Laserfiche WebLink
n <br />0 <br />�' <br />��PE���R�e°F ,- ^,ONSTRUCTIO�' <br />everett PERMIT PERMIT NO. 12175 <br />GTY HALL 259�87<5 <br />EVERETT,WA9B201 ❑ COMBINATION ❑ BUIIDING � MECHANICAL ❑ PLUMBING <br />OWNEP M4ILRODRE55 CITY 21P PNONE <br />—R. A. CARLSON 2517 STATE ST EVERETT WA 98201 252-7502 <br />ARCHITECT OR DESIGNER MRIL RDDFE55 dTY ZIP PHONE <br />GENER�L CONTR�GTOR M�IL RDDRE55 CIiY ZIP PHONE UCENSE � <br />�ame <br />MECHANICAL CONTR�GTOR MFIL RDDRESS CITY ZIP PHONE LICENSE � <br />PLUMBING CONTRACTOH MAIL �DORE55 CITY �IP PNONE LICENSE I <br />I�WNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/fIFlEPLACE INSERT <br />VALUATION OF WOPI( <br />i <br />DESCRIBE WOflK <br />Wood stove <br />ence - rental <br />LOT_BLOGK_OF <br />JOB �DORE55 <br />2525- State St <br />PLUMBINQ <br />SMOWER <br />KITCHEN SINK 8 L`ISP. <br />�ISMWASHER <br />LAUNDRYTRAY <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINI.EADERS <br />SINK �SERVICE — BAR, ETC.1 <br />SUBTOTAI <br />PERMIT <br />FIRE ZON! <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE NYDRANT <br />6. DRAIN�OE <br />7. ENVIRONMENTAL IMPACT STAiEMENT <br />8. HEALTH DISTRICT <br />APPI�CATION ACC. BV PLANS CNE <br />� <br />f <br />f <br />REAR YARD SETE <br />VACANT SITE <br />;.VES :-�NO <br />NO. OF DWELLIN <br />MAX.00C.LOAO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPIICATION AND KNOW THE SAME TO BE TRUE AND <br />COFRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMLaANCE OF CONSTFUCTION. <br />SIGNATUPEpqCONTRRCTQROp�UTHOR12E0AGENT DATE <br />� <br />MECHANICAL <br />AIR COND: JNITS — H.P. EA. <br />REFRIGEFATION UNITS — H.f . EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORGED AIR S/STEMS — B.T.U. M EA. <br />WALL MEAiERS — B.T.U. M <br />UNIT MEATERS — B.T.U. M <br />EVAPoRA7IVE COOLERS <br />CLOTHES DRVEflS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE & CHIMNEY <br />FIHEPLACE INSERT <br />HEAT PUMP <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />NO <br />DATE aTHER <br />PENALTY <br />TOTAL <br />SUBTOTAL f <br />PENMIT i <br />i�1TAL FEE f <br />PL'nN C <br />FEE <br />YIILURTION <br />S <br />7/7/83 <br />RECEIPT NO. <br />FEE <br />17 I50 <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS Y U PERMIT <br />9ioa SO .50 — � <br />�"� <br />N <br />0Y Y� U R• RECE IPT '� <br />THANK YOU <br />ADDRESS FILE <br />-g�u.83 <br />