Laserfiche WebLink
fhC E�'Prl'rea'n <br />� ��������� CONSTRUCTIC . J <br /> everett pERMIT PERMIT N0. � � � -� � <br /> CITV HALL 259�8745 <br /> eveaei i,WA 9B201 ❑ COMBINATION G[ BUILDING ❑ MECHANICAL ❑ PLI�MBIiVG <br />� �Lane R. Christopherson 8010 24th�Drive S.E. Everett 98203 34'7H2531 <br /> ARCHRECT OR DESIGNER MAIL ADORE55 CRY ZIP MHONE <br /> GENERAL CONTFACtOR MAIL/O�P.E55 CITY 21P 'HONE LICENSE x <br /> Same <br /> MEGMANICAL CONTRACTOR MHIL AODnE55 GTY ZIP PHONE LICENSE� <br /> PLUMBING GONTRACTOH 'dAIL AODRESS CIiY ZIP PHONE L�CENSE M <br /> CLA55 OF WORK <br /> ❑NEW j�,ADDITION ❑ AITERATION ❑REPAIR ❑ DEMOLITII�N ❑ F[NCE ❑ aIGN ❑ WOOD STOVE/FIREPLACE�NSERT <br /> VALUATION OF YJORK <br /> s �.r]��Qfl.O� <br /> DESCRIBE WORK <br />� Construct family room, den, storaqe room, addition <br /> PROPOSED USE OF BUIL�ING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE Tr�UE AND = <br /> 0 <br />' LEGFLOESCRIPTIONOFPFOPEFTY�SHOWBELOWORATTACMFOIIRCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES � <br /> 9 valley View, Div. 2 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH c� <br /> LOT_BLOCK_OF m <br /> WHETHER SPECIFIED HEHEIY OR NOT.THE GRANTING OF A . <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR � � <br /> LOCAL LAW REGULATING CONSTAUCTION OR THE � '� <br /> PERFORMANC� OF CONSI'RUCTION. " ""� <br /> cn z <br /> JOB ADDHESS SIGNA RE O G TOF OR THOFIZED AGENT ��A1 �*1 <br /> 8010 24th Drive S.E_ <br /> co <br /> mo <br /> PLUMBING ME HANICAL ..-�c <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMcNT FEE _ � Z <br /> WATERCLOSET�TOILEn AIR COND. UNITS - H.P. EA. _ � <br /> m <br /> BATHTUb REFfliGERATION UNITS - H.P. EA. "" <br /> .O Z <br /> LAVATORY(VJASH BASIN) BOILERS- H.P. EA. <br /> D -i <br /> SHOWER GAS FIRED A.C.UNITS- TONNAGE EA. r = <br /> �--i r. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS- B.T.U. M EA. K N <br /> DISHWASHER 4uALL HEAiERS- B.T.U. M � <br /> O A <br /> LAUNDRYTRAY UNI7 ME4TERS- B.T.U. M T� 3 <br /> CLOTHES WASHEfl EVAPORATIVE COOLERS "'� r^ <br /> 2 <br /> WATER NEATER CLOTHES DRYERS m '"' <br /> N <br /> URINAL VENTILATION FAN <br /> or <br /> ORINKING FOUN7AIN F7ANGE HOOD n m <br /> C (/� <br /> FLOOR DRAIN AIR H4NDLING UNIT- QF.�d. m N <br /> VAGUUM BREAKERS STOVE-WOOD 7 50 �r <br />� ROOF DRAINS- FAINLEADERS METALFIREPLACEB.CHIMNEY ' �^ <br /> n <br /> SINK(SERVICE - BAR, ETC.) FIREPLACE WSERT � <br /> HEA7 PUMP � <br /> S• <br /> D <br /> z <br /> -{ <br /> _ _ <br />� SUB T0T4L 6 SUB TOTAL S � SO N <br /> PEflM1T S PERMIT 5 z <br /> C <br /> TOTAL FEE 5 TOTAL FEE 5 7 SO � <br /> � <br /> SIDE VAFD SETBACK STREET SETBACK REAR Y:flD SETBACK PL�N CH K NUMBEF PLAN CHECK FEE � <br /> 6' 20' 20� �J�c�'7� FE��.&'� Z `J���T�_ <br /> USE ZONE lOT AREA VACANT SITE <br /> R-1 �. YES NO FEES VALUATION FEE <br />� TYPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING UNRS <br /> BUILDING S 11� 5� <br /> SIZE OF BLDG. NO.OF STORIES MAX.CCQ LOPD - <br /> PLUMBING 'I SO <br />, FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> RE�UIFED <br />. YES NO <br /> APPROVALS BY DATE O7HER <br />� t. EIJVIRONMENTAL CHECK LIST pE��q�Ty U.B.C. <br /> - SEC.303�a) <br /> 2.BUILDINGPLANS ].LH OO <br /> TOTAL <br /> 3.FIRE HYDfiANT <br />( 4.FIRE PROTECTIOt7 SYSTEM PERMIT VALIDATION <br /> S.GRADING WHEN PROPF.RLY VALIDAtED QN THIS SPAQE)TNIS IS YOUR PERMIT Q <br /> I ! . a <br /> 6.DRAINAGE - <br />, 7.ENVIRONMENTALIMFACTSTATEMENT ' ' d- <br /> B.HEALTH DISTRICT t--� <br /> i <br /> APPUCATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE eY <br /> EB DAB LC <br /> ADDRESS FILE <br />� <br />