Laserfiche WebLink
!/:ee�'CTYeGF C(�-�lSTRUCTION - .� <br />everett PERMIT pERM1T lJO. 0�914 <br />CITV HALL 259�8745 <br />EVERETf. WA 98201 ❑x COMBINATION � BUILDING � MECHANICAL ❑ PLUMBING <br />OWNER MAI;.RpDRE55 CiIY ZIP PNON! <br />Vic Anderson 1308 McDougall 56201 252-8791 <br />APCHRFCI [1N DESIGIIER MAIL ADORESS CILY '8 VMOM1E <br />GENLRAL CONTPACIOR MAIL ADDRC55 QTY .'.IP PNONE IICENSE � <br />San Jaun Pools 735 N.E. 198th Steat.tle 363-5151 <br />AIECHiNICALCONiRRCTOR MRILA�DNE55 CIiY ZIP FHONE VCENSEI <br />Sa Nj UP #346 �6 <br />PIUIdBINGCANTRACiOR MARADDRESS GIiY 21� PNONE UCENSE� <br />❑NEW ❑ADDITION ❑ALTER•1TION ❑PFPAIR ❑DEMOUTION ❑FENCE ❑SIGN ❑GARAGE <br />VAlUAT10N OF WORK <br />S <br />DESCNiBE wORK <br />Install Swimming Pool <br />Single Pamily REsidence <br />�or 8 eioc�oF Temwalt <br />1308 McDou9a11 <br />PIUMBIN6 <br />N0. TYPE OF FI%TURE OR ITFM <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHW�SHFR <br />LAUIJ[7M fRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FlOOR DRAIN <br />VACUUM BREnKERS <br />ROOf DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, E1G� <br />SUBTOTAL <br />SIDE YARD <br />SIZE OF BLDG. <br />STREETSETBACK <br />LOT AREA <br />1. ENVIRONMENTALCHECKLIST � <br />2. BUILOWG PLANS <br />� 3. FIRE HYDRANT ,� <br />4. FIRE PROTECTION SVS�M <br />' S. GRADING_� 0` <br />� � 6. DRhINAGI�i.� <br />�� p 7. ENVIqGMS1ENTAL IMFRAf STATEMENT <br />a�3 O <br />� B. ME �Aj�1 DISTRICT <br />APPLICITTO C. BY v PLANS CHECKED BY <br />; a -< n i <br />C`�' m <br />_-�. .• <br />RF.AR YARD SET�ACK <br />VACANT SITE <br />❑VES ❑NO <br />NO. OF DWELLING UNITS <br />APPR. FOR ISSUANCE BY <br />LC <br />I HEREBY CERTIFY iHAT I�1AVE READ AND EXAMINED THIS AP• <br />NLICATION AND KNOW THE SAME TO BE TRUE AIJD CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES 60VERNING THIS <br />TYPE OF WORK WILL BE COMPLIED N'ITH WHETHER SPECIFlED <br />HEFEIN OR NOT. TfiE GRANTING OF A PERMIT OOES NOT <br />PRESUME TO.GR'E AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF J�NY OTH[R STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAiURE OP GONir1AC1pR OR AU1110RIZE� AGR�i DATE <br />MECHANICAL <br />AIH COND. UNITS — HP. EA. <br />HEfRIGCRATION UNITS — 1. <br />BOILERS — HP. EA. <br />UHJ YI11CV H.li. UIVI IJ � I VI <br />FORCED AIR SYSTLAIS — 8.T <br />WALL HE4iERS — B TL. <br />UNIT HEAiERS — B T U. <br />M EA. <br />h1 <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F M. <br />S70VE <br />METAL FIR[PLACE 8 CHIMNEY <br />Pool Heater � <br />SUBTOTAL f � <br />PERMIT f <br />TOTALFEE S � <br />iECK NUMBER PLAN CHECK FEE <br />FLE � liFCEIPT NO. <br />FEES <br />Y <br />VALUATION I FEE <br />E <br />U.B.C. <br />SEC. 503 (a) <br />� �� <br />55 � 00 <br />PROPERLY VALIOA7E0 (IN liOS SPACE) THIS IS YOUR PERMIT <br />4576 505�.OP •-'=�ai <br />r"� <br />� <br />YOUR RCCEIPTo <br />TI ;.^�I�IK YOU <br />_ � ADDRESS FILE <br />