Laserfiche WebLink
dieErerxrcen r.. , �0 ,\V�, l���lO� � <br /> C�iY O' <br /> everett PERMIT PERMIT N0. 128HO <br /> CITY HALL 259�8745 � <br /> EVERET7,WA 98201 <br /> ❑ COMBINA'fION ❑ BUILDING C� MECHANICAL PLUMBING <br /> C�T� Z�p PHONE <br /> OWNEd MAIL FDORE55 — <br /> Duane Berg 27�)� 128th Street S.W. Everett 98204 353-6229 <br /> MAIL AC�RE55 <br /> ��TY Zip PMONE <br /> ANCMITEGT OF DESIGNER <br /> `ITY Z�p PMONE LIGENSE� <br /> GENER�eONTHPGiOR <br /> MPIL A�ORESS <br /> S <br /> MAIL ADURESS <br /> GRY ZIP PMONE LICENSE• <br /> MECMANICALGONTNACTOR � <br /> CITY ZIP PHONE LIGENSF� , <br /> PLUMBING GONTRACTOR <br /> Mf.IL AODRESS I, <br /> CLA55 OP WORK7�X <br /> U-NEW ❑ ND�ITION O AL7ERATION D REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOU STOVFJFIREPLACE INSERT <br /> VpIUATION OF WORN <br /> 5 <br /> �ESCPI9E WORK <br /> PROPOSED USE OF BUILOING I HEREBY CERTIFY THAT I HAVE READ AND EXA'A�NED THIS <br /> APPLICATION AND KNOW THE SAP.1E TO BE TRUE AND <br /> LEGAIDESC�OPEAiY15MOWBE�OWORARACHFOURCOPIE51 �pRRECT. ALL PRUVISIONS OF LAWS AND ORDINANCES <br /> � i� �� �» w ni GOVERNING THIS TYPE OF WORK WILL BE COMPLIF.D WI7H <br /> �o,11 BLOGN__OF 7a ����- - WHETHER SPECIFIED HEREIN OR NOT.TF1E GRANTIN i OF A <br /> (Transfered from Lot 49) PERMITDOESNOTPRESUMETOGIVEAUTHOR�TYTOVIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY CTHER STPTE OR <br /> U B 28 5 LOCAL LAW REGULATING CONSTRUGTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. pATE <br /> SIGNA7URE OF GONiRACTOR OR FIITHOPI2ED AGENT 1 lO <br /> JOB ADDRESS y <br /> 8102 24th Drive S.E. � <br /> MECHANICAL <br /> PLUMBING F6E <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT <br /> AIR COND. UNITS- I1.P. EA. <br /> WATEF CLOSE7�TOILEn <br /> - REFRIGEHATION UNITS - H.P. EA. <br /> BATHTUB �_ <br /> BOILERS- H.P. EA. <br /> IAVATORV�WASH BASIN) <br /> GAS FIRED A.C.UNITS -T�NNAGE EA. <br /> SHOWEP <br /> FORCED AIR SVSTEMS- B.T.U. M E . <br /> KITCHEN SINK 8 DISP. M <br /> WALL HEATEFS- B.T.U. <br /> DISHWASHER <br /> UNIT HEATEFS- B.T.U. M <br /> LhUNDRYTRAY <br /> EVAPORATIVE COOLERS <br /> CLOTHE$WASHER_ CLOI ri'S DRYeFS <br /> WATER HFATER <br /> VENTILA'ION FAN <br /> URINAL <br /> RANGEHOOD <br /> DRINKING FOUNTAIN C.F.M. �j <br /> AIR HANDLING UNI7 - <br /> FlOOR DFAIN �' <br /> STOVE-WOOD �- <br /> VACUUM BREAKERS � <br /> METAL FIREPLACE 8 CHIMNEY <br /> Fi00F�RAINS- RAINLEADERS F�qEPLACEINSERT <br /> SINK�SERVICE - B�R,ETC.) HEAT PUMP <br /> H r <br /> .a m <br /> SUB 70TAL 3 �..� �: <br /> SUB TOTAL ' pEPM�7 5 � �r <br /> PERMIT S <br /> S 70TALFEE _ <br /> TOTAL FEE pLAN CHECK FEE <br /> I� SIDE�FRD SETBACK STREET SETRACK FEAR YAFD SETBAGK PLAN CHECK NUMBER FEE RECEIPT NQ y � <br /> OE <br /> I LOT AREA VACANT SITE FEES VALUATION FEE � F <br />� USE ZONE � .yES . NO — <br /> � <br /> TYPE Of CGNST. OCCUPANCY GRCUP NO.OF DWELLING UNITS � � <br /> BUILDING � G <br /> H � <br />' SIZE OF BL�G. NO.OF SiURIES 1dA%.OCQ LOAD y p <br /> PLUMBING K <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL � � <br /> REQUIP._D � r <br /> YES NO � F, <br /> OTHER 4� <br /> APPROVALS BY OATE U.B.C. [;, <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY SEC.303(a) <br /> � r' <br /> 2.BUILDING PLANS OO OO �' �' <br /> TOTAL � <br /> 3.FIRE HYDRANT � <br /> PEflM1T VALIDATION — � ' �. <br /> 4,FIRE PF.OTECTION SYSTEId NJnEN PFOPERLY VALIDATeD�1N TnI�S SPACt�I TNIS IS�YQLI�P�RhtIT <br /> S.GRADING Fee- Collected 071 Pe�nxi� 1267b �� � � ; <br /> CCi �. <br /> 6.ORAINAGE (,, <br /> 7.ENV190NMENTALIMPACTSTFTEMENT , , r-{ <br /> , r. � . ��r 1 ��� <br /> &HEALTM DISTRICT ' - <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR. FOR ISSUANCE BY . . ,; �J <br /> F <br /> f <br /> i n ��� C <br /> �, �� .,,,H G�� <br /> ADD���S FILE <br />