOTKTNEGRAN�ING OP AV ERMIT C/0[S NOT VF ESUME TO i <br /> �y GWE AUTIIORITY 70 VIOLA(E OR CANClL T/IE MHOVISIONS Of <br /> �-�j �(J�� �7-ES ❑NO , ANV OTHER STPTE Oii LOCAL LAW HLGULIITING CONtiTHUCTION <br /> ORTME►ERFORMANCEOFCON57HUC710N. <br /> � TY�E OF ONST. OCCU►ANCV GPOU► NOAF OWEILING t <br /> UNITS <br /> �nl 2- 3 � � <br /> . 812E OF BL06. NO.OF STORIES Ml�l(.00C IOAD � <br /> 24 '�c��- ' 2 _ —'���1`.—__-�� � <br /> X �EOFCONTR T ORI�UT/�.4GENT DAiE <br /> IIH ' ONl IIAukM�NT I ItSI'NINKLLII� <br /> REOU�HED �,� �pry ��kCK NVMUEH PLANCNLCK Fht <br /> � �O ❑YFS Ly1VU / /' t'tC,�r/ � ItECEIPr N!L <br /> S►kCUI CONDITIONS: �(�J�(/� �if'L-�U <br /> _ FEES VALUATION �_FET_ <br /> 1 <br /> �..���.` BUILDING s y�(/r B�. ..-� 7//,�V <br /> � '" " ' _ �. <br /> SEPA REVIEW COMPIETE � ❑YES ❑ NO ' •"'""n'"°' �f _ 2Gi� <br /> i <br /> COOICCI PI011111Oq d�P�. MECIIANICAI ' . .. . �j�.... <br /> � 1 <br /> OTNER I <br /> �urt �wM�cun�u�r: rwswaa�u�r: ur�ov�o os�tiuuci�r �ENALTV SEC.�071�1 - _' � . <br /> ._..L_�. <br /> � ' ' \ / C r � �.�TAI --'--"'^-.._.. �—T �� <br /> V v <br /> --- ---�.__ .�.-- - �- r <br />