Laserfiche WebLink
„ ,: ` ,�.,�,<<„ ;orvsT�zucTior� <br /> everett PERMiT PERMIT N0. 1��� �� � <br /> QTY MALL 259 Fl:`-� <br /> r.ve�eTr.c�nssao� ❑ COMBINATION L� BUILDING ❑ MECHANICAL � PLUMBING <br /> MAIL A�DRE55 CIiY Zlf� PMONE <br /> °"'"ER Everett 98204 355-6511 <br /> Searl Joe Nelson 9129 3rd Avenue S.E. <br /> aHCni1ECT OR 061GNER IAaL ApDPE55 <br /> GIiY ZIP nNONE <br /> ���� Z�p PMONE LIGENSE� <br /> GENERhLGONTRAGiOR MPILRD�RE55 <br /> $LII10 Z�p VMONE IICENSE+ <br /> M[CHAMGPL GOI�TRAGIOR <br /> MnIL FDDRE55 CITY <br /> PLl1MBING GONiRAGTOR <br /> MAIL AD�RESS GitY ZIP VMJNE LiCENSE� <br /> CLA55 OF MOFN <br /> ❑ NEW ❑ ADDITION ❑ A�TERATION 7�} REPAIF ❑ DEMOlIT104 ❑ FENCE ❑ SIGN ❑ WOOD STOVJF'IREPLACE IN <br /> VALU4TION OF WORK <br /> S Z�OOO.00 <br /> DESGRIBE IVORe <br /> Re-roof--Shakes __ -- � z <br /> aaoroseo use oc uuuoi�c I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS � <br /> Single Family Residence ApPLICATION AND KNOW THE SAME TO BE TRUE AND � <br /> CORRECT. ALL PROVISIONS OF LAWS r�ND ORDINANCES �” <br /> LEGAL�ESClUPTION OF PHOPEA�Y ISNOW 66LOW OR ATTACH FOUH GOP�E51 •• <br /> Z GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED WITH <br /> �or_e�ocn_oF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF N ,. .. <br /> PERMIT DOES NOT PRESUME TO GIVE AUTIiORITY TO VIOLATE --� "^ <br /> 18-28-5 OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR .. --� <br /> N :L <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE m <br /> PERFORMANCE OF CONSTRUCTION. � <br /> DATE C O <br /> ---- S,GNRT'3E O�GONI RnLi041 OR A T/i:RI2�+t m O <br /> doe nno�ess 10/16/84 <br /> 9129 3rd Avenue S.E. X o m <br /> PLUMBING MECHANICAL _ _ <br /> FEE NO. TYPE OF EOUIPMENT FEE m � <br /> N0. TYPE OF FI%TURE OR ITEM AIR CONO.UMTS — N.P.EA. � z <br /> WATER CLOSET�TOILEn C <br /> � REFRIGERAiION UIJITS— H.R EA. r = <br /> BATHTUB '� <br /> '— BOIlERS — N.P.EA. -{ tr <br /> LAVATORV P''�ASM BASIN� -� <br /> GAS FIREO A.C.UNITS—TONNAGE EA. _ -� <br /> SHOWEA <br /> FORCED AIR SYSTEMS— B.T.U. M EA. .T D <br /> KITCNEN SINK 8 DISP. M <br /> WALL MEATERS-- B,T.U. � m <br /> DISNIVASHER 2 <br /> — UNIT HEATERS— O.T.U. M m �. <br /> LAUNDRYTHAY ✓� <br /> EVAPORATIVE COOLERS p <br /> CLO7'HES WASHER CI OTHES ORYERS <br /> c�i m <br /> WATER HEATER <br /> VENTILATION FAN � tn <br /> UHINAL RANGE MOOD — 2 C7 <br /> �RINKING FOUNTAIN C.F.M. � m <br /> AIR HANDLING UNIT— . <br /> FLOOR ORA�N D <br /> SiOVE —\NOOD v <br /> VACWM BREAKEHS <br /> METAL FIREPLACE R CHIMNEY _. <br /> ROOF DRAINS— flA1NLEADERS =• <br /> SINK(SERVICF — BAR.ETC.� <br /> FIRLPLACEINSERT ➢ <br /> ' HEAT PUMP ' <br /> — S <br /> _ r, <br /> � <br /> —� 2 <br /> — SUB TOTAL = G <br /> SIiB TOTAL s � <br /> PERMIT s r <br /> PERMIT = — TOTAL FEE = m <br /> TOTAL FEE s PLAN CIIECK FEE <br /> SIOE�AAD SETBAGK STREET sETBAGK REAR YARD SET6ACK PLAN CHECK NUMBEfl FEE HECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VRLUATION FEE _ <br /> . .YES . NO -- <br /> TYPE OF CONST. OCGUPANCY GROUP NO.OF OWELUNG UNITS � <br /> BUIIDING SZ 00�.00 __ 3z SO_ <br /> SIZE OF BLDG NO.OF STORIES NA%. OCG LOAD <br /> PLUMBING <br /> FlflE ZONE �ASEMENT � RHESPRiNHLFRS MECHANICAL ____ <br /> REOUIRfO — <br /> YFS NO <br /> OiHER __ <br /> APPPOVALS BY [IATE _ <br /> LLB.C. <br /> 1. ENVIRONMENTPL CMECK LIST PE4ALTY _ 5EC.9031a) _ . <br /> --- 32 50 <br /> 2 BUILDING PLANS TOTAL <br /> J.FIRE HYDRANT <br /> PERMIT YALIDATION <br /> d.FIREPROTECTIONSYSTEM WNEN PFOPERLV VALIUATED pN THIS SPAGE)THIS IG.V�7UR PEFM�T _ q-j' <br /> � . L. . �i �1.� <br /> 5.GRAOING <br /> "l <br /> 6.DRAINAGE <br /> ci <br /> 7.ENVIRONMENTALIMPALTSTAIEMENT . , � <br /> i ' <br /> B.HEALTH DIuTRICT <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � � <br /> A,)D!i�SS Fii'r <br />