Laserfiche WebLink
,,"`,""�.�.,, � �OfWSTpiJCTIOf� � <br />everett PERMIT PERMIT NO. 1531�1 <br />CITV HALL 259�8745 <br />EVEREfT.WA9620t � COMBINATION C�gBUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL AD�RE55 CITY 21P PMONE <br />CHARLGS R NUSIiY 30 SYDNEY LrWE EVGRGTT IVA 98203 353-8319 <br />pRGHITECT OR OESIGNEP MAIL ADDRESS C�iY 21P PHONE <br />GENERALGONTHAGIOR MAR AD�PE55 GITY ZIP PMONE LICENSE/ <br />$8111C — <br />MELMl.NICRL CONiRAGTOP MAR ADDRE55 GTY 21P PHONE LIGENSE� <br />PLUMBING LONTRACiOR MAIL RODRESS GITV 2iP PMONE LICENSE � <br />❑ NEW ❑ ADDITION ❑ AL7ERATION �REPAIR ❑ OEMOLITION ❑ FENCE :] SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />S 1���.�� <br />�ESCPIBE 1NORK <br />Reroof <br />POPOSEO USE OF BUILOMG <br />Sing.e family residence <br />EGAL �ESGRIPTION OF PROPERTY ISNOW BELOW i <br />�or 102 e�ocn_oF 14estwood <br />�0 Svd� f�ne <br />PLUMBINCa <br />T1'PE OF FI%TUPE OR ITEM <br />WATER CLOSET �TOILET� <br />BATHTUB <br />LAVATORY�WASMBASIN) <br />SHOWER <br />KITCHENSINK8015P. <br />DISMWASHER <br />LAUNORV7RAY <br />CLOTHES WASMER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF ORAINS — RAINLEADE�iS <br />SINK ISEflVICE — BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />USE 20NE <br />NO.OF <br />ZON <br />1. ENVIRONMENTAL CMECK LIST <br />2.8UILDING PLANS <br />3. FIFE MYDRANT <br />4.FIREPROTECTiONSYSTEM _ <br />5.GRADING _ . __ <br />6.ORAINAGE <br />7.ENlIRONMENTALIMPACTSTATEMENT <br />HEALTH DISTRICT <br />�PLICATION ACC. BY <br />stg <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AN� ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILI BE GOMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GHANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCA� LAW REGULATING CONSTRUCTION OR THE <br />PERFOAMANCE OF CONSTRUCTION. <br />SIGNATl1RE OF CONTRALiOP,�O/R AUiNOR�IZ�ED FGENT DATE <br />X � .e �,v /�Lri.�Ll!u .� _ 8/13/85 <br />FEE NO. �- TYPE OF EOUIPMENT _ <br />AIR COND. UNITS — H.P EA. <br />REFRIGERATION UNITS — N.P. EA. <br />001LERS — M.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FOFCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.i.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLEF:. <br />CLOTHESORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — QF.M. <br />STOVE — WOOD <br />METAL PIREPLACG B CHIMNEY <br />FIREPLACEINSER7 <br />HEAT PUMP <br />S <br />S <br />f <br />YES NO <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />FEE <br />FEES VALUATION <br />BUILDING 5 <br />'dA%. OCG LOAO <br />PLUMBING <br />FIRE SPRINKLERS MECHANICAL <br />REOUIRED <br />VES NO <br />BY DATE �TMER �_ <br />PENALTY <br />TOTAL <br />U.B.C. <br />SEC. 303 �al <br />� <br />S <br />S <br />CHECK FEE <br />RECEIPT NO. <br />FEE <br />�Y��.�I] <br />PERMIT VALIDATION � <br />WMEN PROPERLY VALIDPTFD (IN THIS SPACE) THIS IS VOUR PERMIT_ <br />i 0 <br />M <br />� <br />r'i <br />BV APPR. FOR ISSUANCE BY <br />n nil;'.f �_, , 'd E. <br />