Laserfiche WebLink
� <br /> J `�� �� C�NSTRUCTION � "�' � CpC <br /> everett PERMIT PERMIT NQ�_ �� `�`�`� <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILOING � MECHANICAL � PLUMBING ❑ SIGN <br /> OWNER AIAIL NODRE55 CIiY 21P PMONE <br /> McMullen 3515 Norton Everett 98201 <br /> ARCNITEGTORDESIGNER MAILADORE55 CITY ZIP PMONE <br /> GENERAL CONTRACTOR MAIL AODRE55 dTY ZIP PHONE LICENSE� <br /> MECNRN;CAICONTRAGTOR M/ILAODRESS CITY 21P PHONE �ICENSE/ <br /> PIUMBINGCONTRACTOR MAILl0�RE55 qTY ZIP PMONE �ICENSE• <br /> 7ane Plbg. 1131 Pine St. #1 Ewerett 98201 259-1985 ZANESP*136E¢ QL <br /> CLASS OF WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ OEMOLITION ❑ BUILDING RELOCATION <br /> VRLUATION OF WORN <br /> $ <br /> UESCRIBE WOFK <br /> Plumbing <br /> HEnT50UPCE <br /> O ELECTRICITY ❑ GAS ❑ WOOUSTOVE ❑ OTHER <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> SFR APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCRIPTIONOFPROPENTY�SHOWBElOWOlIATTACHFOU�COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_�BLOCI� _ OF 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 /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRE55 SIGNATUfiE OF CONiPn TUR.AUTM0�12ED AGENT.OR OWNEH TE <br /> 3515 Norton X � s <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF��IXTUHE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATEH CLOSET(TOILET) 1 OOa A/C—AiHNDLG UNITS—H.P. <br /> 1 BATHTUB OO AEFRIGERATIONUNITS—H.P.EA. <br /> 2 LAVATORV�WASHBASIN) 1 OO BOILERS—B.T.U/H.P. <br /> SHO WER GAS FIRED A C.UNITS—8 T.U. <br /> KITCHEN SINK 6 DISP. OO FORCED AIR SYSTEMS—8 T.U. M EA. <br /> DISHWASHER WALIHEATERS—BS.U. M <br /> LAUNDRYTRAY UNITHEATERS—BSL. M <br /> CLOTHES WASHER EVAPORATIVE COOlERS <br /> URINAL CIOTHES ORYERS <br /> DRINHING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER � <br /> ROOF ORAINS—RAINLEA�EFS WOOD STOVE <br /> SINK(SERVICE—BAR.ETC.) METAL FIREPLACE 8 CHIMNIiY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL f SUBTOTAL <br /> PERMIT S PERMIT <br /> TOTAL FEE f TOT F • � <br /> FRONTSETBRCK PEARSEtOACK SIOESET��CK PLANCH9CKNUMBER / ECEIPTNO. <br /> qOQ021545 <br /> USE ZONE ��T AAEA VqCANT SITE <br /> ❑ves ONo FEES 9AEOATION S O. FEE <br /> TYPE OF CONST. OCCUPRNGY GROUP NO.OF OWELUNG UNITS <br /> BUILDING $�EC�� � 1.� <br /> PLUMBING 3O OO <br /> SIZE OF�LDG NO OF STORIES MA%ACC LOAO <br /> MECHANICAL <br /> INVESTIGATION FEE :iec.904�e) <br /> FIRE SPRINKLERS REOUIRED O�ES O NO $TATE BUILDING SUFCHARL'E <br /> STATEENERGYSURCHARGE <br /> APPLIC/TIONACC DY PLANSCHECNEDDY NPOR FORISSUANCEEIY <br /> DRIVEWAY PERMIT <br /> S.H. TOTAL 51 50 <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIDAiED pN THIS SPACE�THIS IS YOUR PEPo 9T �, <br /> �� <br /> �� <br /> �� <br /> N <br /> ADDHCSS t II E <br />