Laserfiche WebLink
r�a,�s.�n <br />ciTv oF <br />everett <br />259-8745 <br />'^ C�NSTR�JCTION " r� - . p <br />PERMIT PERMIT NQ = � o�S� <br />❑ DEMOLITION ❑ COMBINATION l� BUILDING ❑ MECHANICAL ❑ PLUMB�NG ❑ SION <br />OMMEH MFILRODRESS f.ITY LIP PHONE <br />Ernest H. Anderson 828 52nd St. Everett 98203 353-3634 <br />ARCHITECTOflDE51GNER MAILADDRE55 GITY ZIP PHONE <br />CITY ZIP VMONE IICENSE� <br />Owner <br />MECNANICALCONTR�CTOfl MRILA�DPE55 LITY ZIP PHONE LICENSE� <br />VLUMBINGCONTR�CTOR MAILAD�RE55 CITY 21P P110NE LICENSE• <br />GLASS OF WORK <br />❑ NEW ❑ ADDITION <br />VALUATION OF WOi <br />S 960.00 <br />rJ ALTERATION �1 NEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />Remove and replace composition shingles on raof <br />HEATSOURCE <br />❑ ELEGTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PflOPO5E0 USE OF BUILDING <br />rpsidence <br />wr 34 e�ocK _ <br />PLUMBING <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV(WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />iW 6ELOW OR AiTACH FOUR GOPiES� <br />Fairview Hc:iahts #2 <br />OR ITEM <br />ROOF DRAINS — RA�NLEADEFS <br />SINK (SERVICE — BAR. ETC.) <br />USEZONE <br />TYPE OF CON: <br />SIZE OF BLOG. <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />S <br />VRCANT $ITE <br />❑YES ❑NO <br />OCCUPANCYGPOIIV �NO.OFOWELu <br />FIRE SPRINKLEFS PEOUIRED,� Y <br />qPPUCAT10NRCC.BY PLANS <br />S.H. <br />MA%ACC. LOAD <br />APPq FOP ISSUANGE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIQNS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATSJ[IE OF CONTFACTOR. AUTHORREO�,GENT, OR tJWNEfl OATE <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />�/C — A/HNOLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.U./H.P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALLHEATEFS—B.T.U. M <br />UNITHEAiFRF—BT.0 M17 <br />EVAPORATIVECOOLERS <br />CLOTHESDRVERS <br />VENTIIATION fAN <br />RANGE FIOOD <br />WA7ER HEATER • <br />WOODSTUVE <br />fdETAL FIRE�LACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />PLAN CHE�"C NUMI <br />FEES <br />BUILDING <br />PLUMBING <br />FEE <br />SUBTOT�L <br />PEqM1T <br />TOTALFEE <br />FEE RECEIPT NO. <br />VALUATION FEE <br />S oL� „� <br />MECHANICAL IIU�1!)jB�'?Bg <br />"�'� �� <br />INVESTIGATIONFEE E. �eny.,�oolel '� <br />STATEBU'LDINGSIiRCHARGE ��i�� �'�'•5� 1 SO <br />STATEEhERCaVSURCHARGE <br />DRIVEWAY PERMIT <br />TOTAL 26 50 <br />PEflMIT VALIDAT70N <br />WHEN PHOPERLV VAL�DATED (IN THIS SPACE) THIS IS Vf1UR PERMIT <br />�� <br />� <br />M <br />� <br />� <br />ADDFlESS FILE <br />