Laserfiche WebLink
, . . <br /> � � - Q`'NSTRUCTION <br /> � PER�VIIT APPLICATION <br /> COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> OWNER MAIIADDNESS� 21P PMUNE <br /> David A. Brandvold P.O. Box 3066, Everett, WA 98203 355-1135 <br /> AIICMIiFCi OR UESI(iNER AIL AOOHE55 �NONE IICENSE NU <br /> GENERAL CONTRACTOR MAIL ADDNESS �MONE � UCENSE NO. � <br /> Same as Owner BR AN DD A2990K � � <br /> MiCNANICAL CONTRACTOR MAIL AOORE55 �NONE IICENSE NO. <br /> � <br /> Everqreen State Sheetmetal ' ' <br /> lLYMtlINGCONTRACTOR MAILADONESS ►MONE IICENSENO. � <br /> Ray's Plwnbing � ! <br /> �ERMIT CLASS OF WORK ' ' <br /> ❑COMBINATION , <br /> �BUILDING �►LUMBING �MkGHANICAL 1'• <br /> �NEW ❑ADOITIUN ❑ALTEIIAnqN ❑NU'/��t� { <br /> _._..._.._� _. _' __-_" ___'__ � <br /> � VAWAyTI§9 NOF WORK � <br /> I s Ai�OOO ❑OEMOLISH ❑FENCc DSIGN ❑:iWiMMINt� i`UOI. <br /> IDESCRI6E WORK � ; . <br /> Construct sin le famil reaidence � <br /> � �ROIOSEO USE OTH ER PERMITS OR APPROVALS <br /> � Sinqle familY reeidence � RE ZONE � SPECIAL USE � <br /> . Ll6AL Ok5CA1�TION OF PRO►ENTY ISHOW BE�OW OR ATTACN � � <br /> � FOYRCO'P/I,E•SI Attached �i O� �CVARIANCE L� SF!ORLINE � <br /> ' . lOi'LLL![L/LOCK�.SOF�_— r <br /> � ��� SEPA CHECK LIST RE�UIRED � <br /> ,�'/` �ri.srdvt- � Lt YES I <br /> ;�• <br /> �J 'I�J—�i�'�`J =I NO <br /> � ;' �o��oonEss <br /> ' `� Pine Street at lOth /O/! ���� �T. MECHANICAL i <br /> Y ����:`. ►LUMBING TV►E OF ENEROY �f:A� ❑ELEC. <br /> �g� :� . NQ TYVE OF EOUIPMENT —� FEE � <br /> AIH COND.UNITS-N.P. EA -tS ^ � <br /> � NO. TVPE OF FI%TURE OR ITEM FEE RkFRIGENATION UN�fS �tv En -�— ' <br /> � _ 1_ - i <br /> flA1N 7UBS BOIlERS H.G. EA. - "" '.!."--�^'� 1 I <br /> . CLOTMES WASHER FORCED AIR S�STE�.�'+ P.T.V.MEA. -T- � <br /> DISH WASHERS — ""---� ---�` ���— � ' <br /> ORINKING FUUNTAINS � - - ' -'—" '-"-' -- '- T�— <br /> F1.00N ORAINS � S�ACE 6 WAIL MEATERS �� P.7.U. . � <br /> � KITI:HEN S�NK1 8 I . UNIT IIEATEPS H.i.U. _ -- — ___�_ <br /> HAR S�NKS � EVAPONATIVE COOLENS �� <br /> IIDOF DNAINS NAIN LEADERS 1 CLO7NES DR�ERS <br /> ' j SHQWER BATHS - VENTILATION FAN - -- _ _ A <br /> 1 SERVICE S�NKS pANGE NOOD � <br /> 5UMP5 - SEWAGE PUMP AIR NnNOLINn UNIT C.l.M_ <br /> U�INALS -' - -'- ' ..__. ' - 1 <br /> � WAiENClO5ET5 . -V _ _'- . . � _. --. .__T <br /> WA7ER HEATEfIS - ELECTRI ._ WATEH _NEATER_. � . . _ <br /> WASH BASINS ' fAC. BUILT FIREPLACE h CMIMNEV _ __ 1 <br /> LAUNDNV THAVS 61�5. SVSTEM NO O► OUTl1�.15 _ T <br /> "' _ _ . . L- <br /> � • ' �'sun�iorn� s --_-_�� <br /> � "--'--` �ERMIT S �i�_-- <br /> � � � TOT/�L Fkk S `��J <br /> SUB TOTAL 7Ni5 VF.RMIT UECOMES NVI L /�NO VOR) �I W011K ON CUNS�RUG <br /> YERMIT S TION AV�IIORI'LED IS NOi C(1MMCNCFII W�7MIN 170 OAVS, pq IF <br /> E CONSTRUCf�ON OR WOfIK I;: SU::�ENOED O�l AOANDONEf] FpR A <br /> WA�ERSERVICESIIE BLDG.SUPPLVSIZE vE1110DOF170OArSAT �NrfIMlAFTEHwOf1K �SC(����AENCEU. . <br /> 1 NERhOY CFRTIfV TNA7 I unVE HEAU 4ND ErAMW(O TIIIS AP <br /> NkAR YAXDSETdACK yLILA710N AND KNOW THE 54�1E TOIIh TpVE ANp GOIiNF.Cf.\LL <br /> ��� n^F. /J��,T /ROVItiIONS OF LAWS ANU GHO�NANCES GUVE�NING TH�S TVPE <br /> '<SJ (/4� OF WOHK W�LL BE COMPLIED WI1/1 WNETNER SPECIFIEO HEREIN <br /> �I/SE 2UNtJ'� lUl A11LA � VACANf SITk�'— OR NOT. t11E f.RAN.-ING �)i A PERMIT OnES NOT PPESUME TO <br /> GIVE AUTIIUAITY TO VIOLAfE OA CANCkL T�1E PRUVISIONS OF <br /> OMES ❑NO qNv OTNER STATE OR LOCAL I.AW HEGULI�TINI:CONtiTf1VCT10N <br /> TY/E Ui CONST. OCCU�ANCY GROU� NDAF UWELIING OR TNE►ERFORMANCE O� CONSTHUC710N; <br /> �. I � 3 UNIT� , <br /> N � <br /> SI E Of BIOG. NO.OF STORIES MA%.OCC. lOAO- " G, /y�__ � y 1 d <br /> n'-.�/ � vl. � ci �D <br /> LIL!�_� � SIGNATURE OF CONTRA�'. ON AUT/1.AGENT �DA E � <br /> i1Hl�1QN IIA::k NT /INk.1'I'NINKLL'11.5 <br /> NEOUIHEU �qp/ ��t K NUMHlN PLAN C�RCK Fk! <br /> �Q ❑YES ❑NO ������ �t�L/-I /IECEIPf NO. <br /> % <br /> 3►kGAL CONOITIONS: Lf� �l���u!� <br /> �� FEES VAWATION FEE <br /> — _'_T_ <br /> _ ' <br /> "------_—_— BUILOING S4��•� ...I � p IC�i <br /> � -- -- -- -- — •-- - r--- <br /> SEPA REVIEW COMPLETE � ❑YES ❑ NO ' ""M.".'.N" ...�.�.._ 2D �OQ <br /> � COf1�OC� DIOIIOIf1Q d�Pi. MEC1111NICAl ' . <br /> . �� . <br /> . � <br /> ' OTNER � <br /> —'-T <br />