Laserfiche WebLink
�hrEre!c.em - �ONSTRUCTIO�" � <br /> c�n c � <br /> everett PERMIT PERMIT NO. 13151 <br /> pTY MALL 259�fi7d5 <br /> evEaen.� osaao� ❑ COMBINATION ❑ BUILDING ,�jZ MECHANICAL ❑ PLUMBING <br /> 01YNER M�I�iDpRE55 CITV ZIP PNONE <br /> Rhoda Amunsis 4003 Smith Everett 98201 <br /> 1 ARGNIIECi OR DESIGNEP MAII.A�DRE55 CILY ZIP PHONE <br /> GENENPLCOHiRNCtOP ���ILAD�RE55 QTV ZiP PMOHE LIGENSE� <br /> MEGMFNIG�LGONLR�GTOR MAILAppRE55 CIi� 21P FM�NE IICEHSE� <br /> Natural Gas Equipment 1625 East Marine View Drive Everr : 98201 258-2441 <br /> PWMBIN4 GONTRACiOP MAIL RDDNE55 GIiY ZIP PMONE UCENS[• <br /> GU55OF WORK <br /> O NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION O FENCE ❑SIGN ❑ WO00 STOVFJFIREPLACE INSERT <br /> VAIUAT10N OF WORIt <br /> ! — <br /> OESCRI9E WORK <br /> PROPOSED USE OF BUILOIHG <br /> I HEREB'f CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEG�L�ESGPIPtIONOFPROPERTY�5HOW8ELOWORATTRCMFOVRCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITN <br /> iaT_e�ocrc_or WHETrIER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOFS NOT PRESUME TO GIVE AUTHORIIY TO VIOLATE <br /> OR CANCEL THE PROVI51)NS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB AUDRESS SIGN T RE F LONTRSj OR<ViHORIZED AGENT DATE <br /> 4003 Smith X ' 1 <br /> � ''7 �. �-�' <br /> PLUMBING MECH NICAL , <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILFn AIR CONO.UNITS—M.P.EA. <br /> BATMTUB REFRIGERATION UNITS—H.E EA. <br /> LpVATORV�INASH BAS'�JI BOILEPS— M.P.EA. _ <br /> �H�WER GAS FIRED A.Q UNIiS—T01•NAGE EA. <br /> KITCHEN SINK 8 D'bP. FORLED AIR SVSTEMS— 6.T.U. M EA. <br /> DISHWASHEfi WALLMEATERS— B.T.U. M <br /> :SUNDRYTRA` UNIT MEATERS—B.i.U. M <br /> CLOTNES WP3HER EVAPORATNE GOOLERS <br /> —�WATERHEP(ER CLOTHES ORYERS <br /> URINAL VENTILATION FAN <br /> �RINKING FOUNTAIN RANGE HOOD <br /> FlOOR DRAIN AIR HANDLING UNIT— GF.M. <br /> VACUUM BPEAKERS STOVE—WOOD <br /> ROOF URAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY _ <br /> SINK�SERVICE—BAR,ETC) FIREPLACE INSERT <br /> — MEATPUMP <br /> 1 Water I3eater <br /> SUBTOTAI f SUBTOTAL s <br /> PEPMIT f PERMIT S ZO 00 <br /> TOTALFEE f TOTALFEE f 14 SO <br /> SIDE YARD SETBAGN STREET SETBACN REAH YAFD SETBACK PLAN CMECN NUMBER PLAN LMECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT APEh VACANT SITE FEES VALUATION FEE <br /> YES NO <br /> TYPE OP CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS _ <br /> BllIL01NG S <br /> SiZE OF BIDG. NO.OF STORIES MAX.OCG LOA� <br /> PWIdBING <br /> FIRE ZONE BASEMENT qE0U5RE0 NLERS MECFANICAL 1�} SO <br /> VES NO <br /> pPPR0VRL5 BY OATE OTHEP — <br /> L ENVIPONMENTAL CHECK LIST PENFLTY U B C. <br /> SEC.303�a� <br /> 2BWLDINGPLANS T�TA� ZQ SO <br /> 3.FIRE HVORANT <br /> d.fIREPROTECTI0NSY5TEM YHEN'TPROPERIVOALIDATED(INTMIS�SR/� THIS15yQ R�PE�N�1T__� <br /> 5.GRA�ING ; f L�� � U Y 4. � U <br /> I fi.DRAINAGE �--� <br /> 7.ENVIFONMENTAL�MPACTSTATEMENT M <br /> B.NEALTHDISTRICT , _ , f��CL:IP�r-1 <br /> APPLICATION ACC.BY PLANS CHECKEO BY APPR.FOfl ISSUANCE BV <br /> , !l' 1'C U <br /> � i �� ; i, <br /> 1 � . _ ��i <br /> r1DDRc55 iiLi: <br />