Laserfiche WebLink
`�c�°"��"' C )NSTFiUCTION � - �7 <br />c�rr oF <br />everett PERMIT PERMIT NO. 2OO I 2 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING U SIGN <br />OWNER MRILapDRE55 Cliv Z�P PMpNE <br />Jim Sheflo 4319 5. 4th Ave. F.verett, WA 98?03 252-2514 <br />AqCMIT[CTORO[SIGNER MPILAODHE55 CITY L�' P110NE <br />GENERAL CONiRACTOR MAIL RDOR[55 CITY ZIP PNDNE LILENSE � <br />owner <br />MECHRNIGLCONiRRGTOB MAILAD��[55 CITY 21P PNONE LILENSE� <br />PIUM[iINGCONiP4CT0li MPILFO�RCSS CITY 21P PHONE LICENSE� <br />:1A55 OF WORN <br />� NEW <br />�AIUATIOb OF WORx <br />5 ZrJ��.�O <br />)ESCRIOE WOAN <br />New Chi <br />O ELECTRICITY <br />'ROPOSED USE OF Ol <br />Garage <br />❑ ADDITION <br />lOi _ OLOCN �� Of <br />JO�ADDRESS <br />4319 S. 4th Ave. <br />PLUMBING <br />TVGE OF <br />sizE oF <br />af� <br />❑ GAS <br />Cfj ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />TYPE OF FI%TURE OR ITEM <br />WATER CLOSET �iOILET� <br />BATHTUO <br />LAVATORY�WASH OASIN) <br />SHOWER <br />NITCHEN SINK A DISP <br />01SMWASHER <br />LAUNDRYTRAY <br />CLOTH[S WASVIER <br />URINAL <br />OPINKING �OUNTAIN <br />FLOOR �RAIN <br />OACNFLOW PREVENTERS <br />ROOF �iiNNS — RAINLEAOERS <br />gINK IS[RVIC[ — �A0. ETC 1 <br />❑ WOOUSTOVE ❑ OTHER <br />i HEREBY CEflTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE �NU <br />�vouncoriesi CORRECT. ALL PROVISIONS OF LAN'S AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED H[REIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULnTING CONSTPUCTION OR <br />THE PERfORMANCE OF CONSTRUCTION. <br />sicnmuncorcontancton.nuuioiar,u9ecr+t,oe%� �o^i�,� <br />/O / / U <br />X Q2i-✓) -l/LGfc, L l <br />FEE NO. TYPE OF EOUIPMENT <br />A�C �� A-HNDIG UNIT$ — H P <br />REFRIGE�ATIONUNITS—HP EA <br />OOILERS — � T U.-H P <br />GASFIREDAC UNITS—OT.0 <br />FORCED AIR SVSTEMS — D.T U M <br />WALLHEATERS—BTU. M <br />UNITHEATERS—OTL M <br />EVAPORATWECOOL[RS <br />CLOTIiES OfiY[flS <br />V[NTILATION fAN <br />RANGEHOOD <br />1YAT[R HEATER <br />WOODSTOVE <br />MEiAI FIREPLACE 8 CHIMNEV <br />FIR[PLACEINSERT <br />HBAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SU0 TOTAL S <br />PEflMIT 5 <br />TOTALFEE S <br />REFRSETBACN S�DESEiGhGN <br />LOinPEn yqCANTSRE <br />❑ves oNo <br />OCCUVANCY GROl1P NO Oi pWELLING <br />Ho oFsroaies rnnx occ �ono <br />i REOUIRED ❑ YES ❑ NO <br />py p�pNSCNECNEOI3Y APPR fORI$$U/ <br />CHEGKNUMDEF <br />DUILDING <br />PLUMBING <br />MECNANICAL <br />INVESTIGATION FEE <br />STATE OUILDING SU <br />FEE <br />SUB TOTAI <br />PERMIT 5 <br />TOTALFEE S � <br />FE[ RF.CFIPT NO. <br />OS/04lBB 3� '�FM OQORH0444 �'k:l� I, <br />STATEENERGVSURCHARGE <br />ORIVEWAV PERMIT <br />Sec.304(e) <br />.00 <br />FEE <br />S.H. TOTAL <br />PERMIT VALIDATION <br />W�,i[N PliOPERLV VAIIDATED pN TNIS SPACE) THIS IS �OUR PERMIT <br />N <br />N <br />O <br />O <br />N <br />