Laserfiche WebLink
�h����cr;�r��°� -� �'`�JNSTRUCTION <br />everett pERMIT PERMIT N0. 14322 <br />CITV HALL 259�B7a5 <br />EVERETT,VlA98201 � COMBINATION � BUILDING ❑ MECHANICAL i� PLUMBING <br />OWNER MAiL AD�PE55 CITY <br />2iP PMONE <br />Lowell Communi.ty Church Box 2997 Everett 98204 <br />ARGMITECi OR DESIGNER MPIL ADORE55 CITY ZIP PMONE <br />GENERALCONiRACTOR MAILADDRE55 CITY ZIP PMONE UCENSE• <br />Same <br />MECMRNICAL GONTRALTOR MAIL ADDRE55 GITY ZIP PMONE LICENSE � <br />PLUMBING GONiR4CTOR MAIL ACDRE55 GTY ZIP PMONE LiCENSE � <br />❑ NEW ❑ ADDITION ❑ A�TERATION ❑ REPAIR �EMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSEHT <br />VALUATION OF <br />3 <br />Clenn Deb��is from fire and visqueen cover from weather <br />LOT S BIOGN�!ZOF <br />South 2nd Street <br />PLUMBINO <br />N0. TYPE C <br />W ATER CLOSET <br />BATMTUB <br />SHOWER <br />KITCMEN SINK 8 DISP. <br />DISHWASHER <br />LAUNORYTRAV <br />CIOTHES WASMER <br />URINAL <br />DHINNING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.� <br />SUB TOTAL <br />PEHMIT <br />IOTAL FEE <br />51'F OF BLDG NO. OF STORi <br />FIRE 20NE BASEMENT <br />APPROVALS <br />1. ENVIRONME4TAL CHECK LIST <br />2.6UILDING PL4N5 <br />J. FIRE HYOHANT <br />d. FIRE PROTECTION SYSTEM <br />5. GRADING <br />fi. DRAINq3E <br />7. ENVIR�NMENTAL IMPACT STATEMENT <br />B.HEALTH OISTRICT <br />APPLICATION ACC. BY PLANS CHE <br />FOUR COPIES� <br />FEE <br />�S <br />REAR <br />VES NO <br />MAX.00G LOAD <br />BV IAPPR.FORISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATIQN AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH <br />WHETHER SPECIF�ED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />N0. <br />ICAL / / (% / <br />AIR COND. UNITS — H.P. EA. <br />REFPIGERATION UNITS — H.P. EA. <br />BOILERS — M.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCEO AIR SYSTEMS — BS.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATNE COOLERS <br />CLOTHESORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CMIMNEV <br />FINEPIACE INSERT <br />HEAT PUMP <br />SUBTOTAL f <br />_ PEflM1T f <br />TOTAL FEE f <br />PLAN CMECK NUMBER PLAN CI <br />� FEE I <br />FEES VALUAiION <br />BUILDIIaG E <br />PLUMBING <br />MECHANICAL <br />OTHF.R <br />PENALTY U,B.C. <br />�' ; DATE <br />n..�� 1/8/85 <br />N FEE <br />RECEIPT NO. <br />FEE <br />70TAL I I 00 I00 <br />PEflM1T VALIOAT�ON <br />WMEN PROPERLY VALIDATED �IN THIS SPACE� TMIS IS YOUR PERMIT �� <br />� � \ `� <br />l�DDRESS RL <br />