Laserfiche WebLink
ttc rcrp��en � <br /> CITV OF 1 <br /> everett PERMIT pERMIT NO. 08669 <br /> CITY HALL 259�B7C5 � <br /> EveaEn.wa sezo� ❑ COMBINATION ❑ bUILDING �C$ MECHANICAL ❑ PL�MBING <br /> OWNER M41�qDULE55 O;Y ]IV PuONE <br /> Tom TreadNay 1521 Ruci:er 98201 <br /> nRCNRECT OR pESiGNCR MRiI ADDRESS GTY ZIP PnDNE <br /> GENERALCANiRACTOfl MAILADDRE55 pTV ZIP PNONE IICCNSEI <br /> MECNANICAL CONTPnCTOR MAiL ApDRE55 CiTV 21P oqONE IiCENSE� <br /> Jorgensen Mechanical 9702 Smokey Point Blvd. Marysville 98270 659-8414 <br /> PlUb181NGCANiRACtOR MAIIAD�RE55 QTY ZIP PHONi LIGENSC� <br /> CLA55OF WORK <br /> ❑NEV/ ❑ADDITION ❑ALTERATION ❑REPAIR ❑�EMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAIUAiION OP WORN <br /> i <br /> OESCRiBE WORK — <br /> PROPOSED USE OF BUILUING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> iccaioeseaierioNOFvaoaearr�sNowneiowoaanacrroueeoeies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> wr eioc�oc TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTIOIJ OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB FDDFE55 SiGi+Ai RE P LONii�aCiO��OR PUi��OAiZED AGENT DR1E <br /> 1521 Rucker Avenue 12/9/80 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER ClOSET ITOILET) Alq COND.UNITS—H P.[A <br /> BA7HTU� R[FR!3EflATION UNITS—HP.LA <br /> LAVAiORY(WASH�ASIN) BOIIFPS—H P EA. <br /> SHOWER GAS FIR[D nC UNITS—TONtJAG[[n. <br /> KITCHEN SINK 8 DISP. 1 FORCED AIR SVSTEldS—�T <br /> DISHWASHER WALL HEAlERS—D T U. M <br /> LAUNDRV TRAV UNIT HEAT[RS—B T U. M <br /> CLOTN[5 WASNER EVA('ORATNECOOLERS <br /> WATER HEATER CIOTHES DRYERS <br /> UFIN�L VENTILPTION FAN <br /> DRINKMG POUNTAIN RANGE HOOD <br /> FLOOR DRAIN Alq NANDLING UIJIT— CFN. <br /> VACUUTA BREAKEPS STOVE <br /> ROOF ORAI4S—RAMLF.ADEPS METAL FlliEPLACE 8 CHIMNEY <br /> SMK�SERVICE—f9AR EiC.) <br /> SUB TOTA! SUB TOTAL S G S O <br /> PEflMIT f PENMIT S <br /> TOTAL FEE S TOTAL FEE S 9 <br /> SIDE VARD SETBALK STI7EET SET�ACK REAR VAHD SETDACK PLAN CHECK NUM�[R PLAN CNLCK FEE <br /> FEE RECEIPT IJO. <br /> USL ZONE LOT AREA JACANT 517E <br /> IiYES CNO FEES VAIUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OP DWELLIIJG UNITS <br /> BUILDING 5 <br /> SIZE OF BLU� NO.OF STORIFS MA%.OCC.LOPD <br /> PLUM�MG <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> RWUIRED MECHANICAL 9 50 <br /> f��YES f INO <br /> APPROVALS BY DATE 0T11ER <br /> t. ENVIRONMEI�TAL CNECK llSi PENALTY U B C <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIREHVDRANT T�TA� J SO <br /> 4. FIRE PFiOTECT10N SVSTEM PEHMIT VALIDATION <br /> WHEN PROPERLV VAUDATED pN THIS SPACE)TMIS IS VOUR PERMIT <br /> 5 GFADING � <br /> 6. DRAINAGE � �i 2 � � '� � �. � � .__ �Q <br /> �I— <br /> ] ENVIRONMENiALIMPACTSTATEMENT � <br /> 0. HEALTH DISTqICT �� <br /> APPLICA710N ACC.BV PLANSCHECNEO P1 APP�� FOR ISSUANCE BY . ,' I � <br /> ..'�C�I�+ti f:il_:' ' � , i . <br />