Laserfiche WebLink
�`� -� �NSTRUCTION �� ^ <br />everett PERMIT PERMIT NO. 18572 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDiNG k� MECHANICAL ❑ PLUMBING ❑ SION <br />pNNER MRILADDRESS CITY 21P PriONE <br />James D. Bearden 6504 Olympic Dr. Everett, WA 98203 355-3739 <br />ARCMITECT OR DESIGNER MRIL pDDRE55 �ITY 2iP PF.ONE <br />OENFMLGONTR�CTOR MMLAUDRE55 pITY 21P PHpNE 4CENSE� <br />Owner Same <br />MECHANIC�ICONTR�CTOR M�ILADDRESS CITY 21P PMONE LICENSE� <br />PLUMBINGCONTRACTOP MAILRDDRESS CITY 21P MONE LICENSE� <br />O NEW �l ADDITION ❑ AL7ERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDINO RELOCATON � <br />VALWTIONOF WORN � �� <br />= i <br />pESCNIBE WOHK . I <br />Inetallation of Wood Str�e I <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Sinlga family Y3St residence <br />.EO�L DESCRIPiION OF CROPERTY �SHOW BELOW OP ATTACI <br />LOT _ BLOCK _ OF <br />OBADDRE55 <br />6504 Olympic Dr. <br />PLUMBIN6 <br />NO. TYPE OF FI%TUHE OR ITEM <br />WAiER CLOSET (TOILET� <br />P4iHTUB <br />' .VATORV �WASM BASIN� <br />�(ITCFIEN SINK 8 DISP. <br />DISMWASHEF <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINRL <br />DRINKING FOUNTAIN <br />iLOOR ORAIN <br />BACKfLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — �AR, ETC.) <br />APMICATIONACC BY <br />S.H. <br />TO:ALFEE f <br />RE�F �ETBACN SIpE SETBAt;N <br />lOT �REl1 VaCI.NT SrtE <br />❑YES ❑NO <br />OCCUPRNCY GROUP NO OF DWftLINI <br />NO OF STORIES MAX.00C LORO <br />PLRNS CMECNED FIY � RPPR FOR ISSU�NCE AY <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 />PERMIT DOES NOT PRESUME TO GIVE AU7HORITV TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGN��ATU/R�E Oi�CONTR�GTOR. AUTMORIL/EO� AGENT, OP OWNER DQE <br />X7//,n�elln �'il�./�fI/.`//�n.� .Q�/Zlp� <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIGEFlATION UNITS — H.P. EA. <br />BOILERS — B.T.0 /HP. <br />GAS FIRED AC. UNITS — B T.U. <br />FORCED AIR SYSTEMS — B T.U. <br />WALL HEATEPS — B TL. <br />UNIT MEATERS — BSL. <br />EVAPORATIVE COOLERS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGENOOD <br />WATER HEATEF <br />wOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SU! TOTAL <br />PERMIT <br />TOTALFEE <br />PLANCNECK NUMBER FEE <br />FEES <br />BUILOING <br />PLUMBING <br />MECHANICAL <br />INVES7IGATION FEE <br />STATE BUILDING SURCMARG <br />STA7EF.NERGYSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />M EA. <br />M <br />M <br />V�"'".TON <br />�ai�i:�E�� _ . er�� <br />I�"1': ir_"� <br />Iti' 7 4: U.DO <br />�-'.i0a(e) m. u. u <br />FEE <br />OcOnU64.:; l:F.1"k <br />WHEN PROPERLV VALIDATED (W �HISSPACE) TMIS IS YOUR PERMIT <br />ner�+ess i��n-[ <br />30 <br />N <br />ti <br />L.[7 <br />DO <br />�-- <br />