Laserfiche WebLink
. , <br /> ��,� E��� .• �ONSTRUCTION �. ,._.. everett <br /> no� ��� � pERMIT <br /> ����C���� � , <br /> cirv HALLY598745 ����NATION • BUILDING • MECHAhICAL • PLUMBING � <br /> �V �E0�0�4�5 � <br /> OWNER MAIL ADDRE55 21P PHONE <br /> 98203 355-1135 <br /> David A. Brandvold ,•P.O. Box 98203 � � <br /> ARCHITECT OR DESIGNCR • MAIL ADDRE55 PHONE IICENSE NO. 3 � <br /> 3066 -� <br /> GENERAI CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. Z � <br /> BR AN DD A277QK C <br /> MAIL ADDPE55 PHONE LICENSE NO. 3 I <br /> MECHANICALCONTRACTOR � '� <br /> � � � <br /> PLUMBING CONTRACTOR MAIL PDDRESS PHONE LICENSE NO. � I <br /> -'� <br /> P MIT <br /> � CLFSSOFWORK � � <br /> . [�COMBINATION � <br /> '. [J.BUILDING �PLUMBING g]MECHAM�;AL �NEW ❑AODITION ❑l1LiERATION ❑REPAIR • <br /> VALUATION OF WORK <br /> 4S � OOO. 00 ❑DEMOLISH ❑FENCE ❑SIGN ❑SW�MMING POOL i <br /> 5 - i <br /> DESCRIBE WORK <br /> Construct aingle family residence � <br /> PROPOSEO USE MECHANICAL I <br /> aingle family residence � <br /> TYPE OF ENERGY ❑GAS �ELEC. <br /> LEGAL DESCRIPTION OF PROPEHTV (SHOW BELOW �R ATTACH <br /> FOUR�P��g1 19� Everett D�V. "T" NO. TVPEOFEUUIPMENT FEE I <br /> � LOT 1 6BLOCK— F plR COND. UNITS-H.P. EA. S � <br /> 4 <br /> � REFRIGEHATION UNITS-H.P. EA. <br /> ' � BOILERS-H.P. EA. � <br /> C �. <br /> �,.4.;� . � FOPCED AIR SYSTEMS-B.T.V. MEA. <br /> .; � � <br /> �,j r � �� JOB ADORESS SPACE & WALL NEATERS - B.T.U. I <br /> '11 � LQ15 Pine Street UNIT HEATEPS-B.T.U. � <br /> i <br /> -.:j,:'�=:��;' {�'., EVAPORATIVECOOlERS � <br /> �`����'���-'��.. ��`� PLUMBING CLOTNES�RYERS � � <br /> ', :`?Y;+�,'r VENTILATION FAN I <br /> ,�3 RANGE HOOD I I <br /> , , .��. � NO. TVPE OF FIXTURE OR ITEM FEE AIR HANDLING UNIT- C.F.M. i <br /> BATN TU&S S I � <br /> p7 CIOTHES WASHEH � WA12H HEATER <br /> � � � d� DISH WASHERS � FAC. BUILT FIREPLACE d CHIMNEY I i <br /> � ORINKING FOUNTAINS � GAS. SVSTEM: NO OP OUTLETS <br /> � � FLOORDRAINS � suoTora� S 8 I 00 �� <br /> . �� KITCME S 8 IS . � PERMIT S I <br /> . � BAR SINKS � �. <br /> ROOF ORAINS - RA�N LEADERS To7nL FEE S 8 � O <br /> � SHOWER BATHS THIS PERMIT BECOMES NUIL AND VOIO IF WORK OR CONSTFUC- <br /> � TION AUTHORI2ED IS NOT COMMENCED WITHIN 120 DAVS, OR IF �. <br /> � SERVICE S�NKS CONSTRUCTION OR WOPK IS SVSPENOED OR ABANOONEO FOR A � <br /> � SUMP$ -SEWAGE PUMP PERIOD OF 720 OAVS AT ANV TIME AFTER WORK ISCOMMENCED. � <br /> URINALS � HEREUV CERTIFV THAT I NAVE READ AND E%AMINED THIS AP- I <br /> � WATER CLOSETS PLICATION AND KNOW THE SAME TO BE TRUE AND COflRECT. ALL I <br /> WATER HEATEH$ - ELECTRIC � PROVISIONS OF IAWS ANO ORDINANCES GOVERNING THIS TVPE <br /> � � WASH BASINS 1 OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> OR NOT. TNf GRANT�NG OF A PERMIT OOES NOT PRESUME TO <br /> LAU OflY TRAVS GIVE AUTHORITV TO VIOLATE OR CANCEL TNE PROVISIONS OF <br /> ANV OTHER STATE OR LOCAL LAW REGULATING CON�TFUCTION <br /> 1 � Ofi THE PERFORMANCE OF CONSTRUCTWN. � <br /> ! <br /> i SUB TOTAL Z ' ' <br /> PERMIT S � �� �/ 6�4�79 � <br /> LFEE x .�—`-'� � <br /> ', WATERSERVICESI2E BLDG. SUPPLYSIZE NATVREOFC AVTH.AGENT oATE <br /> SIDEVAROSETBACK STREETSETBACK HEARVARDSETBAC PLANCHECKNUMBEH PLANCHECKFEE <br /> � FEE RECEIPT NO. , <br /> i 5 'N-10' S 20' 20� 79/391 Hasic <br /> I USE 20NE LOT AREA VACANT SITE � <br /> � R-2 6200 Stj. Ft. 7Q�'ES ONO FEES VAIUATION FEE � <br /> TVPE OF CONST. OCCUPANCV GROUP UNIT�S �WELLING � <br /> V-N R'3 1 45,000.0 172� 00 <br /> i s � <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD BUILDING <br /> 24' x34' 2 PLUMBING 24� 00 <br /> FIREZONE BASEMENT FIRESPRINKLERS <br /> REOUIHED MECHANICAL B� OO <br /> ' 3 ROfIB ❑VES CE�� <br /> I <br /> ( SPECIAL CONDITIONS: OTHER I <br /> � PENALTV SEC.3071a) � � <br /> 1. � TOTAL O � 00 � <br /> 1 . ' <br /> - r � PERMITVALIUATION <br /> � _ . <br /> WNFN PPOPERLV VALIDATED(IN TIIISSPACEI THI� IS Vi�UR PtRM1T <br /> - � � � r, YC?U R RECEtb�, <br /> ' : THANK YQ1� ; . <br /> i � �° ' � �;► ' <br /> • ucnnnner<r xv ;cnrc.iuxr mm�ovrnrnnis.cunr¢cxr. . <br /> �� { <br />