Laserfiche WebLink
r���e�� - C�NSTRUCTION <br /> CITY OF <br /> everett PERMiT PERMIT y0. � 6692 <br /> 259 -8745 <br /> ❑ DEMOLITION LKJ COMBINATION O BUILDING ❑ MECHANICNL ❑ PLUMBING ❑ SIGN <br /> OWNER MnILq00RE55 CITY Z'P PHONF <br /> DUANE BERG 2704 - 128th St. SW Everett WA 98204 353-6229 <br /> APCHrtECTOBDE5IGNER MqILADDfiE55 QTV ZIP PHONE <br /> GENERALCONTPACTOR MFILAD[]RESS CITY ZIP PMONt IiCENSE� <br /> Same aU{INEM2240A <br /> MECHANICFLCONTqACTOR �,IA,I.ADDPE55 CITY 21P PHONE IILENSE+ <br /> PLUMBINGCONTPACTOF MAILAO�RE55 �ITY ZIP PNONL LICENSEe <br /> CL!SS Of WORK � <br /> �X] NEW ❑ ADDITION ❑ ALTEHATION ❑ HEPAIR ❑ OEMOLITION ❑ BUILDING RELOCATION <br /> VALUBTION UF WORN <br /> s 65,000.00 <br /> OESCRIBE WORN <br /> New single family residence <br /> HEAT SOUfiCE <br /> I] ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSEO USE OF B111L01NG — <br /> Single family residance I HEREBY CERTIFY iHAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAM.E TO BE TRUE AND <br /> LEGALOESCRIPTIONOFPROPERiY�5HO1YpElOWORATTACMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 3 Silver Lake V'ISCd GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCA _OF <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRP,NTING OF A <br /> PFR�AIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLhTE OR CANCEL THE PROVISIONS OF ANY OTH'cR <br /> ST).FE OR LOCAL LAW REGULATING CONSTI;UCTION OR <br /> TIiE PERFORMANCE OF CONSTRUCTION. <br /> JOB ApDRE55 SiGNA�TURE OF CONTNAC7.OiS AUTHORREO AGEHi.O.'i OWNER �ATE <br /> 12033 - 14th DR S� � /_� j�y- <br /> � �.=�<. -�_ , i /.l c� � <br /> PLUMBING MECHANICAL � ✓ <br /> NO. T%PC-OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CIOSET(TOILET� A�C-A/HNDLG UNITS-H P. <br /> BATHTUB REFRIGERATION UNITS-H.P.EA. <br /> IAVATOflY(WASH BASIN� BOILERS-87L./H.P. <br /> SHOWER GAS FIRED A G UNITS-B.T.U. <br /> N!TCHEN SINK 8 DISP. � FORCED AIR SYSTEMS-B.T.U. M EA. <br /> �ISHWASHER WALLHEATERS-BSL. M <br /> LAUNDHV TRAV UNIT HEATERS-B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHES�R'lEFS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTEflS WATER HEATER <br /> ROOF DRAINS-f7AINLEAOERS WOOD STOVE <br /> SINK�SERVICE-BAR,ETC.) A!ETAL FIREPLACE 8 CHIh1NEY <br /> FIREPLACE INSERT <br /> HEAT PUMP OG39�C�I'T INUE 1 <br /> GAS PIPINi3 UATER �60. <br /> E%HAUST FAN �{E(�'�� �1']bl. L <br /> SUBTOTAL 5 SUBTOTAL <br /> PEflM1T 5 PEqM1T <br /> TOTAL FEE S TOTAL FEE <br /> F�CHr SErBnCK qEnn sElaaCn SioE SETBnCK PLAN CHECK NU676ER FEE RECEIPT NO. <br /> 20' 20' 6' H6JV-016 227.18 80G46 <br /> USEZONE LOTAaEA <br />� VACANT SITE <br /> R-� 9300 d PX �ves ❑No FEES VALUATION FEE <br /> IYPEOFWNST OCCUPANCYGROUP NOOFDWELUNGUHITS Bt11LDING (SS6.If.il�'dO11:S FI CO�i1kL��82 O��L�� <br /> V-N R-3 � PLUMBING <br /> sae oF o�n� No oF sroaiEs Mnx occ ioao l?fl �1 . 45 00 <br /> 1519 � 836 1� MECNANICAL E'LL}"u 64B_.�D 41 50 <br /> INVESTIGAT�ON FEE p�gJ�3�,+��n� , �eak 8( �2 <br /> FIRE SPRINKLERS REOUIRED ❑Vf:S ❑NO <br /> STATE BUILDING SURCHARGE FLN CI'I �S).S? � 5O <br /> • bRW a . � <br /> STA7EENERGYSURCHARGE SRf. ,1 n 15 OO <br /> APPLtC/TIONACC DY tq.,WSCHECKEDBY APPR PORISSUANCEE3Y 1 <br /> DRIVEWAVPF.RMIT D��.Nv�I S=).00 2O OO <br /> s9 sg l c TOTAL �� . �, g,� � 691 12 <br /> PEflMITVALIDATION �.['L��Ti SNIS'IS]PtltlRPERMIT <br /> WHEN PROPERLY VALIGATED pN itns SPACE)T <br /> 1171-5 E650.00 N <br /> NOOG6506�+ � <br /> LCQNT£il�:{: <br /> CD <br /> � <br />. <br />