Laserfiche WebLink
d�fEcrrcrern � CONSTRUCTIOr, <br />invOF I ' <br />everett PERMIT PERMIT N0. 126��� <br />QTY MALL 259-87E5 <br />EVERETT.WA98201 ❑ COMBINATION X�X BUILDING ❑ MECHANICAL C PWMBING <br />MAiL /•DDRE55 <br />GITY ZIP PHONE <br />OIYNER _ _ _ __. _ ... ....� � n COO 094� _— <br />GENEPAL GONiHAGiOR MAIL PWntoo <br />Same ��Ty Z�p PMONE UCENSE • <br />MECMANIWL GONTRAGTOR MPIL A�DRE55 <br />5 <br />❑ NEW � ADDITION ❑ ALIERATION ❑ F7EPAIR � DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVEIFIflEPLACE INSEFT <br />sh single family residence <br />IEGRL DESGRIPTION OF PROPEPTY �SMOW OELOW OR ATTACM FOIIR COViES� <br />�orl6_—o�ocKZfiS_oF C tr I and fo <br />PLUMBING <br />NO TYPE OF FIXTURE <br />W ATER CLOSET (701LEn <br />SMOWER <br />KITCHEN SINK 8 �ISP. <br />DISMWASHER <br />LAUNORYTRAY <br />CLOTHES WASMER <br />VlATER MEAiER <br />URINAL <br />DRINKING FOUNTAIN <br />FI OOR DNAIN <br />ROOF DRAINS — AAINLEAOERS <br />SINK �SENVICE — BAR. ETQ) <br />TOTAL <br />10TAL <br />1. ENVIRONMENTAL CNECK LIS' <br />2, BUILDING PLANS <br />3. F�RE NYDiiANT <br />4.FIREPHOTECTIONSYSTEM _ <br />5.GRADING . <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPACTSTA' <br />8. MEALTH OISTRICT <br />n.PPLICATION ACC. BY PLf <br />I HEREBY C[RTIFY 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 HERFIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHC9ITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY O�fHEF STATE OR <br />LOCAL LAW REGULATING CONSTRUCTi7N OR THE <br />PERFORMANCE OF CON'S`TRUCTION. oATE <br />e�cuenuc nC CONTRACTOR OP AyIMORfFEOrGENT� <br />X �� <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS -- H.P. EA. <br />REFRIGERATION UNITS — M.P. EA. <br />BOILEPS — H.P. EA. <br />GPS FIPED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.II. M EA. <br />WALL HEAIERS — BT.II. M <br />UNIT MEATERS — B.T.U. M <br />EyqppqATIVE COOLERS <br />CLOTMES DHYEflS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR MANDLING UNIT — GF.M. <br />STUVE — WOUO <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />� <br />S <br />T <br />IEAR YAPD 51 <br />IACANT SITE <br />YES NO <br />JO. OF DWELi <br />NAX.OGC LG <br />FIRE 5°FINKI <br />FEOUiRED <br />YFG NO <br />APPR. <br />OUILDING <br />PLUM9ING <br />MELMANICAL <br />OTHER <br />PENAITV <br />SUB TOTAL <br />PEPMIT <br />TOTALFEE <br />P <br />FEE <br />VALUATION <br />S <br />� <br />S <br />S <br />CHECri FEE <br />RECEIPT N0. <br />FEE <br />� <br />TOTAL � <br />PERMIT VALI�ATION <br />WHEN PROPEflLY VALIDATED (IN THISiS�PAt E� THIS � �(��{�E�t+�T �� <br />JC a ��) � <br />CD <br />N <br />�, . .. �-'�_'�r�� <br />BY . . . �.; ..,r. �, V <br />iAi71���.:`-5' , ill- <br />; <br />- � ii1.�i U J <br />