Laserfiche WebLink
_ � <br /> r <br /> _ .� <br /> "'"' ''�""'�'�" CONSTRUCTIO� � <br /> � .�. �� <br /> everett PERMIT PERMIT NO. 11g36 <br /> LITY HALL 259�81<5 <br /> EVERETi,WA 982J1 ❑ COMBINATION ❑ BUILDING X�t MECHANICAL ❑ PLUMBING <br /> OWNEH MAiI ApORE55 <br /> GIiV :IF PNONE <br /> E.J. Bertoldi 1232 Rucker Gverett 98201 1 <br /> ARCNIIECT OR DLSIGNEP <br /> MAIL AODPiSS CIiY ZIP PNUNE <br /> GENER4L COnTPAGiOR <br /> MFIL AUDRESS CITY ZiP PHONE LICENSE• <br /> MEGMFNIGLCONiPACiOR <br /> MAIL eD�RE55 C�1Y IIP PMONE LIC[NSF• <br /> Natural Gas Equipment 1611 East Pfarinc View Drive Everett 98201oNE258-244E. <br /> � PLUMOiNG GONTRPGTOR <br /> MAIL ADORL55 PiV ZIP <br /> LLA55 OF WORK � <br /> O NEW ❑ ADDITION O ALTERATION ❑REPAIP ❑ DE!AOLITION ❑ FENCE ❑ SIGN ❑ Y�OOD STOVEIFIPEPLACE INSERT <br /> VALU�I ION OF WORN <br /> f <br /> OESCRIBE WORI'. <br /> reoroseo use oF euaort+c I HEREBY CE(iTIFY THAT I HAVE flEAD AND EXAMINED THIS <br /> APPIICATION AND KNOW THE SAME TO BE TRUE AND <br /> �eea�oEscnivnonoFraoven*r�sncnvoeiowonnnncHrouacoriesi CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> ior_eiocK_ov WHETHER SPEGFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. oqrE " <br /> JOB AppRES$ SIGN 1 qE OF CONiRNCiO OR All(NORIZEO AGCNi <br /> 1232 Rucker Avenue X L 4/29/83 <br /> PLUMBINO MECH NICAL <br /> N0. TYPE OF FI%TURE OR ITEM <br /> FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET ITOILED AIR CONO UNITS — H P. E4. <br /> REFflIGERATION UNITS— MP. EA. <br /> oarHrue <br /> LAVATORY�WASM BASIN) BOILERS—H.P. EA. — <br /> GAS FIRED A.0 UNITS— TONNAGE EA. ___ <br /> SMOWER <br /> KITCNEN SINK 6 DISP. FOPCE�AIR SYSTEMS— D.T.U. M EA. <br /> — \yALL MEATENS— B TA. M <br /> DISHWASMER — <br /> — UNIT HEATERS— B T.U. M . <br /> LA�NORVTRAV <br /> CLOTMES WASHER EVAPORATIVE COOLERS _ <br /> GLOTMES ORVERS -- <br /> WATER MEATER <br /> VENTILATION FAN <br /> URINAL <br /> ORINKING FOUNTAIN RANGE M000 <br /> AIR HANDLING UNIT— C.F.M. <br /> FlOOP DR0.1N — <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE d LMIMNEY <br /> SINN�SERVICE— BAR,ETC.) fIFEPLACE INSERT <br /> MEAT PUMP <br /> 1 (']dtPY HC'd �_ _ <br /> SUBTOTAI i SUBTOTRL = <br /> PERMIT f 1 00 <br /> PERMIT f <br /> TOTALFEE S TOTALfEE f <br /> PLAN CHEGN FEE <br /> SIDE YA(i�SETBACK STREET SETDACK REAft YAF�StiBACK PLAN CHECK NIIM�ER FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> VES NO — — <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWEILING UNIT$ ___ <br /> BUILDING <br /> SIZE OF BLOG. NO.OF STORIES MP%.OCQ LOAD , <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECMANICAL =gX�� <br /> REOUIFED — <br /> L YE$ NO J <br /> BY DATE �THEN <br /> APPROVAlS U.B.C. <br /> 1.ENVIRONMENTAL GHECK LIST PENALTY SEC.J07�a� yy y <br /> 2.OUIL�INGPLfiNS TOTAL 1z V <br /> 9.FIRE MYDRANT <br /> <.FIRE PROTECTION SYSTEM PERMIT VRLIOATION �� �� �� ��. f� — � <br /> WMEN PROPERLY VALIDAT@D pN THI P �TMI Y P� IT <br /> L S.GRADING <br /> 6.�RAINAGE � <br /> 7.ENVIFONMENTALIMPACTSTATEMENT � <br /> O.HEALTHOISTRICT YOUR RECEIP7 T' <br /> APPLICATION ACG.BY PLANS LHECKE�BY APPR FOR ISSVANCE OY TH AN K YO U <br /> — Zgn� 83 <br /> ADDRESS f-IL[ <br /> L <br /> J <br />