Laserfiche WebLink
`'"�`"�T�`�oF � ^.ONSTRUC�IOh' <br />everett PERMIT PERMIT NO. 1218:� <br />CITY HALL 259�8745 <br />EVERETT,VJA98201 � COMBINATION .X�Y BUILDING ❑ MECHANICAL ❑ PLUMBING <br />O�YNER MAIL ADDRE55 CITV dP PMONE <br />wTIITAM AYFR 3530 OAKES Everett WA 98201 252-4452 <br />RRCHIiELi ON OESIGNER MAIL ApORE55 CITY ZIP PHONE <br />GENERAL LONTRACTOR MAIL AD�RE55 CITY 21P PMONE LICENSE � <br />ROB AYER 6525�2verly Blvd Everett Wa 98203 353-6427 AYERCI*324NN <br />MECMANICAL CONTRACTOR MFIL AD�RESS CITY 21P PHONE LICCNSE � <br />PIUMBING GONTRACTOR 1dF�L AOOHE55 LITV ZIP PHONE LICENSE N <br />S <br />iQ� NEIY ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />OF WORI( <br />new <br />�ur�%���ocK 855 oF EVeP2tt "M" <br />PLUMBING <br />F-3 <br />V-N <br />VI <br />TYPE OF FIXTURE OR <br />WATER CLOSET (l OII.ET) <br />BATHTUB <br />SMOWEP <br />8 <br />LAUNDRYTRAY <br />CLOTNES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DFAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEADERS <br />S!NK (SERVICE - BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />�O7ALFEE <br />� <br />� <br />APPROVALS <br />L ENVIRONMENTAL CHECK LIST _ <br />2. BUILDING PLANS <br />3. FIRE HYDRANi <br />4. FIPE PROTECTION SYSTEM <br />S.GRADING <br />6. DPAINAGE <br />7.ENviRONMENTALIMPACTSTATEMFNT <br />8. HEALTH DISTRICT <br />EB <br />9 <br />� <br />S <br />f <br />REAR VARD SETBA <br />VACANT SITE <br />YES NO <br />NO. OF DWELLING <br />MA%.00C.LOAD <br />RRE SPPINKLERS <br />REOUIR[LY <br />YES 'NO <br />BY UATE <br />GHECKED BY IAPPR.FORISSUANCE BY <br />I FiEREBY CERTIFY THAT I HAVE READ 4ND EXAMINED THIS <br />APPLICAT�ON AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAW£ AND ORDINANCES <br />GOVERNiNG THIS TYPE OF WORK WiLI. 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 />PEflFORMANCE OF CONSTRUCTION. <br />SiGNATURE OF CONTRAC OP OF FUtMORIZED AGENT DATF <br />Y ! i . ' �_ !. , .�'�t. �_ �,. ,7/15/A7 <br />N0. TYPE OF EOUIPMENT <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SVSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />� [VAPORATIVE COOLERS _ <br />CLOTHES ORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLIIIG UNIT - C.F.M. <br />S70VE - WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />PIREPLACEINSERT <br />,HEATPUMP <br />FEE <br />SUB TOTAL S <br />PERMI7 f <br />TO7AL FEE S <br />:NUMUER PLAN CHECH FEE <br />FEE RECEIPT NO. <br />3� 3.6_]� lfifi�— <br />FEES VALUATION FEE <br />BUILDING E �ODO� 5.� 5Q— <br />PWM6ING <br />MECHANICAL <br />OTNER <br />PENALTV - ..-�— U.6.C. <br />SEC. 303 (a) <br />TOTAL 56 50 <br />PERMIT VALIDATION <br />WHEN PflOPERLY VALIDATEO (IN THIE SPACE) THIS�SOYOU �P � DT ,n <br />Q3g� J Q1 <br />� <br />�.: <br />;���u� REcrinT�-� <br />: � ��r��; ��o u <br />A.DDRFSS FILt: <br />I 5 � 8� <br />z <br />0 <br />� <br />c� <br />m <br />1 T <br />..� <br />N 2 <br />0 <br />m <br />cp <br />m o <br />--i c <br />O 3 <br />� Z <br />S � <br />m <br />.O � <br />C <br />D --1 <br />r x <br />� � <br />< <br />o A <br />T � <br />-i m <br />2 <br />m � <br />N <br />O <br />or <br />t-� m <br />c cn <br />� N <br />m <br />�-Z-1 1'n" <br />• m <br />D <br />A <br />1 <br />2 <br />n <br />z <br />� <br />._-� <br />N <br />Z <br />O <br />.-�. <br />C') <br />m <br />� <br />