Laserfiche WebLink
the EverFt 1� <br />CITY" OF "NSTRUCTION <br />everett PERMIT PERMIT NO. 26047 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANICAL O PLUMBING FJ SIGN <br />OWNER MAIL ADDRESS CRY ZIP PHONL <br />Shirley Hoffart 603 Maulsby Lane Everett, UTA 259-0962 <br />TENANT MAIL ADDRESS CRY ZIP PHCA. <br />OR DESIGNER <br />GENERAL <br />MAIL ADDRESS CITY <br />MAIL ADDRESS CITY <br />ZIP P.AONE <br />ZIP PHONE LICENSE - <br />MECHANICAL CONTRACTOR MAIL AODRESS CITY ZIP PHONE LICENSE <br />Valley Nat Gas 2605 McDougall AVe. Everett WA 259-5492 VALLENG153L1 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION Q ALTERATION O REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ ' <br />DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED <br />Install furnace & A14H <br />PROPOSED USE OF BUILDING <br />Single Family <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT - BLOCK - OF <br />JOB ADDRESS <br />603 Naulsby 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 (TOILET) <br />A/C — A/HNDLG UNITS— <br />n <br />BATHTUB <br />FORCED AIR SYSTEMS -BTU M EA <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS-B.T.U. wm,n <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK & DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGEHOOD <br />LAUNDRYTRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE IS ClIlk' N 2 <br />6-947 <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT MFPHI <br />FLOOR DRAIN <br />HEAT PUMP <br />_ <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR. ETC) <br />t55. <br />16 <br />Eel i <br />------------- CH , <br />SUB TOTAL <br />f <br />SUB TOTAL <br />f <br />40 <br />OO <br />PERMIT <br />$I <br />PERMIT <br />f <br />15 <br />00 <br />TOTAL FEE <br />$ <br />TOTAL FEE <br />f <br />1 55 <br />O <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FIFE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />❑ YES ❑ NO <br />FEES <br />BUILAOINGi ODE <br />FEE <br />BUILDING <br />S <br />TYPE OF CONSTRICTION ARONARLE <br />TYPE OF CONSTRUCTION ACTUAL <br />° '^ ' <br />NO OF D'MLUNG UNITS <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />55 <br />O <br />OCCUPANCYLOAD FIRE SPRINKLERS REDD <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />HEIGHT LIMITATION <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />PLANS APPROVED By <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />1 <br />TOTAL <br />WHEN PRDPFRLV VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENTED WITHIN ADDRESS FILE <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />26047 <br />