Laserfiche WebLink
thc£cCrTYeo'i ;� CONSTRUCTIO"� <br />everett PERI�IT PeaMir No. 12721 <br />CITY MALL 259�8745 <br />EVERETf,WA98201 � COMBINATION � BUILUING ❑ MECHANICAL ❑ PLUMBING <br />OWNER � MAIL ADORE55 GITY 21P PMONE <br />Jack O. Mderson 10011 132Nd Street N.E. Arlington 98223 659-5954 <br />ARGMITEGT OR DESiGNER ��/IL ADOFESS GtY ZiP GNONE <br />GENERALGONTRAGiON MAILA��RE55 CITV ZIP PHONE IIGENSE� <br />Same <br />MEGNPNICAL GONTRRGTOR MAIL ROORE55 CITV ZIP PHONE LIGENSE ♦ <br />PWMBING G04TNRGiOR MAIL ROOHESS GRY 21P PMONE 4CENSE � <br />❑ NEW ❑ ADDITION ❑ ALTERATION �iEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD SLOVFIFIREPIACE INSERT <br />S 750.00 <br />��cniee woaK <br />repair foundation <br />)POSEO USE OF BUILDING <br />single family residence <br />LOTJL.ELBLOCN_ 4 <br />2322� Rainier Avenue <br />PLUMBING <br />N0. TYPE OF FIXTURE OR <br />SHOYlER <br />KIT�!1CN SINK d <br />DISHWASHER <br />LAUNDRYTRAY <br />WATER MEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOP DRAIN <br />VACUUM BREANERS <br />ROOF ORAINS — RAINLEADERS <br />SINK ISERVICE — BAR. ETC.1 <br />SUB TOTAL <br />PEflM1T <br />TOTAL FEE <br />SIZE OF <br />APPROVALS <br />1. ENVIpONMENTAL CMECK LIST <br />P. BUILDING PLANS <br />7. FIRE HVDRANT <br />a. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />FOIIPCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />. qz 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 VIOLATE <br />OR CANCEL TNE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />P RFORMANCE OF C STRUCTION. <br />rI ATUPEO CONy+?CTOH A TMO 2EOAGENT DATE <br />c�.. ` /� / :, � � .� . _ ,. � 11/21/83 <br />TYPE OF E�UIPMENT <br />Alfl COND. UNITS — H.P. EA. <br />REFflIGEflAT10N UNITS — M.P. EA. <br />BOILERS — M.P. EA. <br />GAS FIRED i.C. UNITS — TONNAGE EA. <br />PORCED AIG SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPOPATIVE COOLERS <br />VENTILATION FAN <br />RANGEHOO� <br />AIR HANDLING UNIi — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE d CHIMNEY <br />FIREPLACEINSEFT <br />s - SUBTOTpL S <br />S PEPMIT S <br />�� � - � TOTAI FEE S <br />EAR YARO SETBACK PLAN CHECK NUMBER PLAN C <br />VACANT SITE <br />YES ::NO <br />OCQ LOAD <br />FEE I RECEIPT NO. <br />VALUATION FEE <br />oU1L01NG : 750.00 14 50 <br />PLUMBING <br />MECMANICAL <br />OTMER <br />PENALTY U.B.C. <br />SEC. 709 (a) <br />TOTAL 14 SO <br />PEPMIT VALIDATION <br />WHEN PROPERLV VALIDATED pN TMIS 6P�CE�THIS 1y�1'.BUP flEq�Aff _j—{1 <br />4 7 .DU 1 4 /ll � <br />�� <br />V <br />1'�"'�Ur^, REC[IPl�-; <br />BY i r'F�NK YJU <br />ADURESS f II.C. <br />'� � �;��i S 3 <br />�. <br />