Laserfiche WebLink
�hr£rrrireCn �- ^oNsrRuc-rior, <br /> everett � <br /> CITYHALL259�8/e5 PERMIT peRnniT No. 13554 <br /> EVEREiT,VJA 98201 C COMBINATION ❑ BUILDING ❑ MECHANICAL }� PLUMHING <br /> 01YNER � MRIL RODRE55 GITY ZIP VMONE <br /> Providence Hospital 97.6 Pacific Everett 98201 <br /> Rq�HIiECT Jq pE51GNER MAIL AOOPE55 GTY ZIP pHONE <br /> GENER4L CONiRAGiDR MAIL RDDRES$ GTV ZIP PNONE LICENSE� <br /> MECMPNICR�CONTRA�TOR MPIL AODRE55 CITv ZIP PMONE LICEYSE� <br /> PLUMBING CONiPPGTOR MAIL ADDRE55 QTY Z�p �MOkE LICENSE• <br /> Glantz Supply Zn�. _3332 Cedar Everett 87 al 252-244^ <br /> CU55 OF WORK <br /> ❑NEYJ ❑ ADDITION ❑ ALTERATWN ❑REPAIfl ❑ DEMOLITION ❑ FENCE ❑ SIGN U WOOD STCVEIFIREPLACE INEERT <br /> VALU�TION OF WORK <br /> t <br /> DESCPIBE WORN <br /> PAOPOSED USE OF BUILOMG <br /> I HEREBY CEfl?IFY THAT I HA�JE RE4D AND EXAMINED THIS <br /> LEG4LDESWIPiIONOFPROPERTY�SHOWBELOWOHATTAGMFOURGOPIES) APPLICATION AND KNOW THc �aA�E TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF �.,NS AND OADINANCES <br /> icT_e�ocn_ov_. GOVERNING THI& 7YPE OF WORK WILL BE COMPLIED WITH <br /> WHETNER SPECIFIED HEREIN OR ':07.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> � OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PEFFORMANCE OF CONSTRUCTION. <br /> JOB RDDRESS S�GNATUNE 0�COhiFRCTOP Oq PUiMORiZED AGENT ORTE <br /> 916 Pacific--Second North X Check #67178 <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FI}:TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> z WATERCLOSET�TOILI'T) 4 00 AIR COND. UNITS - H.P. EA. <br /> _ BATMTUB REFRIGERATION UNITS - M.P. EA. <br /> ( LAVATORY(WASMBASIN) ZZ OO POILERS - N.P.EA. <br /> SHOWER GAS FlRED A.C. UNITS - TONNAGE EA. <br /> � KITCHEN SINN 8 DISP. 19 OO FORCED AIR SVSTEMS - B.T.U. M EA. <br /> DISHWASHER WqLL HEATEfiS- B.T,U. M <br /> LAUNDRV TRAY UNIT MEATERS- B.T.U. M <br /> CLOTNES WASHER EVAPORATIVE COOLERS <br /> WATEP HEATER CLOTMES DFYERS <br /> UFINAL VENTILATION FAN <br /> DHINKING�OUNTAIN RANfE HOGD <br /> FI.00R DRAIN __ AIR HANDLING UNIT- QP.M. � <br /> VACWM BREAKEFS STWE- WOOD [�' <br /> ROOF DFAINS- RAINLEADERS � METAL FIREPLACE b CHIMNEV `�� <br /> SINK�SERVICE - BAR, ETC.) FIRFPLACE INSERT • <br /> MEAi PUMP <br /> _ _ H 1- <br /> y � <br /> SUB TOTAL i 32 OO SUB TOTAL S — � `-� <br /> PERMIT f 3 OO PERMIT { � N � <br /> TOTAL FEE f 35 0 TOTAL FEE S � t <br /> SIDE YPRD SETBPCK STRF:ET SETBACK REAR YARD SETBACK PLCN CMECK NUMBEF PLAN CHECK FEE P <br /> FEE RECEIPT N0. � �' <br /> USE 20NE LOT 4REA VACANT SITE __ � ` <br /> : .YES NO FEES VALUATION FEE <br /> �- <br /> TVPE OF CONST. OCLUPANCV GROUP NO. OF DWELLING UNITS (J ; <br /> C <br /> BUiLDING f � ; <br /> SIZE OF BLDG. NO.OF STOFIES MA%.OCC LOAD <br /> PLUMBING jS OO � <br /> FlRE pONE BASE:MENT FIRE SPRINI(LEFS C ; <br /> REOUIRED ��ECHANIGAL <br /> VES NO � ( <br /> APPPOVALS BY DATE O7HER � � <br /> 1.ENVIRONMENTAL CMECK LIST PENALTY U B C. � - <br /> ? 9UIlDINGPIhNS SEC. 3G31a1 <br /> 35 00 � <br /> S FIRENYDRANT TOTAL � � <br /> 4FlREPHOTECTIONSYSTEM pERM1T VALIDATION Z . <br /> 5.GPADING WHLN PROPERLV VALIDATEO�1N TM19 3PNCF��THISYS YOU��P�f�IT-- � <br /> 6.DRAINAGE � <br /> 7.ENVIRONMENiAL IMPACTSTATEMENT L(� <br /> 8.HEALTM DISTRICT ". ' ��� �M <br /> � <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR I55'.!ANCE BY T'� <br /> ' <br /> � i I <br /> ,cn'?ESS I IL[: <br />