Laserfiche WebLink
the £vergreen <br />��T�°` `� �CONSTI�UCTIO� � <br />everett PERI�IIIT PERMIT N0. 1�J47Z <br />CITY HALL 25887�5 <br />EVEHETT, WA 98201 ❑ COMBINATION � BUILDINO ❑ MECHANICAL ❑ PLUMBINfi � <br />OWNER MAILA�OqESS CITY 21P PHONE <br />Fern Christensen 4923 27th Avenue West Everett 98203 355-4794 <br />AHf,y�tECi OH DESIGNER MAIL ADDRE55 CITY <br />Z�P PHONE <br />t�verett Euilders 5606 Evergreen Way Everett 98203 353-7161 ��CENSEI <br />MECNANICAL CONTqACTOR MAI� ADORE:�S CITY 21P P40NE LICENSF � <br />E1lEREB301PH <br />PLUMBINGCONTPACTOR MAILADDPESa rITY Ilp PHONE �ICENSEI <br />❑ NEW O ADDI710N ❑ qLTERAT10N �REPAIR ❑ pEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD S70'lEIFIREPLACE INSERT <br />s 3990.00 <br />re-roof shake <br />LOT 5 BLOCK �' OF <br />Avenue West <br />PLUMBING <br />NO. 11pE OF FIXTURE OR <br />WA7ER CLOSFT (701LE7) <br />BATHTUB <br />LAVAIVHY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAiN <br />VACUUM BREAKERS <br />ROOF D.7AINS — RAINLEAI7ERS <br />� SINK (SERVICE — BAR, ETC.) <br />SUB <br />TOTAL FEE <br />SIZE OF BLDG. N0. OF S70F <br />FIFE ZONE BASEMENT <br />APPHOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HY�RANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRAOING <br />6. DRAINAGE <br />7.EI:VIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />S <br />S <br />(7EAR VARD : <br />VACAN7 SITE <br />:-YES �::NO <br />NO.OF DWEL <br />MAX. OCQ LC <br />FIRE SPRINKL <br />REOUIHED <br />YES :NO <br />8� i <br />APPR, FOR <br />FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />-'_ICATION AND KNOW THE SAME TO BE TRUE AND <br />(.uNRECT. ALL PROVISiONS OF LAWS AND OflDIIJANCES <br />GOl'ERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PflESUME TO GIVE AUTHOHITY TO VIOLATE <br />OR CANCEL THE PROV!SIONS OF ANY OTHER STPTE OR <br />LOCAL LAV�i RE ULATING CONSTRUCTION Oq THE <br />..,-.,,-,.Q......- -�------ _ _ <br />MECHANICAL <br />N0. <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERA710N UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — O.i.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />FANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WO00 <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL S <br />PEqM17 S <br />TOTAL FEE S <br />< Nl1MBER PLAN CI <br />FEE <br />FEES VAlUA110N <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />P�NALTY <br />$3990.00 <br />(a. <br />DATE <br />9J24/85 <br />RECEIPT NO. <br />FEE <br />49 I 50 <br />TOTAL I I 44 I 50 <br />PENMIT VALIDATION <br />WHEN PROPERLY VALIOATED (IN THI6 6f�bc) THIg�Iq'��Y(�l.�i FjERr11T (�' <br />J I � ,pUY-�.J� ��- <br />'�' <br />Vf'1' 7 � <br />� _. ,1;. RECEIPi � <br />ii�i;�i�1t: ��QU <br />iqs�Psti <br />ADDRESS FILE <br />�� <br />