Laserfiche WebLink
thrLl�PrFreen � JONSTRUCTIOP, <br /> r�t. C' � <br /> everett PERMIT PERMIT NO. 139�-�b <br /> CITY HALL 259�Bid5 <br /> EVERETT.WA5820� [] COMBINATION ❑ BUILDING XU MECHANICAL � PLUMBING <br /> CITr ZiP PnONE <br /> 01YNER MPIL PODRE55 98203 <br /> Jolm C. Kloss 4202 Terrace Drive Everett — <br /> C17Y Zip PNONE <br /> ARGNITECT OR pE9GNhR MAR PD�RE55 <br /> � CITY ZiV PHONE ULENSE� <br /> GENEN/.L GONiRPLTOF MRIL RD�PES$ <br /> M[GHANICAL GONiRAGTOA MAIL AD�QE55 <br /> CIiY 2iP PNONE LICENSE• <br /> $�e Cliv Z�P FNOrvE 4CENSE• <br /> PWN.BiNG GON(RACTOR MAIL RODRE55 <br /> GLP55 OF WONK <br /> ❑NEW O ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN }� WOOD STOVFJFIREPLACE INS <br /> VAIUAT10N OF WORK <br /> 1 <br /> DESCRIBE WOPN <br /> Install wood cookstove <br /> PROPOSED 115EOF BUiLDiNG 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �ecn�oescAivnoncFveover+*visMowee�owoannneNFauaeowes� CORRECT. ALL PROVISIONS OF LAWS AND OFDINANCES <br /> GOVERNING THIS TYPE OF W(1FK WILL BE COMPLIED WITH <br /> �oT_oiocK._oF . — WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> ORRCAN EL THE PROVISIONS O�FEANY OTHERTSTPT�E OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. oAtE <br /> sicnnrur�oF coNrancroa oa nurnon�zEo ncEnt 9�24�84 <br /> JOB ApDRE55 y / � [�/�.,� ' <br /> 4202 Terrace Drive �� "^" " � <br /> MECHANICAL <br /> PLUMBING FEE <br /> N0. TYPE OF FIXTUPE OR ITEM FEE NO. TY�PE OF EOUIPMENT <br /> AIR COND.UNITS- M.R EA. <br /> W ATER CLOSET�TOILEn <br /> PEFPIGERATION UNIiS- H.P. EA. <br /> BATMfUB <br /> 901LER5 - HP.EA. <br /> �qyqipqV(WASH BASIN� <br /> GAS FIRED A.C.UNRS-TONNAGE EA. <br /> SHUWER <br /> FORCED AIP SYSTEMS- B T.U. M .�. <br /> KITCMEN SINK 8�ISP. M <br /> WALL HEATERS- B T.U. <br /> DISHWASHLR <br /> UNIT HEATENS- B T.U. M <br /> LAUNDRYTflAY <br /> __ EVAPORATIVE COOLEFS <br /> CLOTMES WASNER CLOTMES DRYERS <br /> Wl.TER HEATER <br /> _ VENTILATION FAN <br /> URINAL qANGE HOO� <br /> DFINKI�G FOUNTAIN <br /> AIR HANDLING UNIT- C.F.M. <br /> PLOOR ORAIN '] SO F <br /> 1 STGVE-WOOD — <br /> VACUUM BREhRERS <br /> METAL FIREPLhCE b CHCANEV �: <br /> ROOF DRAIiJS - �AINLEA�ERS FIPEPLACE INSERT <br /> SINN(SERVICE-� BAR.ETC.) <br /> _ MEAT PUMP <br /> r+ r <br /> T�a— y ". <br /> SUBTOTAL s <br /> SUB TOiAL = pEPM1T f SC OO [~!1 �_ <br /> PERMIT s — TOTAL FEE S 17 �O � � <br /> TOTAL FEE S PLAN CMEGK FEE <br /> SIDE YARD 5[TNACK STREET SETBACK REAR YARD SETBACK PIAN CHECK NUMBER EE RLCEIPT NO. c <br /> � e <br /> USE ZONE LOT AREA VAGANT SITE FEES VALUATION FEE _ ^3 :." <br /> YES �. .NO [�* ~ <br /> r- <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF DWELUNG UNITS ___ — � .' <br /> BWLDiNG S <br /> SIZ[OF BLDG. NO. OF STORIES MAX.OCC. LOAD � ` <br /> PLUMPING � �� <br /> FIRE ZONE BASEMENT FIRE SPFI?lKLEFS IdEGMANICAL 17 5� � �� <br /> RECUIRED �`' r' <br /> YES NO y F <br /> OTMER _ x <br /> pppROVALS BY OATE .._— <br /> __ UB.0 <br /> 1. ENVIRONMENTAL CHECK L15T PB�P.LtY SEC.9U3 ial � <br /> — 17 50 � � <br /> 2.�UILDI��G PLANS TOTAL <br /> 3.FIRE MVORANT <br /> a.FIRE PiiOTECTION SYSTEM PERMIT VAIIDAT10N i ^ �i <br /> WHEN PHOPERLY VALIJATED�IN THI55PACfi�TMIS IS VOUR�PERAIIT—'—'9. � i, <br /> � P <br /> 5.GNAD�NG � <br /> (P. <br /> 6.DRAINAGE <br /> LENVIRONMENTALIMPACiSTATEMENT - I � f' <br /> t <br /> e.HEALiN DISTRICT . � � i <br /> APPLICATION ACC.BY PLANS CMECNED BY APPR.FOh ISSUANCE BV _ � <br /> :�I.,J�,..:.5 Illf <br />