Laserfiche WebLink
. <br />` CC�ISTRUCTION <br /> �heE��ergreen n �� <br /> r CITY OF � <br />` everett PERMIT <br /> PERMIT NO. OH�73 <br /> pTY HALL 259�8745 <br /> EVERETT.WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />� <br /> OWNE9 MFIIADD�E55 CITY ZIP PHOIIE <br />� Amy Fox 918 Maple <br />� ARCIIITECT OR DESIGNER AIAIL ADDRE55 CITY ZIP PMONE <br /> GENERRL CANIRALTOP MAIL ADDRE55 CITY ZIP PNONE LIGENSE� <br />� Erickson 6eneral Contractinq 3205 Laurel Drive 98201 z59-6672 <br /> MECNPNICALCOMRRCTOR MAILADDNE55 CITY ZIP PHONE UCENSE� <br /> ER IC KI 22601 <br /> PLUM. `!G CANTRACTOR MRIL ADDRE55 CITY 21P PHONE LICENSE I <br /> CUSS OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION �EPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE lj <br /> VALUATION OF WORK <br /> 5 Z4�0. 0� <br /> �ESCHIBE WORN <br /> re-roo£ com osition and rebuild back o <br /> PPOPOSEU USE OF BUILC'NG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAM�NED THIS AP• <br /> IECJLLDESCRIPT10NOFPROPERTY�SHOWBELOWORATfACNFOURCOPIES� PL�CATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 24-25 188 Everett Div. T ALL PROVICIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> tor oiocK_oF TYPE (�. WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING GF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> C UCTION U E PERFORMANCE OF CONSTRUCTION. <br /> JOBADOHE55 +NATURE 0 r1 AUi OF2EDAGENT DAiF <br /> 918 Maple 10 22 80 <br /> PLUMBIN(i E HANICAL <br /> NO. TYPE OF FIXTUHE OH ITEM FEE NO. TYPE OF EUUIPMENT FEE <br /> WATER CLOSET QOILET) AIR COND.UNITS—H.P.EA. <br /> BATNTUB HEFRIGERAiION UNITS—H.P.EA <br /> LAVA70RV(WASH BASIN) BOILERS—H P.EA. <br /> • SHOWER GAS FIRED AC.UNITS—TONNAGE EA. <br /> KITGHEN SINK 8 DISP FORCED AIP SVS�EMS—B.T.U. M EA. <br /> �ISHWASHFR WALL HEA7ERS—B.T.U, M <br /> UUNDRY TRAY UNIT HEATERS—d T.U. M � <br /> CLOTHES WASHER EVAPORATIVE CWLERS <br /> WATEF HEATER CLOTHES DRYERS <br /> URINAL �ENTILATION FAN <br /> DRINKING FOUNTAIN RFNGE HOOD <br /> FLOOR DRAIN AIR HANDIING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF ORAINS—RAINIEADERS METAL FIPEPLACE 8 CHIMVEY <br /> SINK ISERVICE—BAR,ETC) <br /> � SUlTOTAL SUB TOTAL i <br /> PEflMIT i PERMIT S <br /> TOTALFEE 3 TOTALFEE f <br /> SIDE YARD SETf3ACK STFEET SETBACK REAR VARD SETB.ICK PLAN CHECK NUMBEF PLAN CHECK FEE <br /> FFE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑VES CNO FEES VALUATION FEE <br /> NPE OF C(7NST. OCCUPANCV GROUP N0.OF DWELLING UNI75 <br /> euaow� $ 2400. 38 50 <br /> SIZE OF BLDG. N0.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE 6PSEMENT FIRE SPRINKLERS <br /> REOUIRED IAECHANICAL <br /> ❑YES ❑NO i <br /> APPHOVALS BY DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST PENALTY U.d.Q � <br /> 2. BUILDING PLANS SEC.303(a) <br /> TOTAL 3 8 5 O � <br /> 3. FIFE HYDRAN7 , <br /> 4. FIRE PHOTECTION SVSiEM �PEHMR VALIDATION <br /> WHEN PROPERLY VALIDATED(W THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING <br /> 6. DRAINAGE 9 4 5 6 $ 0 3 8. 5 0 �� � <br /> 7. eNVIRONMENTAL IMPACT STATEMENT � <br /> B. HEALTH DISTRICT �, � � � � � 1 <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.fOR ISSUANCE BY � � ��- �� R�C E I PT � <br /> ; , .,��: You <br /> , <br /> a <br /> ADDRESS FILE 7 2 CCT gO <br /> n. <br />