Laserfiche WebLink
, <br /> �heEveCrgvoF -- CC�NSTRUCTiON '�� <br /> everett P�RMIT pERMIT NO. 08105 <br /> CITY HALL 259�D745 � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> EVERETT,WA 98201 <br /> OWNER MAILPD�HESS CITY ZIP PMONE <br /> RGY xUGHES 1501 SOth S.W. Everett 98203 252-4381 <br /> ARCNITECT OR DESIGNER MAIL ADDRESS CITY 21P PHONE <br /> GENENAL GONTFACTOH MAIL ADDNESS Cltt ZIP PHONE UCENSE 1 <br /> MF.CMANICnL CANTHACiOR MAIL AD�NE55 GITV ZIP PHONE LIGENSE I <br /> Self <br /> PLUMBING CONTRACTOR MAIL ADDRESS CIiY ZIP PHONE UCENSE I <br /> ClASS OF WORK <br /> ❑NEW CIADDITION ❑ALTERATION OREPAIR CDEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VAWATION OF WORK <br /> f <br /> DESCHIBE WOPK <br /> INSTALL ELECTRICAL FURNACE 19 KW <br /> PROPOSED USE OF BUILOING <br /> I HEREBI' CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> �PGALDESCF�PTIONOFPFOPERTYRHOWBELOWORATTACNFOURfAFIES� PLICATIONANDKNOW 'fHESAMETOBETRUEANDCORRECT. <br /> ALL PROVISIONS CF LAWS AND ORDINANCES GOVERNING THIS <br /> �or u�aK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHErI SPECIFIED <br /> HEREIN OR NOT. THE GAANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAIdCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTIUN OR THE PERFORM4NCE OF CONSTRUCTION. <br /> SIGNATURE OF CONTRAC70R OR AU7HOFI2ED AGENi DATE <br /> JOB ADDPE55 <br /> 1501 SOth S.W. X 8-13-80 <br /> PLUMBINO MECMANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF E�UIPINENT FEE � <br /> WATER CLOSET(TOILET) AIR COND.UNI7S—H P.EA. <br /> BATHTUB REFRIGERA710N UNITS—H.P.EA � <br /> LAVATORV(WASH BASINI BOILERS—H.P.EA. � <br /> SHOWER GAS FIRED A.C.UNITS=TONNAGE EA. <br /> KITCHEN SINK&�ISP. FORCED AIR SYS1EAtS—B.T.U. M EA. � <br /> DISHWASHER WALLHEA7EF5—B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B T.U. M <br /> CLOTHES WASH°R EVAPORATIVE COOLERS <br /> WATEF HEATER` CLOTHE$DRYERS <br /> URINAL VENTILA71(1N FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DFAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL F,REPLACE&CHIMNEY _ <br /> SINK ISERVICE—BAR,ETC.) — <br /> SUB TOTAL SUB TOTAL S 5 00 <br /> PERMIT S PEflM1T f <br /> TOTALfEE S TOTALFEE S <br /> SIDE YARD SETBP.CK STREET SETBACK REAR VARD SETBACK PLAN CHECK NUMdER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA ❑�S T ONO FEES VALUATION FEE <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING $ .. .. � �� <br /> SIZE OF BLDG. N0.OF STORIES MAX.OCC.�OAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT pEOUIRED KLERS MECHANICAL <br /> ❑YES ❑NO <br /> APPHOVALS BY DATE OTHER <br /> 1, ENVIRONMENTALCHECKLIST PLNALTV U.B.C. <br /> SEC.303(a) <br /> 2. BUILDING PLANS TOTAL <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PENMIT VALIDATION <br /> WHEN PROPERIY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> :i. GflAGING 6 2 2 3 � O O �•O 0 1�0 <br /> 6. JRA�NAGE <br /> 7. ENVIRONMENTAL IMPACi STATEMENT � <br /> B. HEALTHDISTRIC7 �i�-1!� ��r[CEIP� <br /> APPLICA710N ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BV 1 �-. '�.� O <br /> -�f-a,�r, < You <br /> 13nuc80 <br /> ADDRESS FILE <br />