Laserfiche WebLink
everett PERMIT pERMIT NO. �9453 <br />GTV HALL 259�0745 <br />eveaen. wn oezoi ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILND�FE55 pITY LIP PHONE <br />Evelyn Siqurdsson 1109 Sumner Lane Everett 258-1985 <br />ARCNIiECi OR DCSIGNEN MPq 50DRE55 CITY IIP PHON[ <br />GEHERAL CONiPACiOR MAII ADDRE55 qTY ZIP P�IONE UCENSE ♦ <br />Same <br />MECMANICnL CONTRACiOR MAI� ADDRE55 CITY 21P PHONE UGENSE ♦ <br />PIUM�INGCONIRACTOP MAIIADDRE55 CI1V ZIP pHONE LICENSE� <br />15SOF WORK <br />❑NEW I��OITION ❑A�TERATION ❑REPAIR ❑DEMOLITION ❑PENCE ❑SIGN ❑GARAGE <br />.UATION OF W�1RK <br />y Z��OG.�� <br />Construct Deck 8'x40' <br />IEGFL OESCRIPTION OF VROPERTV (SHOW BEIOW OR ATTqCM FOUR CAPIES� <br />�or Z eioc�_oF Gemmeli Manor <br />1109 Sumner Lane <br />PLUMBINO <br />BATNTUB <br />LAUNORYTRAY <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />0 <br />� <br />SIDE YARD SETBACK <br />512E OF <br />FIXTURE OR <br />STREET SET�ACK <br />LOT AREA <br />OCCUPANCY GROUP <br />NO. OF S10f±1E5 <br />BAS[MENT <br />t ENVIRONMENTALCHECKLIST <br />2. BUILOING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRAl11qGE <br />7. ENVIRONMENTAL IMPACT STATEI+IENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />V,C. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SNME TO BE TRUE AND CORRECT. <br />A� ' PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HFREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEI THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGN4iUP ('p�//p ACTOR OR AU�i/��(7"�'IZ[G AGENT// /J� � � OATE <br />A �O ✓ii✓ isC/ i�//i//IY./�Ci✓/ti_ 7� 2� B 1 <br />MECHANICAL <br />TYPE OF EC <br />COND. UNITS — HP. E <br />RIGERATION lIN1T5 — <br />i�ona — n.r. eH. <br />GAS FlRED AL. UNI15 — TONNAGE EA <br />FORCED AIR SYSTEM$ — 8.T U. <br />WALL HEATERS — B.T.U. <br />UNIT NEATERS — 67.U. <br />EVAI'ORATNE fAOI.fnS <br />AIR 1{qNDLING <br />STOV[ <br />REAR YARO SETOACK PLAN CNECK NUMBER <br />VACANTSIIE 81/9453 <br />LVES ❑NO FEES <br />MAX.00C.LOAD <br />APPR,FORISSUANCE BY <br />OTHER <br />PENALTV <br />SU9 TOTAL <br />PERMIT <br />TOTAL FEE <br />PLAN C <br />FEE <br />21.13 <br />VALUATION <br />$2,000. <br />U.BL. <br />SEC. 303 (a) <br />FEE <br />RECEIPT NO <br />54093 <br />FEE <br />32150 <br />TOTAL I I 32I 50 <br />PENMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PEqM1T <br />� ." `;j2�j i� <br />, � <br />� <br />� <br />li'� O <br />� <br />ADDRE55 FILE <br />-� <br />- ` , _ i � <br />