Laserfiche WebLink
rl�r !-�i'rerrrn <br />everett �o����UCTi06. <br />aiv n ��� zsa�v�as <br />P�RMIT PERMIT N0. �!-,-��>���L <br />eveaerr, wn �azai �] COMBINATION iX] BUILDING L}G MECHANICAL Lh' PLUMBING <br />OI':N[R MPq AD�Rf.55 GiY <br />Ken Berg 17928 43rd Avenue N.E. Arlin ton Z"� N�or�e <br />4 98223 659-6847 <br />1CHRCCi OR �ESIGNEH AfnIL /O�FF55 qTy <br />ZIP PnONE <br />GENERq� �ONTRApfOR MAIIADDNE55 GiY <br />$y�e Z�P 1'nONF L�CLNSE i <br />KENBECIA7RC <br />MEQIANICAL LONiPRGiOP MRIL q00RE55 CITY - <br />Z�� PI JNE �ICENSE • <br />i'LUA�piNG LONiqp�.;tOF AlAlt ADDRF.55 ��ry <br />LIP PMONE LiGENSE x <br />C1�55 OF 1YORN - <br />^ ^' XYNEW ❑ ADDITICN ❑ ALTERATION ❑ qEPAIR O DENOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIqEPLACE INSERT <br />S S3i��0,�0 <br />Construct Single Family Residence <br />Single Family Residence <br />4 Weat Creek Mv, ]. <br />i�t__BIOCK _OF _ <br />M 19 28 5 <br />�oe aouaess ----- -- — <br />10702 4th Avenuc .E, <br />PLUMBING <br />NO. TYPE OF FI%TURE Ofl ITEM <br />2 1NAT'cR CLOSET (TOILETI <br />1 9AiHTU� <br />1 LAVnTORY�WASHBP5IW� <br />1 �HOIVER <br />1, KITCHEN SINK 8 DISP. <br />j DISMWASNER <br />LAUNDHVTRAV <br />], CLOTHESINASHER <br />1 WATER HEAiEH <br />URINAL <br />� DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BFEAKERS <br />flOOP DflAINS — RAINLEAOERS <br />_ SINK �SERVICE — BAfl, ET0.) <br />TOTAL FEE <br />10'(N)-6'(S) � 20' <br />X7CH V-N R-3-M <br />R_3'IZ-1�4��yiQ. Ft. NO.OFSTC <br />=i�E <br />L ENVIRONMENTAL ChECN LIST <br />2.DUILDINGPLANS . <br />1 FIR[ HYDRANT ' ' <br />a.FIREPROTEC710NSVSTEM � <br />S.GPADING <br />6. OHAI�AGE <br />Z 4�VIRONMENiALIMPACiSTAT[ <br />L. MEALTH DISTRICT . , <br />L� <br />None <br />� <br />I HEFEBY CERTIFY THAT I HAVE READ ANU EXAMINED THIS <br />APPLICATION AND f:NOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNWG THIS TYPf OF WORK WILL BE COMPLIED WITH <br />WHETHER SPEC' -"IED H�_REIN OR NOT. THE GRAN7�ING OF A <br />PERMIT DOES NO� PRESUME TO GIVF AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY O�HER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SiGN �uRE 'COi:iH4CiOF0 ppi.'�OAGENi DAIE <br />_x -�-; �,D �, <br />MECHANICAI <br />_ FEE N0. � 7YPE OF EOUIPMENT �- <br />Q 41R COND. 11N1T5 — H.P. EA. <br />2 OO �EFflIGERATION UNITS — H.P. EA. <br />BOIlF.pS — H.P. EA. <br />2 OO GAS FIPED A.Q UNITS — TONNAGE EA. <br />_ FOFlCEO AIR SVSTEMS — �.T.U. M EA. <br />2 OO �'�'�I.L HEPTERS — B.T.U. M <br />UNIT MFATERS — B.T.U. M <br />2 OO EVAPORATIVE COOLERS <br />Z OO 1 CLOTNES DRVERS <br />2 VENTILATION FAN <br />1 RANGEHOOD <br />_ AIH NANDLING UNIi — C F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEIN:`7T <br />_ MEATPUMP <br />SI ; <br />S <br />_f —_ <br />REAR YFPU 5E <br />Zr� <br />VP'AN` 51' E <br />{� ES h0 <br />occ. <br />APPR.FOR <br />LC <br />❑ATE <br />PLAN CHECK NUN <br />84/138G1 <br />FEES <br />DUILDING <br />PLUMBING <br />MECNANICAL <br />OTHER <br />PENALTV <br />SUBTp7pL s <br />PEqMiT = <br />TOiAL FEE s <br />PLAN CI <br />FEE.�89. 80 <br />VALUATION <br />SS3r000. <br />RECEIPT NO. <br />FEE <br />297 00 <br />2� �� <br />15 00 <br />StG. 303 (a) <br />— TOTAL 32� �0 <br />PERMIT VALIOATION <br />WHEN PBOPERLV VALIDATED �IN,7NIS SPACE� THISJ9',YpUR PERMIT �:j <br />� _ _ _' _: i . . . L / L '. �. � -- <br />_. V� <br />� <br />�`� <br />E3Y � . .i. �� <br />I" � . <br />z <br />0 <br />--i <br />n <br />m <br />...' Ti <br />.. -� <br />�T <br />m <br />oc <br />mc <br />� <br />�� <br />�m <br />—1 z <br />s -+ <br />m <br />O z <br />C <br />D -� <br />rx <br />r-i r-� <br />�--1 ln <br />1 <br />�l <br />O x <br />'�l D <br />--1 r� i <br />2 <br />m �-- <br />V- � <br />� �, �, <br />C fn <br />3 �/ , <br />m <br />z n , <br />.�m � <br />D � <br />A ' <br />�'1 <br />S � <br />V <br />C ' <br />C , <br />r <br />