Laserfiche WebLink
,,- <br /> , .. , - _ --1 <br /> ,hPE�.�x°F � ^.ONSTRUCTIO�� <br /> ' everett PERMIT PERMIT N0. 12143 <br /> � CITV HALL 259�8745 <br /> EVERETT,WA 98401 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MRI�AODRESS CITv 21P PM(+`+E <br /> iGEORGE MITTRES 2601 OAKES EVERETT WA 98201 <br /> I ARCMITECT OR�ESIGNER MAIL AOORESS C�TY 21P PHONE <br /> I GENER��CONTHACTOR MAIL AOORE55 GTY IIP PHONE UCENSE M <br /> I G & W Roofing 10924 - 19th Se SE Everett WA 98205 334-0535 <br /> I MECN�NICAL CONTP�CTOR MRIL FDDRE55 CITY 21P PNONE LICENSEII <br /> I PLUMBING CONTPACTOR MAiL AODRE55 CITY ZIP PHONE LICENSE� <br /> I GU55 OF WORK � <br /> ❑NEW ❑ADDITION ❑ ALTERATION �REPAIR ❑ DEMOLI710N ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSEHT <br /> � VALUATION OF WORK <br /> � f � �3��. <br /> � DESCRIBE WOPk <br /> Reroof - composition <br /> PROPOSEO USE OF BUILDINO <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL DESGRIPTION OF PPOPERTY ISHOW BELOW OR ATTACM FOUR COPIES) APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �OT_BLOCN_OF 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 THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> � PERFORMANCE OF CONSTRUCTION. <br /> � JOBADURESS SIGNATU FCONTRAGTOR RA M IZEOAGENT DATE <br /> � 2601 Oakes X G 6/28/83 <br /> i <br /> � PLUMBINO MECHANIC <br /> INO. TVPE OF FIXTURE OR ITEM FEE NO. YPE OF E�UIPMENT FEE <br /> WATERCLOSET�701LEn AIR COND.UNI7S— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY(WASH BASIN) BOILERS— M.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS — 70NNAGE EA. <br /> � KITCHEN SINK 8 DISP. FORCED AIR SYSTEIdS— B.T.U. M EA. <br /> DISHWASHER WA�L HEATERS— B.T.U. M <br /> LAUNDRYTRAV UNIT HEATERS— BT.U. M <br /> I CLO7HES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLO7HE5 DRYERS <br /> I URINAL VENTILATION FAN <br /> � DRINKING FOUNTAIN RANGE MOOD <br /> � FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> i VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE d CHIMNEY <br /> SINK(SEHVICE — BAR,ETC.) FIREPIACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL f SUB TOTAL S <br /> PENMIT f PENMI7 f <br /> TOTAL FEE i TOTALFEE S <br /> SIOE YARD SETBACK STREET SETBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> . USE 20NE LO7 AREA VACANT SITE <br /> �.:YES . �.NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING '1 �300.00 ZZ OO <br /> ', SIZE OF BLDG. NO.OF STORIES MA%.OCQ LOAD <br /> 'LUMBING <br /> FIREZONE BASEMENT FIRe SPRINKLERS MECHANICAL <br /> REOUIRED <br /> �.:YES i-:NO <br /> APPROVALS BY UR7E O7HER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.9.C. <br /> 2.BUILDING PLANS SEC.J03�a) _ <br /> 3.FIREHYDRANT TOTAL 22 OO <br /> 4.FIRE PROTECTION SYSTEM PEHMI7 VALIOATION <br /> 5.GRADING WHEN PROPERLY VALIDATED(IN THIS����THIS15oVQ{lg P�i�IT—� <br /> ' 6.DRA�NAGE � < < � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT N <br /> B.HEALTH OISTRICT <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR�SSUANCE BY YO U R REC E I PT r+ <br /> THANK 1'QU <br /> 28 �+ 83 <br /> ADDRESS FILE <br />