Laserfiche WebLink
, <br /> "1e �"��RYa° - C�'NSTRUCTION - � ' <br /> everet� P�aM�T PERMIT NO. OS(41 <br /> CITY HALL 259�f37n5 <br /> eveaErr.�vn suzo� L� COMBINATION �tBUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OYlNEP MAIL�O�RF55 pTY ZIP PHONI <br /> Voth Bros . Const. Inc. 1310 116th N .E. Bellevue 98004 453-9419 <br /> ARCNIiEQ OR DESIGNER MAII ADDRE55 CIiY 21P PHONE <br /> GEN;RAL CANtfiACiOR MAIL ADpRE55 CITY ZIP PHONE UCENS[I <br /> Same <br /> MECHANtCAL CANTRACTOR MAII AppRESS CITY 21P PHONE UCENSE� <br /> PLUTABINGCON�RACT00 MAILADORESS GTY 21P PMONE LICENSE/ <br /> 6LASS OF WORN <br /> ❑NEW ❑AD�ITION ❑ALTERATION ❑REPAIR X�OEMO�ITION ❑i�ENCE ❑SIGN ❑GARAGE <br /> VALUATION OP WORN <br /> S <br /> DESCRIpE WOPK <br /> Demolish single family residence <br /> GRGPOSED USE OF BUILDING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> iecn�oescaicnoNOFFnoPenrv�sHowoeiowoennacHFouacoNies PLICATION AND fCNOW THE SAME TO BE TRUE AND CORRECT. <br /> 6-7 750 Everett Land Co. lst. ALLPROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS <br /> ior__eioc�_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHEF SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PRO� <br /> VIS!ONS OF ANY OTHER STATE OR LOCAI. LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AD�R[5$ SIGNATUR F ,pNiPFGiOR OR Fl4NpW2[ i D�iE <br /> 3123 Pine Street X ry�.�.ryc7 �/ 9/9/80 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET QOILET) AIR COND.UNITS—HP.EA. <br /> BATHI"UB REFRIGERATION UNITS—N.P.EA <br /> LAVATORY pYASH BASIN) BOILERS—HP.EA. <br /> SHOWEF GAS fIRED A f,. UNITS—TONNAGE EA. <br /> KITCHEN SINK A DISP. FORCED AIR SYSTEMS—BS.LL M EA. <br /> DiStiWASHER WALL HEATERS—�S.U. M <br /> LAUNDRY TRAY UNIT HEATERS—�T.U. M <br /> CLOTMES WASHEP FVAi'ORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN _ <br /> DRINKING POUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDIING UWT— C.F.A1. <br /> VACUUM OREAKERS STOVE <br /> FOOF DflAINS—RAINLEA�ERS METAL FlREPL.ICE 8 CHIhWEY <br /> SINK�SERVICE—BAR,ETC� <br /> SUB TOTAL SUB 70TAL S <br /> PEpMIi S PEqMIT 5 II <br /> TOTALFEE f TOTAIFEE S <br /> SiDE YARD SETBACK STREET SET9ACK REAR YARD SETBACK PLAN CHECK NUMBEF PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE lOT ARFA VACANT SITc � <br /> ❑VES ❑NO FEES VALUA7ION FEE <br /> TYFE OF CANST. OCCUPAN(:Y GROUP NO.OF DWELLING UNITS <br /> BUILDING S 00 00 <br /> SIZE Of BLDG. NO OF STORIES MAX.OCC.LOAO _ <br /> PLUM6ING <br /> FIqE'<ONE BASEMENT FIRESPRINKLERS — — � <br /> REOUIRED MECHANICAL <br /> ❑YES ��NO <br /> APPROVALS BY DATE OTHER <br /> L ENVIRONMENTAL CHECK LIST PENA�T• U.B C. <br /> 2. BUILDING PLANS $EC.303(a) ..` I <br /> J 3. FIREHVDRANT TOTAL 00 00 � <br /> a. FIRE PROTEC710N SYSTEM PERMIT VALIOA(ION <br /> 5. GRADING WHEN FROPERLY VALIDATED(IN THIS SPCACE)THIS IS YCUR PE(�R6!IT ' <br /> 6. DRAINAGE � J ' � � O O l3. O O �� � <br /> � � <br /> Z ENVIRONMENTALIMPACTSTATEMENT - (V <br /> B. HEALTH DISTRICT I�' ) U R RECG IPT � <br /> AFPLICATION 4C1:.Bl' PU+NS CHECKED BY APPR.FOR ISSUANCE BY ` j I`I A�K Y O U <br /> � <br /> i o ��p s o I <br /> ADDRESS FILI: <br /> I <br /> � <br />