Laserfiche WebLink
(hPL��rrRrrCn � � CI�NSTRUCTI� • <br /> ���iv 0� � <br /> everett PERMIT PERMIT N0. �-� �� J <br /> GTV MALL 259�8745 <br /> EVERCTT.WA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUME3ING <br /> OIYNER h1Al�ADDRESS CITY ZIP PMONE <br /> ADOLPH PEDE'LSON 1813 ROCKEFELLER EVERETT WA 98201 252-9622 <br /> ARGHI7EGT OR UESIGNER MAI�ADDRESS CITY ZIP PHON[ <br /> GENERAIGONTRACTOfl MAILAD�RESS CITY ZIP PMONE LICENSEII <br /> Same <br /> MECMANIGAL GONTRACTOR MAIL ADDPESS CITY ZIP PHONE UCENSE� <br /> PLUMBING CONTRaCTOC MPIL A�ORE55 CITY 21D PMONE LICENSE N <br /> CLASS OF WORK <br /> ❑NEW ❑ ADDITI�N ❑ ALTERATION ❑REPAIR ❑ DEhtOLITION ❑ FENCE O �IGN XB WOOD STOVFJFIREPLaCF.INSERT <br /> VALUAiION OF WORN <br /> S <br /> DESCRIBE WORN <br /> Install wcod stove <br /> PROPOSEO USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ,9ND EXAMINED THIS <br /> Rental APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF PROPEBTY�SMOW BELOW OR ATTACM FOUR COFIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCN_OF 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 /> LOCA� LAW 9EGULATING CONSTRUCTION OP, THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> :OB ADDqESS SIGNATURE Of GONTPACiOR OR AUTHORI2E�AGENT DATE <br /> 7.825 Rockefeller 10 1 85 _ <br /> PLUMBING MECNANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WA7ERCLOSE7QOILEn AIR GOND.UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS — H.P. EA. <br /> LAVA70RY�WASM BASIN) BDILERS — H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS — TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— ki.T.U. M EA. <br /> DISMWASHEfl WALL MEATERS— B.T.U. M <br /> LAUNDRYTRAY UNIT HEATERS — B.T.U. M <br /> CLOfHES WASHER � EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN _ <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT — C.F.M. <br /> VACUUM BREAKERS STOVE —WOOD <br /> ROOF ORAINS— RAINLEADERS METAL FIFEPLACE 8 CHIMNEY <br /> SINK�SERVICE — BAR,ETC.) FIREPLACE INSER7 <br /> HEAT PUMP _ <br /> SUB TOTAL i SUB TOTAL S <br /> P[Nr,�fT f PERMIT S <br /> TOiALFEE S TOTALFEE 5 <br /> SIDE YARD SETBACK S7REET SETBACK REAR YARD SETI3ACK PLAN CHEGK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> VES NO <br /> TYPE Of CONST. OCCUPANCY GFOUP NO.OF DWELLING UNITS <br /> BUILDING $ <br /> SIZE OF BLOG. NO.OF STORIES MAX. OCC. LOAD —� <br /> PLUMBING <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRE� <br /> VES . NO <br /> APPROVALS BY DATE �tHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTV U.B.C. <br /> SEC.303(a) _ <br /> 2.BUIL�ING PLANS TOTAL 17 SO <br /> ].FIRE HYDRANT <br /> 4.FIRE PROIECTION SYSTEM PEHMIT VALIOATION <br /> 5.GRADING WHEN PROPERLY VAlIOATED(IN iHIS SPACE)THIS IS YOUR PERMIT Q <br /> 6.DRAINAGE _ 3 �I �J E $ 0 I 7. 5 0 -�� <br /> 7.ENVIRONMENiALIMPACTSTA7EMFNT �J) <br /> e.HEAL7HDISTRICT n - �' i <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE BY . .� �.� I. r,;.c C i��I <br /> ;� � '�,..n� y�) !1 <br /> - � L'CT o� <br /> 4DUi'.[SS RLE <br />