Laserfiche WebLink
,',� "'��'.'�.��° corvs-rRuc�ia�� <br />everett PERMIT PERMIT N0. �-'�4�� <br />pTV NALL 259�87<5 <br />EVERETT.l7A902�1 � COMBINATION ❑ BUILDING .�g MECHANICAL ❑ PLUMBING <br />OWNER 1AAILACDRE55 CITY 2iP PMOnE <br />WILLIAM A. FEASTER 4802 2nd Avenue South Everett 98203 252-3279 _ <br />PPGMIi_Gi ON DES�GNER MAII AODRESG CITY ZIP PMONE <br />GENEflRL CONTPACiOfl MAIL ADORE55 LITY ZIP PHO�IE LICEkSE � <br />UEGMnNiLAL CONiFACiOF MAIL AODRE55 GRY 2iP PnONE LiC['•'. � <br />Same <br />PLUMBINGCONTNACTOR MAILADDPE55 CItY 21P PrONE UG!'.`�! <br />C� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ 1NOOD STOVEIFIREPLACE INSERT <br />S <br />�ESCRIBE WORK <br />oa <br />�or <br />JOC ADDRE55 <br />4802 2nd Avenue South <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />W ATEF CLOSET QOILETI <br />BATMTUB <br />IAVATORV(WASH BASIN) <br />SHOWER <br />K�TCHEN SINK & DISP. <br />OISHWASMER <br />LAUNDRVTRAY <br />CLOTMES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR �RA�N <br />VACUUM �PEAKERS <br />ROOF DRAINS — RAINIEADERS <br />SINK �SERVICE — BAR, ETC � <br />SIOE ��RD <br />USE ZONF. <br />T:'PE OF C <br />Si_E OF 9l <br />RFE ZOKE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAA1E TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LA1�VS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BC COMPLIED WITH <br />WHETHER SPE(:IFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT LOES NOT PRESUME TO GIVE.4UTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />IOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTIO�N.�.J T,, <br />SIGNRiURE Of �ONTRPCLOF OB RU*'IORIZ[D ACjR' �,¢�"A�� <br />MECHANICAL <br />FEE N0. TYPE OF EOUIPMENT <br />AIN COND. UNITS — NP. EA. <br />REFRIGERATION UNITS — H P. EA. <br />BOILERS — H.P. EA. <br />GAS FIPE� A.C. UNITS — TONNAGE EA. <br />FORCE� AIR SYSTEMS — O.T.0 1A EA. <br />WALL MEATERS — B TA. M <br />UNIi hEATLRS — B.T.U. M <br />EVAPOPATWE COOLERS <br />CLOTNES DRYERS <br />VENTIlaT10N FAN <br />RANGEHOOD <br />AIR MANDLING UNIT — QF.M. <br />S70VE — wOOD <br />METAL RHEPLACE 8 CNIMNEY <br />fIREPLACEINSERT <br />HEAT PUMP <br />1 Conversion Hurner <br />SUB TOTAL S <br />PERMIT S _ _ <br />TOTAI FEE 3 <br />IEET SETBACK REAR VARD 5 <br />i AREA VACANT SITE <br />YES NO <br />CUPANCV uAOUP KO. OF DN'EL <br />. OF SiORICS �7AX. OCG L( <br />APPROVALS __ _ <br />1. [NViHONMENiAL CHECK LIST _ <br />2. OUILOING PLANS <br />3. FIRE HYDRANT <br />< FIREPROTECTIONSYSTEM <br />5. GRADING <br />6 URFINAGE <br />L ENVIRONMENTAUMPACT STAlEMENT <br />e. HcFLTN DISTRICT <br />APPLICATION ACC. BV PLAN$ CHECI <br />BY <br />APPR.FORISSUANCE �V <br />CHECR <br />FEES <br />BUILDING <br />PLUM8ING <br />MECHANICAL <br />OTMER <br />PENaL1V <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />PLAV <br />FEE <br />VAlUAT10N <br />S <br />U.B.C. <br />SEC. 907 la) <br />FEE <br />i 6 00 <br />S 10 0 _ <br />s 1G 0 <br />CNECK FEE <br />RECEIPT t�0 — <br />FEE <br />� <br />__I ._ _ <br />16 � o0 <br />Totn� I I 16 I 00 <br />PERMIT VALIDAlION <br />WHEN PRCPEHL� `/ALIDdTEO �IN TMIS SPACE� iHl9,l3 VOUR PERMIT __ � <br />� � <br />�}' <br />� <br />� . I r-1 <br />r.r ... �� <br />�. � <br />H <br />H � <br />� � <br />r <br />CJ �t�"a <br />C� <br />y r- <br />R7 4 <br />C : <br />� �, <br />O� <br />C; ' <br />Q <br />� . <br />� ' <br />5 <br />.i : <br />