Laserfiche WebLink
"��'�� o � C�`1NSTRUCTION " �' �7�7 <br />everett PERMIT PERMITNO. 2� I I � <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION O BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAllAD04iES5 CITY ZIP PMONE <br />Dennis Koger 1341 Mukilteo Blvd 98203 252-7858 <br />TENANT MAILADDRE55 CITY 21P PMONE <br />ARCHITECTORpESiGNEIi MAILq��RE55 CITY ZIP PMONE <br />GENEPALCONTRACiJR MAILAODRE55 CITY 21P PHONE LILENSE• <br />Owner <br />MECHANICALCONTRRCTOR MAILAD�PE55 CITY 21P PIIONE LICENSE• <br />PLUMBINGCONTR�CTOR MAILApORE55 CITY 21P PHONE LICENSE� <br />CUSSOFWORN <br />❑ NEW S7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTRACT P(iICE OF WORK: $ <br />ESCRIBE WORK RNO SOURRE i <br />Install furnace <br />PROL'OSED USE OF BURo�Nti <br />Siny:� family residence <br />LEG4L OESGRIPfION Of PROPERTY �SNOW BELOW OR ATTFCH FOUR COPIES) <br />i lOT_BLOGK-OF <br />JBnO�RESS <br />1341 Mukilteo Blvd <br />PLUMBING <br />NO. TYPE OF FIXTUHE OR ITEM <br />WATER CLOSEf (TOILET) <br />BATHNB <br />KITCHEN SINK 6 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEAUERS <br />SINK (SERVICE— BAR. ETQ� <br />USEZONE <br />tVf4 M CONSiRII <br />SiZE OF BLOC <br />REASONFONSPRiN6LER5 <br />APPLICATION ACC. BY <br />M.M. <br />SUBTOTAL <br />PEPMIT <br />TOTALFEE <br />REARSETBACK <br />LOT AREF <br />7YfE OF CON9RIILIION ALIUAL <br />NO. OF STORIES <br />iIRE SPPINKLERS REO-D <br />❑ YES ❑ NO <br />f <br />S <br />S <br />CONiACT PERSON ANU PHONE N0. IF OTHER TNFN PUov[ <br />MECHANICAL <br />NO. TYPE OF EOUIPI <br />NC — A/HNDLG UNITS — N.P. <br />1 FORCEDAIRSYSTEMS—B.T.U. <br />UNIT HEATERS — B.T.U. <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGENOOD <br />\YATER HEATER <br />WOODSTOVE <br />METAL PIREPLACE 8 CHIMNEY <br />FIREPLA.^.EINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />PLAN CHECK NUMBER <br />SUBTOTAL <br />PERMIT <br />VFCANTSITE FEES �� <br />❑ YES ❑ NO <br />�w'p'°YNOofONSIIINcuh115 BUILDING S <br />PLUMBING <br />BnSEMENT <br />❑ YES ❑ NO MECHANICAL <br />NEIGNT�IAIIiATION OTHER <br />0^ <br />STATE BUILDING SURCHARGE <br />STATEENERGYSURCHARGE � <br />CITY OF EVERETT pUBLIC WORKS � <br />LOCAL SALES <br />TAX CODE IS TOTAL <br />3105 WHEN PROPERLY VALI <br />PEHMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />A�DRESS FII.E <br />M EA. <br />�f <br />RECEIPT NO. <br />24 00 <br />89 12:1 FM OO�R1147'a9 �Xi:t <br />� <br />SL .00 <br />TED <br />24 I00 <br />PERMIT <br />�� :� J j <br />. i ; ! . <br />