Laserfiche WebLink
CITY OF C-INSTRUCTION <br />everett PERMIT PERMIT No. 2014E <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Effie Frodham 9509 7th Ave. BE Everett, WA 355-1875 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# <br />MECHANICAL CONTRACTOR MAII ADDRESS CITY ZIP PHONE LICENSE <br />Natural Gas Equip. 1625 E. Marine View Dr. Everett, WA 98201 258-2441 _ <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE II <br />NATURGE320N6 <br />❑ NEW ❑ ADDITION gALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />S <br />Install gas pipe to and hook up circulating heater. <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Single family residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />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 OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE F CONTRACTOR. AUTHORIZED AGENT. OR OWNER DATE - <br />X s'• 5 - <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ OF_ <br />JOB ADDRESS <br />9509 7th Ave. SE <br />PLUMBING <br />M C ANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A C — A/HNDLG UNITS — H P. <br />_ <br />BATHTUB <br />REFRIGERATION UNITS — N.P. EA. <br />LAVATORY ( WASH BASIN) <br />BOILERS — B.T.U./HP, <br />SHOWER <br />GAS FIRED A.C. UNITS —.R T.U. <br />KITCHEN SINK & DISP. <br />1 <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />9 N <br />00 <br />DISHWASHER <br />WALL HEATERS —B.T.0 M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />I VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAI'JS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR, ETC.) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />1 <br />GAS PIPING UO C!•.`: <br />I O <br />EXHAUST FAN <br />SUB TOTAL <br />PERMIT <br />$ <br />S <br />SUB T - <br />PERMI1 S <br />9 <br />15 <br />OO <br />00 <br />TOTALFEE <br />S <br />TOTA " S_ <br />24 <br />OO <br />FRONT SETBACK <br />HEAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUL IBER <br />I <br />E -IPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />_ <br />BUILDING <br />S <br />TYPE OF CONST. <br />OCCUPANCY GROUP ~� <br />NO. OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />— <br />MECHANICAL <br />24 <br />00 <br />FIRE SPRINKLERS REQUIRED ❑ YES 0 NO <br />INVESTIGATION FEE <br />Sec. 304(0 <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />S.H. <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />94 <br />00 <br />�CO.�IT VAI II.I1T1llY <br />WIZEN PROPERLY VALIDATED (IN 1) IT`, I.PACI ) T I eS IS ti 011R I'DF T111 T <br />(DO <br />r_. <br />Q <br />L» <br />