Laserfiche WebLink
r !de !i re�xrrrq <br /> evex�ett ��NSTRUCTlON <br /> PER� IT PERMIT NO. 1�- ��4 <br /> CIT1 HAI: 259�B7n5 <br /> EVEREiT,17A98201 ❑ COMBINATION ❑ BUILDING ❑ NIECHANICAL L� PLUMBING <br /> 011'NLR hIAIL AOORE55 C!TY ZIP PIIONE <br /> JOGL BRtWHAM 3518 UPLAND F.verett 14A 355-8414 <br /> . nRCHIiECT Ofl�ESiGNER MAiL AOORESS UTY ZiP PHONE <br /> GENENALCONTq4CTOP MAILAD�RE55 CIfV 21P PMONE LILENSE� <br /> CHRIS DtOAL&1' CONSTRUCTION 3731 - lOBth PL SE Everett 98204 337-517fi <br /> MELMANICALGONTRACfOR MAILADORESS CITV Z�� CHRTSDIG�Y�'3LT �ICENSE� <br /> PLUMOING GONiRqCTOR MAIL A��RE55 CITY ZIP PMONE L'CENSE I <br /> �� CLA55 OF lYORY, �.,y <br /> ❑NEW ❑ AODITJN ❑ ALTERATION 4?REPAIR ❑ DEMOUTIUN ❑ FENCE ❑ SIGfJ ❑ WO00 STOVEIFIREPLACE INSERT <br /> VA 5RTj�J U DVO�U <br /> L <br /> DESCRIBE N]RK <br /> REPAIR ROOP <br /> PROPOSED USE OF UUILpING <br /> SINGL� rAD1ILY RGSIDENCE I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICAI'ION AND KNOW THE SAME TO HE TRUE AND <br /> L[GaLOESCRiPTIONOiPP9PERTY�5HOW0ELO�VORRTTpCHFOURCOVIESI CORRECI. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_9LOCN_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HERtIN 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 /> JOBApDRE55 PERFORMAN OF CONSTRUCT�ON. <br /> SIGNATUR[ �CiO 3 iHOPIZEO AGENi DAiE <br /> 3518 UPLAND X ��. L 4/27/83 <br /> PLUIdBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TY�EOUIPMENT FEE <br /> WATERCLOSET�TOILET) AIR CON�.UNITG— H.P. EA. <br /> BATHTUB REFRIGERAT101�UNITS— M.P.EA. <br /> LAVATORY�WASH BASIN� BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNA,iE EA. <br /> KITCMEN SINN 8 DISP. FOPCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHEN WALL HEATERS— B.T.U. M <br /> LAUNDRVTRAV UNITMEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES ORVERS <br /> URINAL VENTILATION FAN <br /> ORINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR MANOLING UNIT — C.F.M. <br /> VACUUM BREAKEPS STOVE—WOOD <br /> ROOF DRAINS— RAINLEAOERS METAL FIREPLACE 3 CHIMNEY <br /> SINK(SERVICE— BAR, ETG) FIREPLACE INSER7 <br /> HEAT PUMP <br /> Sl1B TOfAL i S118 TOTAL 5 <br /> PERMIT f PERNIT 5 <br /> TOTAI.FEE S TOTAL FEE 5 <br /> SIDE YARD SETBACN STREETSETBACK REAR VARD$ET6ACK PLAN CMECK NUMBER PLAN CHECKFEE <br /> FEE qECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE <br /> . .YES . NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILOING A4�' <br /> £IZE Of BLDG. NO.OF STORIES MAX.OCG LOAD � <br /> PLUMBING <br /> FIRE ZONE �ASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRcD <br /> YES NO <br /> � APPROVALC BV �ATE JTMER <br /> ^ 1.ENVIRONMENTAL CHECK LIST U.B C. <br /> PENALTY SEC.303�a) <br /> 2.BUIL�ING PLANS <br /> 3.FIRE HYDRANT TOTAL 3 S S O <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALf0ATI0N <br /> 5.GRADING WHEN PROPERLV VALIOATED pN THIS SPACE)THI=I O 3 8 5 0 IT � I <br /> 6.OFAINAGE 6 1 �! 6 P <br /> 7.ENVIRONMCNTALIIdPACTS�4TEMENT ' m '- <br /> B.HEAITH OISTRICT � <br /> APPLICAiION ACC.OY PLANS CHECKED BY APPR.POR ISSUANCE BY Y7 U R R EC E I PT � <br /> s1�G � <br /> Tf-InNK YOU <br /> - --� <br /> 21 �R 83 <br /> , ..���� G, il:. <br />