Laserfiche WebLink
rnc £re.c•;r,i <br />�,,Y << <br />everett <br />CITV HAIL 259�P74F <br />CONSTRUGTIO-1 <br />PERMIT PERMIT N0. 1�-�••'y <br />EVERETT,WA37201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL AO�RE55 GITY 21P PNONE <br />WA. (*@)t 98206 258- 2391 <br />q E EB • AOORE55 CITY ZIP PHONE <br />GtNERAL CONTRACTOR MAIL AOORE55 QTY ZIP PNONE LICENSE / <br />DON TISDALE P 0 BX, 1078 EVE?2ETT 982G6 258-2391 <br />MEGHRNICAL WNTPAROR AIAIL ADDRESS CRY LP PHONE UCENSE � <br />PWMBING GONTRACi0r1 1dAIL ApORESS CITY 21P PMONE LICENSE � <br />❑ NEW ❑ A�DITION ❑ ALTERAiION ❑ REPAIR G� DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />.UPTION OF N <br />S �0.�0 <br />DEMOLISH SINGLE PAMILY RESIDENCE <br />LOT__BLOCN�Of <br />JOB ADORESS <br />3824 MCDOOGAL <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />W A7EF CLOSE7 �TOILEn <br />BATHTUB <br />LAVATURV�WASH BASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />�ISHWASHFR <br />LAUNURVTflAV <br />CLOTHES WASHER <br />W47ER HEATER <br />UflINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DFAINS --� RAINLEADERS <br />SINK ISERVICe - BAH, ETC.1 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />ATTACHFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPFCIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANl' OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGN�TURE QF GONTRA�09 f� /UtMO�IZEO AGENi, DATE <br />MECHANICAL <br />FEE N0. TYPE OF E�UIPMENT <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILEFS - M.P. EA. <br />GAS FIRED P.C. UNITS - TONNAGE EA. <br />FOFCED AIR SVSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.7.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HAN�LING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACc 8 CHIMNEY <br />PIFEPIACEINSERT <br />HEAT PUMP _ <br />—� SUB TOTAL 1 <br />PEHMIT 5 <br />TOTAL FEE 5 <br />SIJE YARD SETBACK STREET SETBACK REAR VARD S <br />USE ZONE LOT AREA VACANT 511 E <br />YES NO <br />T1'PE OF CONST. OCCUPANCY GROUP N0. OF DWEL <br />SIZE OF BLDG. N0. OF STORIES MAX. OCC. L( <br />FIRE 20NE BASEMENT FIRE SPRINKI <br />REOUIRED <br />VES NO <br />APPROVALS <br />7. ENVIRONMENTAL CHECK LIST <br />2. BUIL[11NG PLANS <br />3.'IRE HVDRANT <br />4. FIFE PROTECTION SYSTEM <br />5. GFlADItJG <br />6.ORAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. NEALTH DISTRICT <br />APPLICATION ACC. BV PLAN$ CHE <br />IC <br />9 <br />FOR <br />ZC <br />SUB TOTAL S <br />PEPMIT S <br />TOTAL FEE 5 <br />C NUMBER PLAN C <br />FEE <br />FEES VALUATION <br />BUILDING <br />PI.UMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />3091n1 <br />RECEIPT NO. <br />FEE <br />TOTAL 00 00 <br />PEFMIT VALIDqT10N <br />4VMEN PROPERLV VALIDATED �IN THIS SPACE) THIS�IS.YOUji PF.RMIT __ f y <br />� �'� <br />*-i <br />�' <br />I <br />BY <br />���.,liJi', . i. <br />: <br />z <br />O <br />� <br />� <br />m <br />--I T <br />.. --i <br />N 2 <br />m <br />a <br />co <br />m o <br />� <br />-i C <br />O 3 <br />m <br />2 —i <br />m <br />.O Z <br />D --� <br />rx <br />� N <br />-< <br />O A <br />T D <br />--i m <br />2 <br />m � <br />or <br />� m <br />C N <br />� N <br />m <br />--I r <br />. m <br />a <br />� <br />-i <br />x <br />n <br />z <br />� <br />.=-i <br />N <br />2 <br />O <br />.�-� <br />n <br />m <br />