Laserfiche WebLink
�"'�"` � NSTRUCTION '"' <br /> cin oF '� ^ �'; <br /> everett PERMIT PERMITNQ:: ?0939 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION [� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEP MAILAOORE55 CITY 21P PHONE <br /> Timothy Stogdell 1006 Oakes Everett 98201 252-0244 <br /> PRGMITELT OR DESIGNER MAIL pDDRESS GTY ZiP PHONE � <br /> .(��IJS — <br /> GENEMICONTR/.CTOfl MPILAD�RE55 CITY 21P PHONE LICENSE� <br /> Storms Const. 4331 129th P1. NE Msfl. 98270 653-6679 STORMC163DT <br /> MECHANIC�L CONTRACTOR MAIL ADORE55 CITY 21P PMONE LIGENSE� <br /> RUMBING CONTRACTOR MRIL AD�RESS CITY ZIP PMONE LICENSE• <br /> CLASS OF WORK <br /> ❑ NEW ❑ ADDITION ❑ AITERATION �7 REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALU�TION OF WORK <br /> S 15�0�0•�� <br /> OESCRIBE WORK <br /> Foundation, reroof, gutters and siding, doors. <br /> MEAT SOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHEH <br /> rnoroseo use or euaoiNc <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> SFR APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCNIPTIONOF%iOPERTV�SHOWBELOWORATTRCMFOURCOFIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or18=19e�ocK Z19 or Baile Add. 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 CONSTHUCTION OR <br /> THE PERFORMANCE OF CONSTR TION. <br /> JOBADOIiESS SIGNATUR NTPA TOR, THORI G T.O WMEN DATE <br /> 1006 Oakes X <br /> PLUMBING MECHANICAL <br /> � Np, TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/MNDLG UNITS—MP. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORV�WASH BFSIN) BOILERS—B.T.0/HP. <br /> SMOWER GAS FIRED A.C.UNITS—BS.U. <br /> KITCHEN SINK Q DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> . DISMWASHER WALLHEATERS—B.T.U. M <br /> , LAUNDRV TRAY UNIT HEATERS—B.T.U. M <br /> . CLOTHESWASHER EVAPORATIVECOOLEhS <br /> ' URINAL CLOTHESDRYEPS <br /> DRINNING FOUNTAIN VENTILATION FAN <br /> � FLOOR ORAIN RANGE HOOD <br /> � BACKFLOW PREVENTERS WATER HEATER • <br /> � ROOF DRAINS—RAINLEADERS WOOD STOVE <br /> � SINK(SERVICE—BAR.ETC.) METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> MEAT PUMP <br /> GAS PIPING _ <br /> E%HAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> PEHMIT f PEflMIT <br /> TOTALFEE S TOT �� <br /> FROnT SETBnCK nEnR SETBnGK SiDE SET�nCK P�AN CHECK NUMBER FEE � • RECEIPT NO. <br /> �X SE�ER <br /> USEZONE LOTAREn ypCFNT511c FEES FEE <br /> ❑YES ❑NO <br /> TYPEOFCONST. OCCUPANCVGROUP NOOFOWEIIINGUNITS BUILDING g � <br /> PLUMAING CHECK �1 .� <br /> SIZEOFBLDG NOOFSTORIES MAX.00CLOAO <br /> MECHANICAL <br /> INVESTIGATION FEE Sec.304(c) <br /> FIRE SPRINKLERS REOUIRED ❑YES NO STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> APPLICATIONACCOY �LANSCMECNED�Y APPR.FOf11SSUANLEOY <br /> DRIVEWAY PERMIT <br /> TOTAL <br /> S.H. <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED�1N THIS SPACE)THIS IS VOUR PLRMIT �' <br /> Subject to field inspection. M <br /> � <br /> O <br /> N <br /> Af1l19ESS f II E <br />