Laserfiche WebLink
r,���<<�;`�°n ; CONSTRUCTIC'�V <br /> everett PERMIT F�RMIT NO. 1S4S2 <br /> CITV MALL 259�87d5 <br /> EVERETT,WA98201 ❑ COMBINATION ❑ BUILDING �7cMECHANICAL ❑ PLUMBING <br /> OWYER MAILADDRE55 CITY ZIP PHONE <br /> L'.nn Soderblom 2910 B7[N Riverview Blvd. Everett 98203 355-4007 <br /> ARCHITECT OR UESIGNFR MFIL ADOPE55 piY ZIP PMONE <br /> GENEPAL CONiRAGTOR MRIL AODRE55 GiY ZIP PMONE LICENSE� <br /> MELMANIC4L CONTRaCTOq MAIL F�ORE55 GTY zIP PMONE IICENSE♦ <br /> Same <br /> PWMBING CONTRFGTOR MAIL AOORE55 CITY ZIP PMONE LIGENSE A <br /> C1A55 OF WORN <br /> ❑NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEAIOLITION ❑ FENCE ❑ SIGN C�XWODO STOVFJFIREPLACE INSERT <br /> VR W�TION OF WORK <br /> f <br /> DESCRIBE WORK <br /> Install wood stove �(.] <br /> PPOPOSEO USE OF BUILDING [rJ <br /> I HEREBY CERTIFI�THAT I HAVE READ AND EXAMINED THIS " <br /> APPLICATI�N AND KNOW THE SAME TO BE TRUE AND <br /> LEGA�OESCRIPTIONOFPqOPERTV�SHOWBCLOWORRTTAGHFOUPCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> lOT_9LOCK_OF 37VERNING THIS TYPE OF WORK WILL BE COMPLIED W�TH <br /> Wh'ETHER SPECIFIED HEFEIN OR NOT.THE GRANTING OF A H M <br /> P�RMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE y � <br /> OR CAFICEL THF PROVISIONS OF ANY OTHER STPTE CR <br /> LOCAL LAW REGULATING COaSTRUCTION OR THE � � <br /> PERPORMANCE QF CO HU N. � <br /> JOB�DURE55 SIGNATUPE9FL T 0 � HO AGENi pATE <br /> 2910 Riverview Blvd. X " �' �_ 9/26/85 � <br /> PLUMBING MECHA AL ' � � <br /> NO. TYPE OF FIXTUHE OR ITcM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�TO:LEn AIR COND.UNITS - H.P. EA. ~ <br /> �Q 2 <br /> BATHTUO REFRIGERATION UNITS- H.P. EA. �F y <br /> LAVATORY pNASH BASIN� BOILERS- H.P. EA. F� H <br /> SIIOWER GAS FIRED A.C. 11N1T5 - TONNAGE EA. � N�7 <br /> KITCHEN SINK 8�ISP. FORCED AIR SVSTEMS- B.T.U. M EA. � y <br /> �ISMWASHER WALL h1EATERS- A.i.U. M My 3 <br /> LAUNDRY TflAY UNIT HEATERS- B.T.U. M y'� M <br /> CLOTMES WASHER EVAPORATI\E COOLERS � � <br /> WATEfi MEATER CLOTHES�RVERS �-+ <br /> 11RIN<,L VENiILATION FAN (n <br /> ORINKING FOUNTAIN RANGE HOO� U� <br /> FLOOR DRAIN AIR HANDLING U�IT- C.F.M. � <br /> VACUUM BREANERS ], STOVE - WOOD <br /> ROOF DRAINS- flAINLEADERS METAL FIREPI'+CE 8 CMIMNEV <br /> SINK(SERVICE- BAR, ETC.) FIREPL4CE INSEFT � <br /> HEAT PUMP <br /> T <br /> H <br /> � <br /> SUB TOTAL i SUB TOTAL f Q <br /> PERMIT f PERMIT f i-'(�i� <br /> TOTAL FEE f TOTAI FF.E = 17 50 C9 <br /> SIDE VARO SETBACN STREET SETBACK REAR YARD SET9ACK PLAN CH[CK NUMBER PLAN CMECK FEE <br /> FEE REGEIPT NO. <br /> USE ZONE _OT AREA VACANT SITE <br /> YES NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OP DVJELLING UNITS <br /> BUILDING 5 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> PLUM9ING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED 17 50 <br /> YES NO <br /> APPROVALS BY OATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.00 <br /> SEC.30J Ia1 <br /> 2.BUILDING PLANS — <br /> J.FIREHVDRANT TOiAL 1�I SO <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIOATION <br /> 5.GRADING WHEN PROPERLY VALIDATED�IN THIG S�PAGE�TH15�5(yQUq P�RRI? (� <br /> ] [ 7 ] U11 lU W <br /> B.ORAINAGE � <br /> 7.ENYIRONMENTALIMPACTSTATEMENT � <br /> 8.HEALTH DISTRICT ^: � I !� �F�C G I PT.—� <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE BY `� -�� � � <br /> , , , ��. Y(� U <br /> �1 1, ��.�� b� <br /> �,00u�ss ru[ <br />