Laserfiche WebLink
i <br /> Ihe EverRree�i �O N S�'R�l CTI O 1�, . <br /> CITY OF <br /> everett PERMIT PERMIT N0. 112g3 <br /> CIT�HALL 259�874L <br /> eveh R,wn sezei ❑ COMBINATION ❑ BUILf'NG � MECHANICAL ❑ pLUM81NG <br /> OWNEH MAiI qDDP,E55 CITY <br /> ROBERT �. DtAC GUIRRIE 853? E Xavier 14ay EverettP98204 659E-6980 <br /> �� aac��,*ecTonoesicNen u�ainooness crtr ziP rMaNc <br /> GE4ERALCANiF>C1JR AIqILAD�RE55 GIiY ZIP PNONE LILENS[� <br /> MECIIANICAI,�pNTHACiOR MAII hDORE55 �IIY ZIP VHONE �ILENSE 1 <br /> Owner <br /> PLUMBiNG WNLRACTON 6�41L ADDNESS CITV 21P PHONE LICENSE� <br /> C1A55 OF WORK <br /> P�NEW ❑ADDITION ❑ALTERATION ❑REPAIP i�DEMOLIlION ❑FENCE ❑9C . GGARAGE <br /> VnlUFiION OF WORK �" <br /> S <br /> DESCRiB WORK — — <br /> nstall Franklin Stove <br /> PPOf�SEU USE OF BWIpiNG <br /> Res idence I H[REBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AF'� <br /> iwnioescaianoHorcaorenrvisHowoctowona.incHrouAcoaresi PLICATION AND KNOW THE SAME TO BE TRUE ANfI CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINAIJCES GOVLRNIN,r,THIS <br /> wr eioc�oF . TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT THE CRANTING OF A PERMIT DO[S NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OH CAhCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCF.L LA�7 REGULATING <br /> CONSTRUCTION OR THE PEFlFORMANCE OF CONSTRUCTION. <br /> J00 400PE55 SiGNAiUAL ;,O iRA q F�IT�lO IIkD a6ENT pATE <br /> f / n <br /> 8532 E. Xavier iVa X/ , <br /> PLUMBING MEC ANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER C�OSE7�TORETI AIR COND. UNITS—HP.EA <br /> �ATH1U� REFRIGEHATION UNITS—HP.EA <br /> IAVATOFY[WASH BASIN) pOILERS—H P EF. <br /> SH0IYER GAS FIRED A C.UNITS—TONNAGE EA. <br /> NITCME��SINK 8 DISP. PORCE�AIR SVSTEMS—8 T U M EA. <br /> !115HWASHEF N'ALLHEATERS—�T.U. M <br /> LAUNDRV TRAY UNI7 HEATERS—�].U. M <br /> ClO7H[S WASHER EVAI'ORATIV[COOLERS <br /> WATER HEATCH CLO7H(:S DPYFRS <br /> UR�NAL VENiIL�710�FAN <br /> DHINKING F'OUNTAIN RnNGE i'OOD <br /> F�.00R DNAIN AIR HANDLING UNIT— C F.M <br /> VACUU1d�REAKI:RS STOVF <br /> fi00F DRAINS—AAINLEADEf7S h7ETAL FIREPLACE F CHIMNEY <br /> SINK(SEIiVICE—��R ETC� <br /> SUB TOTAL SUBTOTAL 5 <br /> PERMIT S PEPMIT f <br /> TOTAL FEE S TOTAL FEE f <br /> 6T� '.-1ND SETBACK S7R@R SEl IiACK REAR YARD SETOACK PLAN CHECI.HUldCiER P�AN GHELK FEE <br /> FEE I HECEIPT NO <br /> USE ZONE l0T AREA VACANT SITE ! <br /> i�,YES l-.NO FEES VALUATION FEE <br /> TYP[OF WNSL OCCUPANCV GROUP NO.OF DWELUNG UNITS <br /> �UILDING $ <br /> 512[OF OLDG. NO.OF STOHIES h1AX.OCC.lOAO <br /> PWMBING <br /> FlRE ZONF. BASFMENT FIRE SPRINKLERS <br /> REDUIPED MECHANICAL 1� SO <br /> I -�.Y[5 i iN0 <br /> APPROVALS BV DATE OiHER <br /> t ENVIRONMENTAL CHECK LIST -.._ <br /> P[NALTY U.f3C. <br /> 2. �UILDING PLANS SEC.3W(a) <br /> 3. FINE HYDRANT TOTp� 1� 5� <br /> 4. FlRE PROTECTION SYSiEM PEqMIT VALIDATION <br /> WHEN PROPERIY VALIDATED pW THIS SPAC[�THIS IS VOUR PER611T <br /> S GRAr NG M• l <br /> 6 DRAINAGL O 5 I 0 t O ' 1. �� M , <br /> I `�7 <br /> 7 ENV�RONMENTALIMPACTSTATEMENT (�J <br /> P. HEALTH DISTRICT � <br /> nFPLICATION ACC.OY PU1N5 CHECKED�Y APPR.FOR ISSUANCE BV YO U R REC E I PT � <br /> TNANK YOU <br /> i\DDRESS FILE 3 � �Y �1 <br />