Laserfiche WebLink
\i <br /> ' _. .� <br /> �he£veCrgree�n �.- �O N ST R U CT I O I�. <br /> everett PERMIT PERMIT NO. 12146 <br /> C�TY IIAIL 259�B7d5 <br /> EVERETT,WAg8201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> � OWNER MAIL AODRE55 CITY 21P PMONE <br /> ' MR. AND MRS. GAILEN HUDSON 5164 DOGWOOD DR. EVERETT <br /> �'. ARGMITEGT OR DESIGNER MAIL A�DRE55 CITV 21P PNONE <br /> ' GENEHRL CONTR�CTOH MAIL AODRESS CITY ZIP PMONE LICENSE� <br /> STAR HOME IMPROVEMENT 5314 - 2nd Everett WA 353-9278 223-01 DIEDRWK312DC <br /> MECHANIG��CONTP�CTOR MAILAUORE55 CITY 21P PNONE LILENSEII <br /> PLUMBING CONTR�GTOR MAIL AD�flE55 CIiV ZIp PHONE LICENSE I � <br /> f <br /> � G1�55OFWONK <br /> ❑ N[W C ADDITION ❑ ALTERATION �REPAIR O DEMOLI710N ❑ FENCE ❑ SIGN ❑ WOOD S70VEIfIREPLACE INSERT <br /> VALI'ATION OF WORK <br /> : 4,600.00 <br /> � DESCRIBE WORR <br /> New concrete block foundation <br /> � PROPOSED USE OF BUILDING <br /> Sin91 e family residerzce I H[REBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> I APPLICATION AND KNOW THE SAME TO BE TFUE AND <br /> LEGAL DESCRIPTION OF PROPERTY�SHOW BELOW OR ATTAGH FOUR COPIES� CORAECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 2Z�23 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> I l0T_BLOCN_OF <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> I OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> i LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRE55 SIGNATUNE OF CONTRqCTOP OR RUTHORI2E0 AGENT DATE <br /> Z22� Rockefeller X �'L{/ � ` ` ' 6 29 83 <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATEFCLOSET�TOILEI) AIR COND.UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS — H.P. [A. <br /> LAVATORY(WASHBASIN) BOILERS — H.P.EA. <br /> SHOWER GAS FIRED P.C. UNITS—TONNAGE EA. <br /> N�TCHEN SINK 8 DISP. FOHCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASMER WALL HEATERS— B.T.U. M <br /> LAUNDRY 7RAV UNIT HEATERS— B.7.U. M <br /> CLOTHES WASHER EVAPORATIVE CO�LERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RFNGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT — C.F.M. <br /> VACUUM BREAKEHS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CMIMNEV <br /> SINK�SERVICE — BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB 70TAL SUB TOTAL f <br /> PERMIT S PERMIT f <br /> TOTAL FEE S TOTAL FEE S <br /> SIDE YARD SETBAGF; STflEEiSETUACK REAR VARD SETBACK PLAN CHECK NUMOER PLAN CNECK FEE <br /> FEE HECEIPT NO. <br /> USE LONE �OT AREA VACAN"i SITE <br /> ; YES . 'NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANGY GROUP NO.OF DWELLINCa UNITS <br /> �UILDING 84 �� O Q— <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> PLUMBING <br /> FIRE 20NE BASEMENT FIRE SPRINKLLRS MECHANICAI <br /> REOUIRED <br /> �. �VES ' :NO <br /> APPROVALS BY DATE dTHER <br /> i.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.309(a) <br /> 2.BUILDING PLANS T�TA� JO 5O <br /> 3.FIRE MYDRAN7 <br /> a.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> � S.GRADING WHEN PROPERLV VALIDATE�(IN THI�SP�C�)THI��YeUJ�.�fj1�11T � � <br /> 6.ORAINAGE r c � v u <br /> 7.ENVIRONMENTALIMPACTSTATEMENT N <br /> B.NEALTHDISTRICT YOUR REGEIPTt--+ <br /> APPLICATION ACC. BY PLANS CHECKED BV APPR.FORISSUANCE BV <br /> TI-iANK YOU <br /> 1 9 � 83 <br /> i ADDkE55 FILE <br />