Laserfiche WebLink
the Evergreen <br />CITY OF <br />everett <br />259-8745 <br />❑ DEMOLITION <br />C 7NSTRUC"XICN 19787 <br />PERMIT PERMIT NO. <br />❑ COMBINATION ❑ BUILDING M MECHANICAL '❑ PLUMBING ❑ SIGN <br />PHONE <br />OWNER <br />MNl ADDRESS <br />2 Ocean Ave Everett, WA <br />348-4407 <br />Carl W. SPOtz <br />ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />CITY <br />ZIP <br />PHONE LICENSE• <br />GENERAL CONTRADTOR <br />MAIL ADDRESS <br />CRV <br />ZIP <br />PHONE LICENSE• <br />MECHANICAL CONTRACTOR <br />MAR ADDRESS <br />99 Everett, WA <br />355-7730 <br />VALLENG153L <br />Valley Natural Gas <br />11323 Hwy <br />CENSE• <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />PLUMBING CONTRACTOR <br />CLASS OF WORN <br />❑ NEW ❑ ADDITION ® ALTERATION El REPAIR ❑ DEMOLITION ❑BUILDING RELOCATION <br />VALUATION OF WORK <br />S <br />DESCRIBE WORK <br />Install gas fired 1J5M furnace and 50 gal mkatn water heater. <br />HEAT SOURCE <br />❑ EI ECTRICITY ❑ GAS El WOODSTUVE ❑OTHER <br />single family residence <br />LOT — BLOCK <br />JOB ADDRESS .c-xo <br />1pa^ Ocean Ave <br />a IIASNIMr. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT, ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PEF`-AIT 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 4F CONSTRUCTION. <br />tl�ITHORVED AGENT. OR OWNER DATE <br />Q <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE Ur EUUIrm- <br />A'C — A/HNDLG UNITS — H P. <br />WATER CLOSET (TOILET) <br />REFRIGERATION UNITS — H P EA <br />BATHTUB <br />BOILERS —BTU 'H P. <br />LAVATORY (WASH BASIN) <br />GAS FIRED AC UNITS —B.TU <br />SHOWER <br />FORCED AIR SYSTEMS — <br />KITCHEN SINK d DISP. <br />WALL HEATERS — B T U <br />DISHWASHER <br />UNIT HEATERS — R T U <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />_ <br />RANGE HOOD <br />FLOOR DRAIN <br />1 <br />WATER HEATER <br />BACKFLOW PREVENTERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />WOOD <br />SINK (SERVICE — BAR, ETC) <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACEINSERT <br />X <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL S <br />SUB TOY <br />PERMIT S <br />PERMIT <br />TOTALFEE <br />S <br />TOTALF <br />FRONT SETBACK REAR SETBACK 510E SETBACK <br />PLAN CH —NUMBER <br />FEE <br />USE ZONE LOT AREA VACANT SITE <br />FEES <br />VA <br />DYES ONO <br />TYPE OF CONST OCCUPANCY GROUP NO OF DWELLING UNITS <br />BUILDING <br />$ <br />PLUMBING <br />SIZE OF BLDG NO OF STORIES MAX OCC LOAD <br />F'ECHANICAL <br />INVESTIGATION FEE <br />FIRE SPRINKLERS REQUIRED ❑ YES [- NO <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY PLANSCHECKFO BY <br />APPR FOR ISSUANCE RY <br />DRIVEWAY PERMIT <br />TOTAL <br />M.M. <br />PERMIT VALIDATION <br />3/22/88 <br />WHIN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT t- <br />00 <br />Q7 <br />f� <br />ADDRESS FILE <br />