|
,,�. � ��,_-r�.�,,� �� ��`�f�lJ �;�V� � �
<br /> ��erett PERMiT PER��r ,,�o. ���_�:,
<br /> CITY HALL 259�8745 �"`"-».=
<br /> EVEFET7.VJA98207 ❑ COMBINATION C BUILDING ❑ MECHANICAL ❑ PLUMBING C=,�-�---
<br /> �N,,
<br /> Ir{, ���
<br /> �!f::NER —� MAILAD�FESS LITY Z�P • . •. R��1
<br /> ar
<br /> JOHN S. NIARTIN 1015 - 36th Everett WA 98201 cTY339-4550=P PHONE
<br /> /�PCMIT.`.Q OR�ESIGNER IAAIL A��RE55 �
<br /> G[HEfiAL LONIRAGTOP MAIL AOOHE45 CRY ZIP PIIONE LIGE�ISE� , .�
<br /> S
<br /> Same �
<br /> !!.ECMRNiGAL CONTRALTOR ldAIL AO�RE55 CITY ZIP PHONE LICENS[ • ,
<br /> {� _�y�:�%
<br /> PLUMNINGWNTPACTOfl MAILAODPESS GITV ZIP PHONE ���E��S`-" f,,.` �"3?2
<br /> F',
<br /> C�A55 OF WOflK
<br /> � ❑ NEW �ADDITION ❑ ALTERATION ❑REPAIR ❑ �EMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLAGE INSEF;� � �;.�
<br /> '�l;i
<br /> VNLUATION OF VlORK �a".'
<br /> 53���.�� � n
<br /> � �ESCRIBE WORK ��r
<br /> Addition to garage '�.j§
<br /> a�ocoseouseoF ouaow�� I HEREBY CERTIFY THAT I HAVE READ AND EXAMWED THIS �; ���
<br /> SCorage APPLICATION AND KNOW THE SAME TO BE TRUE AND � ..
<br /> ;�,;-��,, �EGALUESCR'�TIONGFPROPERiY�SHOWOELOlYORATTACHPoURGOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDIP!ANCES .
<br /> �i , � �or_5 oiocK �OS oF Friday's 2nd Addn GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH ' �
<br /> WHETHER SPECIFIED HEFEIN OR NOT.THE GRA�TING OF i�-
<br /> PERMIiDOESNOTPRESUMETOGIVEAUTHORITYTOVIOLA��� , �
<br /> ' i I :
<br />�, �.,.,, _ OR CANCEL THE PROVISIONS OF ANY OTHER STPT[ �. � �v^"._.
<br /> � LOCAL LAW RFGULATING CONSTRUCTION OR 1 ! i a,-� '
<br /> ` PERFOR A E OF CONSTRUCT!ON. �� .,��
<br /> ' JOf3A�ORE55 SIGNATU OF TRACTO FUTHO �At[ �.,: `
<br /> 1f � •
<br /> 1015 - 36th Street X ' ```� �
<br /> PLUMBING ME ANICAL ,. ..-.-
<br /> NO. TYPE OF FIXTURE OR ITEM FEE '.YPE OF E�UIPMENT _ FEE - -
<br /> WATERCLOSET�TOILEn AIR COND. UNITS— H.P. EA.
<br /> BATHTUB REFRIGERATION Ut71T5— H.P. EA. _
<br /> LAVATCRY(WASH BASINI BOILERS— H.P. EA � �"
<br /> SHOWER GAS FIRED A.C. UNITS —TONNAGE EA.
<br /> k�;':�1�=
<br /> KITCMEN SINK R D!SP. FORCED AIR SYS7EMS— B.T.U. M EA. .—�..
<br /> DISHWASHER WALL HEATEFS— B.T.LL M {- _ � ,�
<br /> LAJNDRV TRAY UNIT HEATERS— B.T.U. M t��'„r.�y'�.-���"'
<br /> CLOTHES WASHER EVAPORATNE COOLERS _
<br /> WATER HEATER CLOTHES DRYERS _.
<br /> URINAL VENTILATION FAN
<br /> DRINKING FOUNTAIN RANGE HOOD �'
<br /> FLOOR DRAIN _ AIR NANDLING UNIT— C.F.M. ^. �1\r'<�,
<br />� - VACUUM BflEAKERS S�OVE — WOOD _ -- '
<br /> ° METAL FIREPLACE 8 CHIMNEY
<br /> y �'; ROOF DRAINS— RAINLEAOERS
<br /> � SINK(SERVICE— BAR, ETC.) FIREPLAI.c INSERT � � Jr'�>y�£
<br /> � � - HEAT PUMP ''
<br /> I ,0!, _^��.lv
<br /> �'� , F�e-�--ww�,
<br /> SUB TOTAL SUB70TAL S � �:�
<br /> PERMIT S PEfiMIT 3 '� F..� . ��+,-,
<br /> � TOTAL FEE 5 �"' ' � "
<br /> TOTAL FEE s pLAN CHECK FEE ��'���
<br /> K NUMBER
<br /> REAR YARD SETBACK
<br /> PLAN CHEC f�"'
<br /> SIDE YARO SETBACK STREET SETBf+CK „
<br /> , FEE RECEIPT NO. �4?" '
<br /> 20 ft 20 ft 6 ft 84/13480 13.33 a
<br /> USE ZONE LOT AReA VACANT SITE FEES VALUATION FEE - -
<br /> �_1 �. .VES .. NO
<br /> Y'I�i[ OF CONST. OCCl1PANCY GROUP NO.OF DWELUNG UNITS p �
<br /> V-N Addn M Bua�"+� �
<br /> S 3000.00 59_ � f-.
<br /> SiZE OF BLDG. NO.OF STORIES MA%.OGC.LOA� H ._
<br /> A(IC�11 3i6 Sf 1 PLUMBING y
<br /> KI
<br /> Pii;F ZONE BNSEMEN7 FIRE SPRINKLERS MECMANICAL C �
<br /> REOUIRED
<br /> YES NO M
<br /> APPROVALS
<br /> BY DATE OTHER T .`
<br /> u.e.c. r �
<br /> t. E�+VIRONMENTAL CHE K LIST PENALTY SEC.303(a) ��-
<br /> `r::°`i 2.BUILDING PLANS �-�� T�TA� 46 OO � ��
<br /> 9.FIPEHYDRANT �'� � �
<br /> � 4.FIRE PROTECTION SYSTEM PEPMIT VALIDATION � ' '
<br /> WHEN PROPERLV VALIDATED(IN THISrSPAGEi THIS IS Y,O�IH(fEt71.UT_� j �
<br /> . S.GPADWG _ . � � � � •�
<br /> y.uaniNnce ` "' $11.70 addl due on plan check s':
<br /> � ZENVIRONIdENTALIMP �TSTATEMcNT �1
<br /> �- �i).HEALTN�ISiRICT —J ' � . �� .I , � �' : -
<br /> ^ �APPLICA110N ACC. BV � � PLANS CHECKED BY APPR. FOR ISSUANCE 8Y . . �
<br /> . �
<br /> Sr4 C :- h4m� lc
<br /> ,` _
<br /> .!.�D�°(.JS �Ill
<br /> , �.:;. . � � � :�'.c. - . - - = - - ' _- - . f.'"` - - —
<br /> . :. . _ ,, r . - _ . _ _ _
<br /> � 5� 1 �I i�.� � Sk -c - �•'� . .r . . � . ' ' , ` __ - -
<br /> :, :;a` r . _ : , : , , � .
<br /> � �_ . , -
<br /> �._ :.�,.. _. .. _.. . . . . ,. ,.
<br />
|