Laserfiche WebLink
fhe Evergrecm <br />CITY OF <br />eve�ett <br />2:,�!-8745 <br />�'����'R������ <br />Y"��IYII I PERMITNO. � 7��� <br />❑ DENIOLITiON �J COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />O\4NE(i -- MN� ApORESS C�TY ZIP PHONE <br />P.EID M. LOIJELL 1801 OAKES EVERCTT WA 98201 339-2341 <br />Ati(:Hrt[CT OR D[SIGN[P `.t�IL n00RE55 CRY ZIP PMONE <br />GENER�I CONili�CTOR MnIL ApD0E5S CiTY ZIP PHONE Uf.ENSE a <br />Same <br />MECMFNICALCONi11ACiOfi A1NL4D�RE55 CITY ZIP PHONE UCENSEa <br />PWMDING CONTRArTOR <br />MAIL AD�RESS <br />C�TV 21V PNONC LICENSE • <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION L]%GLTERATION L7 REPAIR ❑ DEMOLITION �� BUILDING RELOCATION <br />VALU4TION OF N'OHN <br />5 �52�.�0 <br />Ne4i siding, electrical, plumbing <br />Nenrsour�ce <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />ex <br />�oTl &2 ���>�K 365 <br />1910 - 1910 z- 18th St <br />PLUM3ING <br />NO. TYPE OF FI%TURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUb <br />LAVATORV(WASH BASIN� <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISH WASHER <br />LAUNDRV TiiAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACRFLOW PREVENTEAS <br />RO(1F OPAINS — RAINLEA�ERS <br />� SINK (SEiRVICE — C�AR. ETC � <br />TYPE OF CONST <br />5¢E OF BL�G <br />nrvt.icr�riori,�is: [vr <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />nEnR SETonCrc <br />OC W PANCY GROUP <br />NO CF STORIES <br />) ❑ YES ❑ NO <br />r�tins cr�ECK[o or <br />❑ OTHER <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 N'ITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF !? <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHC-R <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OH <br />THE PERFORMANCE OF CONSTRUCTION. <br />S�GNnTIJqE OG,[ONiRACTOR. A� �OR�].EO AG[NT, OR OYIN[R DATE <br />X � v�._�i�./14( ��-° �-= 12/9/86 <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />n-C — AMNDLG UNITS — HP. <br />REFRIGERATION UNITS — H P EA <br />BOILERS — B T U.�HP. <br />GAS FIR[G A C. UNITS — BS.U. <br />FORCED AIR SYSTEMS — 9.T�J��y ��h1 <br />WALL HEATERS — BS.U. /M <br />UNITHEATERS-87U. �:i.����i�- <br />EVAPOF±ATIVE COOLE(iS � �, . <br />CLOTHES�RYERS <br />VENTLLATION FAN , q , <br />RANGEHOOD �� ��� c�, <br />WATER HEATER ;� �}� <br />WOO�STOVE p� p'i <br />� rj QQ METAL FIflEPLACE & CHIMN Y�+ � <br />FIREPLACE INSERT ��N�;r�' <br />HEAT Pl1MP <br />GAS PIPING <br />EXHAUSTFAN <br />�S � 5 �� <br />SIDE SETf14CH <br />VACANi 51I [ <br />❑YES ❑NO <br />NO OF DWELLING UNIiS <br />Idp% OCC LOAp <br />nvvn FOH isSUnNcf �v <br />�C <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />PLAN CHECK NUM�ER FE[ <br />FE':i <br />�UILOING <br />PIUMBING <br />MECHANICAL <br />INVESTIGATIONFEE <br />VALUATION <br />S�Con nn <br />Sec.304(c) <br />FEE <br />FEE <br />S7A7E BUILDING SURCHARGE <br />S7ATEENERGYSURCHARGE <br />DRIVEWAY PERMIT <br />TOTAt � <br />PEIiMIT VAIIDATION <br />VJI�{[N 1'ROPERLV VALIDATED IIN TI115 SPACE� THIS � i VOUR PERAIIT <br />