Laserfiche WebLink
�� �' C-�NSTRUCTION � . <br /> everett PERMIT PERMITNQ�_- � �`167. <br /> � �`��t� <br /> ❑ DEMOLITION ❑ COMBINATION Q BUILDING C�MECHANICAL O PLUMBING ❑ SIGN <br /> OWNER MAILqDDPE55 CITY ZIP PMONE <br /> Georaeann Hols�r 2117 Sth St. Everett 98201 232-1695 <br /> r1flCHITECT OR DESiGNEP MAIL ADORESS CITY 21P PHONE <br /> GENERALCONTRACTOR MNILAObnEL9 QTY ZIP PHONE LICENSE� <br /> MECHANICALLONTRACTOR MAILADORESS CITY 2iP pHONE LICENSE� <br /> Owner <br /> PLUMBINGCONiNRCTOR MAILADORkSS CITY Zia PHONE LICENSE� <br /> CLASS OF WORK <br /> ❑ NEW ❑ ADDITION TC7 ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WORN <br /> 5 <br /> �ESLRIBE WOPN <br /> Install fire place insert <br /> HEATSOU9CE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSE�USE OF BUILOING <br />� oingle family residence I HEREBY CERTIFY THAT t HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />'I� �ecn�oescnirnonovaaoaEarv�sNowoe�owoaanacnrouacoaiesi CORRECT. ALL PP,OVISIONS OF LAWS AND ORDINANCES <br /> LOT�BLOCK _ OF 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 <br /> VIOLATE OR CANCEL THE PROVISIONS O� ANY OTHER <br /> STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR <br /> THE P FOAMANCE OF CONSTRUCTION. <br /> JOBADDRE55 SIGNAT OFCONTRACiOR,AUT110Ri OAGENt,OROWN[R DATE <br /> 2117 Sth St. X J1 f�r= I <br /> PLUMBING MECHANI L <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET ITOILET) A/C—A/HNDLG UNITS—H.P. <br /> BATHiUB REFRIGEflATIONUNITS—H.!' EA. <br /> LAVATORV(WASH BFSIN) BOILERS—B T.U./H.P. <br /> SHOWER GAS FIREO A C.UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—B.T.U. M EA. <br /> DISNWASHER WALLHEATERS—B.T.0 �d <br /> LAUNDRYTRAV UNITHEATERS—O.TL. M <br /> CLOTHES WASHER EVAPORATIVE COOLEFS <br /> URINAL CLOTHESORV[RS <br /> ORINKING FOUNTAIN VENTILATION FAN <br /> FLOOH DRAIN RANGE MOOD <br /> BACKFLOW PREVENTERS WATER HEATER • <br /> ROOF DRAINS—RAINLEADERB WOCD STOVE <br /> SINK�SERVICE—BAR.ETQ) METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSE9T <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL 5 SUBTOTAL <br /> PERMIT f PERMIT I <br /> TOTALFEE S TOTALFEE I <br /> FRONT SETonCN REAF SETBAf.N SiOE SETonCK PLAN CHECK NUAIBER FEE RECEIPT NO. �, <br /> USEZONE LOTAREA VACANTSITE '� <br /> ❑res ❑No FEES LALI'ATION FEE �� <br /> iVPEOFCONST OCCUPANCYGPOUP NOOFDWELLINGUNITS BUILDING S <br /> PLUMBING <br /> SIZE OF pLpG NO OF STORIES MAY OCC LOAU <br /> IdECHANICAL - .. � . "-�.�I '"�'�3O OO�::' <br /> INVESTIGATION FEE . �Sec.,304(0) <br /> i . <br /> FIRE SPRINKLERS REOUIRED ❑VES ❑NO <br /> STATEBUIIDINGSURCHARGE -__ � __ <br /> STATEENERGYSURrHARGE � <br /> APP�ICr1T10NACC DY PLANSCMECKEOOV APPR FORISSUANCEOV <br /> DRIVEWAY PERMIT <br /> S.I:. TOTAL 30 00 <br /> � PERMIT VALIDATION <br /> WHEN PROPERLV VALIOATED(IN THIS SPACE�THIS IS YOUR PERMIT <br /> �� <br /> L� <br /> C� <br /> � <br /> l� <br /> AGCRrS; FILE � <br />