Laserfiche WebLink
rne F�green <br />cirv oF <br />everett <br />259-8745 <br />� <br />C"°"'NSTRUCTION <br />PERMIT <br />� � <br />PERMIT NO. 2 O3 O O <br />❑ DEMOLITION ❑ COMBINATION (�] BUILDING ❑ MECMANICAL ❑ PLUMBING ❑ SICN <br />OWNER MAILROORESS CITY 21P PHONE <br />0'Brien 5037 33r6 Ave. W. Everett 98203 353-9254 <br />ARCMITECTOPDESIGNER MAILADDRE55 CRY ZIP PHONE <br />Michael D. Grote 1321 Hoytt Everett 98201 252-2976 <br />GENERRLCONTRRGtOR MAILADORESS CITV ZIP PMONE ULENSE+ <br />Bill 0'Brien <br />MEGMANICALCONTRqGTOR MqILAD�fiE55 dTY 21P PhONE LICENSE• <br />PLUMBING CONTRACTOfl MAIL �O�NE55 CITY 21P PHpNE LICENSE � <br />CUSS OF WOflK <br />❑ NEW ❑ ADDITION ❑ ALTERATION C� REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUAtION OF WORK <br />S 1�����.0� <br />Repair and bldg. relocation. <br />NEr1T SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PPOPOSEO USE OF BUILOING <br />Single <br />lOT7_8 BIOCN 18B <br />909 Pine St. <br />PLUMBING <br />residence <br />Plat of Everett Div T <br />TYPE OF FIXTURE OH ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV�WASHBASIN� <br />KITCHEN SINK 8 DISP. <br />DISHWASMER <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />URINAL <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />HOOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL <br />PENMIT <br />70TALFEE <br />fRONT5ET8ACN REARSETBACN <br />Ze 2� <br />USEZONE LOTAREA <br />R-2 6200 <br />TYPE OF CONST. OCCUPANCY GPi <br />APPIICATION ACC <br />b1.M. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />TH[ PERFORMANCE OF CONSTRUCTION. <br />SIGNATUR F CONTRACTOR. AUTHOfV12E0 AGENT, OR OWNER DRTE <br />X /�;-,�, ! �. t„� s� /9—� <br />MECHANICAL <br />FEE NO. TYPE OF'EQUIPMENT <br />A/C - A/hINOLG UNITS - H P. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - B T.0 /HP. <br />GAS FIRED A�C. UNITS - 9.T.U. <br />FORCED AIR SVSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />tINITMEATERS-B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAI FIREPLACE 8 GHIMN <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUB <br />5 $ <br />VACANT SITE <br />❑YES ❑NO _ <br />iTORIES MAX OCC. LORD <br />1 N/A <br />S � NO <br />:MECHED BY APPR iOR ISSUr1NCE �Y <br />B.E. B.E. <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />.�.:�'i.l■ <br />STATE BUILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />PENMIT VALIDATION <br />WHEN PROPERLV VALIDATED (IN THIS SPACE) THIS IS VOUR PERMIT <br />i�.;;,:����,i.�_ i.,.l�. <br />��� <br />