Laserfiche WebLink
the ELrrgrern <br />CITY OF <br />everett <br />259-8745 <br />C-INSTRUCTiON - <br />PERMIT <br />PERMIT NO. 18646 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING LRJ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY 21P PHONE <br />Carol White 4625 Marble Lane Everett, WA 252-6705 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEF <br />Natural Gas Equipment 1625 E Marine View Dr Everett, WA 98201 258-2441 NATURGE321K4 <br />MECHANICAL CONTRACTOR MAIL ADORES., CITY ZIP PHONE LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION C9 ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />S <br />DESCRIBE WORK <br />Gas pipe and install 50 gal water heater <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODiTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />residence <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 AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF ONTRACTOR. AUTHOR) ED AGENT, OR OWNER DATE <br />x <br />LEG AL DESCRIPTION OF FAOPERTY(SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ OF <br />JOB ADDRESS <br />4625 Marble Lane <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ITOILET) <br />A - A,HNDLG UNITS - H P. <br />BATHTUB <br />REFRIGERATION UNITS - H P. EA <br />LAVATORY ( WASH BASIN) <br />BOILERS - B T U rH.P <br />SHOWER <br />GAS FIRED A C. UNITS - B.T U. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS - B.T U M EA <br />DISHWASHER <br />WALL HEATERS-B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS-B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTII ATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />j <br />WATER HEATER <br />6 <br />50 <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR, ETC) <br />METAL FIREPLACE S CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />_ <br />EXHAUSTFAN <br />SUBTOTAL <br />S <br />SUBTOTAL 3 <br />6 <br />50 <br />PERMIT <br />S <br />PERMIT 5 <br />15 <br />00 <br />TOTAL FEE <br />S <br />TOTAL FEE 3 <br />21 <br />50 <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USEZONE <br />IOT AREA <br />VACANT SITE <br />❑TES ❑No <br />FEES <br />VALUATION._ <br />rrTFEE <br />BUILDING <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />J)J1UG4S <br />SIZE OF SLOG <br />NO OF STORIES <br />MAX OCC LOAD <br />MECHANICAL <br />g?� <br />�Ij 21 <br />50 <br />FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />SeC�304�Aj <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPL (CATION ACC BY <br />M. M. <br />PLANS CHECKED BY <br />A PER FnR ISSUANCE BY <br />DRIVEWAY PERMIT? <br />I,SD <br />TOTAL <br />PFPYIT VGI IBGTIl1N <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />L0 <br />WCJ- <br />Lo <br />00 <br />T— <br />ADDRESS FILE <br />