Laserfiche WebLink
lhr Llrr,�reen <br />Cn v o[ <br />everett <br />GTV HALL 253-8745 <br />EVERETT, WA �38201 <br />�� �ONS�'RUCTI01� ` <br />PERMIT PERMIT NO. 15E2S <br />❑ COMBINATION [� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILAD�RE55 CITV ZIP PMONE <br />SNYDER 3 4! MARILYN EVERETT WA 98203 <br />ARCHIiECT OR pESIGNER MAIL ADDRESS CIiY 21P PMONE <br />GENERnL CON'PACTOF MAIL ADDRE55 dTY 21P PNONE LICENSE � <br />Same <br />MECHANICALCONfRqCTOP MAILADORF55 CRY 21P PMONE LIGENSE� <br />PLUMBING CONTRACTOR MNL AO�RESS GITY 21P PNONE LICENSE � <br />❑ NEW ❑ ADOITIOIJ ❑ ALTERATION �I qEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />VALUATION OF WORK <br />f soo.00 <br />Reroof <br />aROPO5E0 USE OF BUILOING <br />Res9dence <br />LEGAL DESCRIPTION OF PROPEPTY �SHOW BFI <br />LOT_BLOCN�OF _ <br />JOB ADDRESS <br />3 W. Marilyn <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KI7CHEN SINK 8 �ISP. <br />DISMWASHER <br />LAUNORYTRAV <br />CLOTHES WASHFR <br />WATER HEATEq <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />FOOF ORAINS — RAINLEADE <br />SINK �SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />SIZE OF BLDG. NO. OF STOFIES <br />FIRE 20NE BASEMENT <br />APPqOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRAN7 <br />d. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMLNTALIMPACTSTATEMENT <br />8. HE4LTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <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 VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCEOFCONSTRUCTION. <br />SIGNATURE OP CONTRACTOR O TMORqE ACENT DATE <br />X �___ ��� ,�,� 10/25/85 <br />MECNANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRE� A.C. lINI7S — TONNAGE EA. <br />FORGED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — W000 <br />METAL FIREPLACE 8 CHIMNEY <br />1 FIREPLACEINSERT <br />i� <br />5 <br />S <br />REAR YARD SETBACK PLAN CHE <br />VACANT SITE <br />�.:VES :�.NO <br />NO. OF DWELLII�G UNITS <br />BUILDING <br />MA%.00Q LOAD <br />PLUMBING <br />SU8 TOTAL S <br />PENMIT S <br />TOTAL FEE S <br />C NUMBER PLAN CI <br />FEE <br />FEES VALUATION <br />MECHANICA� <br />DATE� O7HER <br />PENA�TY <br />S <br />11 <br />(a) <br />FEE <br />RECEIPT NO. <br />FEE <br />�� <br />TOTAL I I I U IUU <br />I <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED pN 7HI5 SPACE) THIS IS YOUR PERMIT .1 i <br />46Ey $0 � �.00 — � �� <br />�! ) <br />1� <br />� <br />���: .° : �: ����� � <br />i'`" 1'OU <br />�' ..;. <br />ADDRESS FILE <br />2 5 UCT 3 5 <br />