Laserfiche WebLink
theEvCITY o <br />INSTRUCTION ram- A <br />everett <br />PERMIT <br />PERMIT No. <br />23573 <br />259-8810 <br />❑ DEMOLITION <br />❑ COMBINATION ❑ BUILDING <br />MECHANICAL ❑ PLUMBING <br />❑ SIGN <br />OWNER <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />Richard and <br />Jane Farrar 4918 27th Ave. W. <br />Everett 982Q3_ 35R-7070 <br />TENANT <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />LICENSE. <br />Valley Nat. <br />Gas 2605 McDougall Everett <br />98201 259-5492yALLFNG153T.T <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />LICENSE 0 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />LICENSE• <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION <br />1 ALTERATION ❑ REPAIR <br />❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: S 2159.00 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Install gas <br />furnace dryer, and water heater <br />PROPOSED USE OF BUILDING <br />SFR <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT- BLOCK- OF <br />JOB ADDRESS <br />4918 27th Ave. W. <br />PLUMBING MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF E = <br />WATER CLOSET (TOILET) <br />!VC— A/HNDLG UNITS — H 1 <br />BATHTUB <br />FORCED AIR SYSTEMS - B. T LA. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS -B.T.U- <br />SHOWER <br />1 <br />CLOTHES DRYERS_ <br />VENTILATION FAN <br />KITCHEN SINK & DISR <br />DISHWASHER <br />RANGE HOOD N� <br />LAUNDRYTRAY <br />1 <br />WATER HEATER <br />WOOD STOVE <br />r <br />CLOTHES WASHER <br />URINAL <br />METAL FIREPLACE & CHIM <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT WNMZ` <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />3 <br />GAS PIPING <br />- <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN i <br />SINK (SEr,VICE -BAR. ETC.) <br />SUBTOTAL <br />$ <br />SUBTOTAL <br />$ <br />50 <br />A0 _ <br />PERMIT <br />$ <br />PERMIT <br />$ <br />15 <br />00 <br />TOTALFEE <br />$ <br />TOTALFEE <br />$ <br />65 <br />00 <br />FRONT SETBACK <br />REAR SETBACY <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NC <br />FEE <br />65 00 <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />❑ YES ❑ NO <br />FEES <br />BUILDING CODE <br />YA T <br />BUILDING <br />S <br />TYPE OF CONSTRUCTION ALLOWABLE <br />TYPE OF CONSTRUCTION ACTUAL <br />PLUMBING <br />SIZE OF BLDG. <br />NO. OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />OCCUPANCYLOAD FIRC SPRINKLERS RED <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />HEIGHT LIMITATION <br />OTHER <br />00 <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />S.H. <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />65 <br />wNFN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILL L 3 5 <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />