Laserfiche WebLink
diP E�'Prl'rPPr! �• � Q N ST R U CT I O� • <br />everett PERMIT PERMIT NO. _I Eit'1:� <br />CITY HALL 259-8745 <br />EVERETT, WA 982�1 �] COMBINP.TION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OIVNER M�IL ADORE55 GiY ZiP PMONE <br />CRAIG BEKINS 8420 Xavier Way Everett l•!A 98204 745-8656 <br />AHCNITECT OR OESIGNEF MAII ADORE55 CITV 21P PHONG <br />GENERFL LONTNAGiOR MAIL ADDRESS GITY ZIP PMONE 110EN5E • <br />SAME <br />MECMANICAL GONTRACTOP MF �' pESS GITV ZIP PNONE UCENSE / <br />PL11M81NG CONiRACTOR MFIL PO�RE55 CIiY ZIP PNONE LIGENSE x <br />� NEW I�'I ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD ST VFJFIHEPLACE INSERT <br />S �2���� <br />iCRIBE 1YOFN <br />Addition <br />�seo use oF ouaowc� <br />Single family residence <br />❑FscRIPi�',ON OF PflOPERTY ISMOYI BELOIY OR <br />LOT 36 BLOCN <br />PLUMBING <br />N0. TYPE OF FIXTURE OR <br />W ATER CLOSET �TOILET) <br />BATHTUB <br />LAVATORV �WASH BASIN� <br />SHOWER <br />KITCMEN SINK 8 DISP. <br />DISHWASHER <br />LAUNORVTHAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKEFS <br />ROOF DRAINS — RAINLEADEflS <br />SINK ISERVICE — BAR. ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPUCATION AND KNOW THE SAME TO BE TRUE AND <br />COliRECT. ALL PROVISIONS OF LAWS AND ORDIN.>NCES <br />GOVERNING THIS TYPE OF WJRK WILL BE COMPLIED WITII <br />WHETHER SPECIFIED HERFIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PRCVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULAT.ING CONSTRUCTION OR THE <br />PE�ORMANCE OF CONSTRUCTION. <br />SIGN TURE OF GONTRFCiOR OP AUjHORIZEO AGENT OATE <br />=�k. ., _��...,�_4/21/86 <br />MECHANICAL <br />AIR CONO. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIHED A.Q UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — BS.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYEFS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HAN�LING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACE INSERT <br />HEAT PUMF <br />�I I SUBTOTAL S <br />I I PERMIT 5 <br />TOTAL FEE f <br />FAR VARO SETBACK �PLAN CHECK Nl1M8ER PLAN C <br />USE ZONE LOT AREA VACANT SITE <br />vES NO <br />TYPEOFCONST. OCCUPANCVGROUP NO.OFDWEL <br />SI2E OF BLDG. NO. OF STORIES MA%. OCG L <br />FIRE ZONE BASEMENT FIRE SPRINK <br />REOUIRED <br />YES NO <br />APPROVALS BV <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DPAINAGE <br />7. ENVIRONMENTAL IMPACTSTATEMENT <br />8. MEALTH OISTRIGI <br />APPUCATION ACC. BY PLANS CMECKED BY APPR. FOfl I <br />rtt <br />FEE RECEIPT IJO. <br />VALUATION FEE <br />BUILOING S n6 z5 <br />OAD <br />PLUMBING <br />LERS MECHANICAL <br />DATE �TMER <br />PENALTY U.B.C. <br />SEC. 303 �a) <br />TOTAL 46 25 <br />PEPMIT VALIDATION <br />WHEN PROPERLV VAUDATEO �1N THIS SPACE) THIS IS OU� P I�JT • <br />tl(j f��q .'1__—.�j <br />Permit renewal - 13399 " , <br />SSUANCE BY ' � <br />� , � <br />i\DDk�SS f-ILF <br />