Laserfiche WebLink
thcEuergreen � ^,�wOCTO���'�w' <br />CITYOF � 1`; er�7 � 1�7 Od <br />everett PE R M I�' PERMfT NO. ��-J � 3� <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATIOiJ ❑ BUILDING fi�{MECHANICAL ❑ PLUMBING ❑ SiGN <br />��.�NE� n+si�nooi�Ess aTv ziP rHONe <br />Donald Dean 10629 - 9th Dr S� Everett 98208 355-1835 <br />TE�„NT nmanooness ci�r nr w�oNE <br />ARCHITECTORDESIGP'ER MAILAD�qE55 CITV Zi' PHONE <br />GEN[R�LCONTfiACTOB IdNLA0DRE55 CITY 21P PHONE LICENSEn <br />MECH4NICALWNTRACTOR IdAILApORE55 C�iY Z�v PHON[ LIC[NS[� <br />S:immers Garden Center 15016 Hwy 99 Lvnnwood 98036 745-9860 <br />P�ue+aR;ccoNr,ncroR r.+n��nooRess c�1v z��' r��orve I.�cENseK <br />QAS$ OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTEiiAT10N ❑ REPAIR � DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT �'Erl50N AND PHOPi[ NO. IF OTHER THnN npOVE <br />CONTRACT PRICE Of WORK: $ I _ <br />�ESCRIB[ n'ORK AND SCUAf1E FOOTFGE INVOLV[D <br />Install cvood stove <br />vn000seou;eocnui�oiNc 04/O5/91 9-5�Rhf OOOAN6359 K:f=::;: <br />Sin le famil residence � <br />LEGAL OESCRIPTION OF PROPERTY (SHO�Y BELON OR ATiACH POUR GOPIE51 IIOOOL67�7 <br />�or— o�ocK— oF <br />HECH �30.00 <br />�.fiSH $30.00 <br />J0� AD��iESS <br />PLIIMBiNG <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET �TOILET) <br />BATHTUB <br />LAVATORY (VJASH BASIN� <br />SHOVlER <br />KITCHFN SINK 8 DISP. <br />OISHWASHER <br />LAUNORYTRAV <br />CLOTHES`NASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PPEVENTERS <br />ROOF �f7AIN5 -- RAINLEADERS <br />SINK (SERVICE — BAR, ETG) <br />� SUBTOTAL <br />PERMIT <br />TOTALFEE <br />f-ROHTSETB�CK �EARSETO�CK <br />115EZONE LOTAREA <br />iVPEO�CON57flOCiIJ1lAll0lYaPlE 1��'EOFCONSIFOL�IOIIACIDhL <br />9Z[ OG �l OG NO Of $TOPi[5 <br />OCCOPANCYIOA� FIRESPRItJKLERSP[OD <br />❑ YES ❑ NO <br />nensor� For� srainiKi.ens <br />f i0;! I�CC lV I PLANS APPlIOV[D �Y <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A: C— A'HN�LG UNITS — HP. <br />FORCEO AIR SVSTEh15 — B.T.U. M EA <br />UNIT HEATERS -- 67L. M <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHO00 <br />WATER HEATER <br />NJOOD S70VE <br />h1ETAL FIREPLACE 8 CHIMNEV <br />fIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />� <br />S <br />5 <br />SID[ SET[3ACH <br />VACANT SIT[ <br />❑ YES ❑ NO <br />, ;^;;�� rvo oFn��.eumc <br />13ASEAIENT <br />❑ VES ❑ NO <br />HEiGHT LIRllTAI ION <br />CITY OF EVERETT <br />LOCALSAL[S <br />TAX CODE IS <br />3105 <br />PERMITS EXPIRE IF LVORK IS NOT COMMENf:ED WITHIN <br />:itn r:,v� �ik .....5.-�.:.�.•� r.,u�uc� �u,�i� �an nr,vc <br />PLAN CnECH NUM�ER <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FEE <br />FEES <br />(3UILDI43 S <br />P' UMBIIJG <br />MECHqNICAL <br />OTFIER <br />STATE OUIL�ING SURCHARGE <br />STATEENERGYSURCHARGE <br />PUBLIC WORKS <br />FEE <br />�S <br />RECEIPT NO. <br />TOTAL I � 30 <br />WHEN PROPERLY VALIDATED TtiIS IS YOUR PERM3T <br />, r,�.,.. . <br />n <br />