Laserfiche WebLink
rn�sY��.K� 16 ifONSTRUCTIOf* <br />CITY OF <br />everett <br />CITY HALL 259-8745 PERMIT PERMIT NO. 16192 <br />EVERETT, WA 98201 ❑ COMBINATION C] BUILDING © MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Gene A. Tune 119 - 52nd St SW Everett WA 98203 252-7146 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />MECHANICAL CONTRACTOR <br />Fireplace Xtrordinair <br />MAIL ADDRESS <br />12049 - 124th <br />CITY <br />ZIP <br />PHONE LICENSE 0 <br />Ave NE <br />Kirkland WA <br />98034 <br />771-5131 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE 0 <br />OF <br />f <br />® NEW ❑ ADDITION IR ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />Install stainless steel liner in existina nhimnov <br />PROPOSED USE OF BUILDING <br />Single family home <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 AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATL OF CONTRACTOO UTHORIZE GENT DATE <br />X j J(� R 3 10 6 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT -BLOCK -OF <br />-- <br />JOB ADDRESS <br />119 - 52nd St SW <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />MECHANICAL <br />1113. TYPE. OF EOUIPMENT FEE <br />WATER CLOSET(TOILET) <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATFRS - B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS - B.T.U. NI <br />CLOTHES WASHER <br />:1 <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />- <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />- <br />VACUUM BREAKERS <br />STOVE - WOOD <br />_ <br />ROOF DRAINS - RAINLEADERS _ <br />METAL FIREPLACE & CHIMNEY <br />U_♦ <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />7 <br />SO <br />HEAT PUMP <br />SUB TOTAL i <br />SUB TOTAL f <br />7 <br />50 <br />PERMIT $ <br />PERMIT t <br />10 <br />00 <br />TOTAL FEE f <br />TOTAL FEE f <br />17 <br />150 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />:YES 1NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />.:YES NO <br />MECHANICAL <br />17 <br />50 <br />-- <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />17 <br />0 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (11, THIS SPACE) THIS IS YOUR PERMIT C\V <br />Q .( !� (( �� 17. t' 0 C}r <br />r�-•}� <br />CD <br />!? n C C I pT n <br />l U U <br />5. GRADING <br />O. DRAINAGE <br />7. ENVIRONMENTAL IMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />M.M. <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE I I O G <br />