Laserfiche WebLink
the EDergr of - �ONnSTRUCTIOP. <br />everett PERMlT PERMITNQ:_ 17411 <br />259-8745 <br />❑ DEMOLITION <br />❑ COMBINATION $] BUILDING <br />❑ MECHANICAL <br />❑ PLUMBING ❑ SIGN <br />OWNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />Arlie Phelps <br />1611 - 18th St Everett, <br />WA 259-542R 5423 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />None <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE, <br />Damage Repair <br />Service Box 2045 Everett <br />98203 337-4222 <br />DAMAGI238D3 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSEI <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ,rd REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />$ 3,000. <br />DESCRIBE WORN — <br />Sheetrock 2 bedroom & hall upstairs, renew 2 sash - ail door fire repair <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. 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 NCE OF ONSTRUCTION. <br />SIGNATUR RACT RIZEDAGENT. OR OW R DATE <br />X <br />'6 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIESI <br />LOT _ BLOCK _ OF <br />JOB ADDRESS <br />1611 - 18th St. <br />PLUMBING <br />MEC ANICAL <br />NO. <br />TYPF OF FIXTURE OR ITEM <br />FEE <br />NO. <br />I TY OF ECUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — A/HNDLG UNITS — H.P. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — B.T.0 /H.P. <br />SHOWER <br />GAS FIRED A.C. UNITS — B T.U. <br />KITCHEN SINK & DISR <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS—B.T.U. M <br />CLOTHES WASHER _ <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE —BAR, ETC) <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />S <br />SUBTOTAL <br />PERMIT <br />$ <br />PERMIT <br />TOTAL FEE $ <br />TOTALFEE <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />❑ YES ❑ NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCYGROUP <br />NO. OF DWELLING UNIT$ <br />BUILDING <br />S 3,000. <br />54 <br />00 <br />PLUMBING <br />SIZE OF BLDG. <br />NO OF STORIES <br />MAX. OCC. LOAD <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />Sec. 304(e) <br />STATE BUILDING SURCHARGE <br />1 <br />50 <br />STATE ENERGY SURCHARGE <br />000017411 <br />APPLICATION ACC BY <br />M. M. <br />PLANS CHECKED By <br />APPR FOR ISSUANCE <br />D.B. <br />BY <br />DRIVEWAY PERMIT <br />E <br />9RCH <br />•r <br />TOTAL <br />CHECf: 45 <br />.SO 55 <br />50 <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />ADDRESS FILE <br />