Laserfiche WebLink
, <br /> . - <br /> � <br /> d�eE��ergrecri CC"rISTRUCTION � �� � � <br /> . CIiY OF <br /> everett PERMIT PERMIT NO. O63�E <br /> CITV HALL 259�8745 <br /> EVERETT.WA 98207 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILAU�RE55 GIiY ZIP PIIONE <br /> FORREST BROWN 21435 39th Ave. S. E. BOTHELL 96011 485=1564 _ <br /> ARCNITEGTOPO[SIGNER MAILADDRE55 GITY ZIP FHONE <br /> GENERALCONTRACiOP MAILAOORE55 CI1Y 21P PHONE LICENSEI <br /> SELF <br /> MECHANICAL CONTMCTOR M1IAIL ADDRE55 diY ZIP PNONE LICENSE/ <br /> VWh1�INGCONTPACiOP MAIIADDRESS CITY ZIP PNONE UCENSEI <br /> CLASS OF WONK <br /> ❑NEW ❑ADDITION L�J'ALTERATION ❑fiEPAIR ❑DEMOlITION ❑FENCE ❑SIGN ❑GARAGE <br /> YAlUAT10N OF WORK <br /> s 3000. 00 <br /> DESCRI�E WORK <br /> PROPOSE�USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEGALDESGPIPTIONOFPROPERTV�SHOWBEIOWORATTACMFOUFCAPIES) PLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. <br /> 227 EVERETT T ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or aioc�_or TYPE OF WORK WILL BE COMP�JED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> S 56 ft O£ N 1/2 LOt 3 PRESUMFTOGIVEAUTHORITYTOVIOLATEORCANCELTHEPRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUREOPGONiRACTORORAUiNORIZE ENT DATE <br /> JOBADDRESS 1122 WALNUT X 7�ZOI79 <br /> PLUMBINO ANICAL <br /> N0. TYPE OF FI%TURE OH ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET QOILFT) AIR COND.UN!TS—HP.EA. <br /> BATHTUB REFPIGERATIOV UNITS—H.P.EA <br /> LPVATORY�WASH BASIN) BOIlERS—H.?.EA. <br /> SHOWER G�S FlRED A C.UN!TS—TONNAGE EA. <br /> KITCHEN SINK B DIS". FORCED Ali7 SYSTEMS—B.T.U. M EA. <br /> DISMWASHER WALL HEAT&RS—O.T.LL M <br /> LAUNDFV TRAV UNIT HEATERS—B T.U. M <br /> CLOTHES WASHER EVAFORAiIVE COOLERS <br /> � WATER HEATER CLOTHES DRYERS . <br /> URINAL VENTILATION FAN <br /> �RINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.FM. <br /> VACUUM BREAKEf�S STOV[ <br /> ROOF DRAINS—RAINLEADERS METAL FIREPtACE 8 CHIMNEY <br /> SINK(SERVICE—BAR.ETC.) <br /> SUBTOTAL SUB TOTAI S <br /> PEHMIT S PERMIT f <br /> 70TAlFEE S TOTALFEE S <br /> SIDE YARD SETBACK STRELT SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT A(iEA VACANi SITE <br /> ❑YE& ❑NO FEES VALUATION FEE <br /> NPE OF CANST. OCCUPANCY GROUP N0.OF�WELLING UNITS <br /> BUILDING $ <br /> SIZE OF BLOG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUM�ING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES L7N0 <br /> APPROVALS BY DATE �THEF <br /> 1. ENVIRONMENTALCHECKIIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2. BUILDING PLANS <br /> TOTAL 30 OQ <br /> 3. FIRE HYDRANT � <br /> 4. FIRE PROTECTION SYSiEM PERMIT VALIOATION •� � � , <br /> WHEN PROPERLY VALIDATED iIN THIS SPACE�THIS IS YOUR PERMIi w . <br /> 6. DPAMAGE ���� �V ��•�" �I , <br /> 7. ENVIRONMENTALIMPACTSTATEMENT � c � M � � <br /> B. HEALTH DISTRICT V B .fQ�[� �� � <br /> APPLICATION ACC.BY PLANS CHECKE�BY APPR.FOR ISSUANCE BV `��K�vC��� � <br /> fA1 6 ��f <br /> /1 R 11J <br /> ADDRESS FILE � � � "" �� :'_ _ <br />