Laserfiche WebLink
rhe fveryqnen <br />CITV OF <br />everett <br />CITY HALL t598715 <br />'i �ONSTRUCTIOI� � <br />PERMIT PERMIT NO. 16680 <br />EVERETT,WA9B201 ❑ COMBINATION � BUILDIN� ❑ MECHANICAL ❑ PLUMBIN(i <br />OWNER MAIL AODRE55 CITY ZIP PHONE <br />MAAJORIE WILLIAMSON 5706 SUNSET LANE EVERE7T WA 98203 355-3904 <br />11RCMITECT OR OESIGNER MpIL AODRE55 CITY 21P PHONE <br />GENER�L CONTRACTOR MRIL AODPE55 �ITY 21P PMONE LICENSE I <br />$dRIE <br />MEGH�NICAL CONTR4f.TOR MpIL q00RE55 CITY 21P PNONE 4CENSE � <br />PLUMBING CONTR�CiOR MAIL AODHESS CITY 21P PMONE IICENSE � <br />� NEW O ApDITION ❑ ALTEHATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVHFIREPLACE INSERT <br />s 300.00 <br />OESCRIBE WOPI( <br />Patio canopy - <br />Residence <br />23 Highland Fan.is <br />LOT_IILOCK_OF _ <br />JOB RDDRE55 <br />5706 NYiJI[ Sunset Lane <br />PLUMBIN6 <br />NO. TYPE OF FIXTUHE OR ITEM <br />WATER CLOSET (TOILET) <br />BATMTUB <br />LAVATORY (WASH BASIN) <br />SMOWER <br />KITCh1EN SINK d DISP. <br />DISHWASHER <br />CLOTHES WASHER <br />WATER HEATER <br />URR�AL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — OAH, ETC.) <br />TOTAL <br />TYPE OF CONST. <br />1. ENVIRONMENTAL CMECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />e. <br />i <br />S <br />f <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TG BE TRUE AND <br />CORRECT. �! L 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 STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORA1ANCE OF CONSTRUCTION. <br />51 HE OF CON% (jACT R OR AUTHORIZED AGENT OAT <br />/ Q /i���.��.a-,_ � 6/13�6 <br />FEE NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS fIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — 6.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLO7HE5 ORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />�..YES I'NO <br />SUB TOTAL S <br />PERMIT S <br />TOTRL FEE S <br />PLAN CMECK NUMBER PLAN CI <br />FEE <br />FEES VALUATION <br />.Stats�uildingS <br />BUILDING E <br />� <br />PLUMBING <br />MECHANICAL �ISIBG Z�I <br />DATE OTMER <br />CHECKED BY I APPR. FOH ISSUANCE BY <br />lC <br />PENALTV <br />�:.1;1 �j%r($1� <br />RECEIPT NO. <br />YtE <br />TOTAL I�� tl�.� 16 <br />PERMIT VALIDATION <br />l'lHEN PROPERLY VALIDATE� �IN TMIS SPACE) THIS IS YOUR PERMIT <br />Roof to be left uncovered. <br />ADDRESS FILE <br />50 <br />