Laserfiche WebLink
7,IP F%P7L'?(c1 �O NSTRUCTI0I . <br /> everett PERMIT PERMIT N0. 14521 <br /> CITY HALL 2590745 <br /> EVERETT.WA 98701 COMBINATION U BUILDING XX MECHANICAL ❑ PLUMBING <br /> OWNER MAIL ADDRESS CII\ ZIP PHONE <br /> Janice McMahan 309 61st Street Everett 98201 347-3474 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAI_ADDRESS CITY ZIP HONE LICENSE II <br /> I MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br /> Valley Natural Gas 519 S.E. Everett Mall Way Everett 98204 355-7730 <br /> P'UMBING CONTRACTOR MAIL ADDRESS COY ZIP PHONE LICENSE R <br /> CLASS OF WORK <br /> ❑NEW ❑ ADDITION ❑ ALTERAT(nN ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> I <br /> VALUATION OF WORN <br /> t <br /> DE&.'IBL WORK <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT' HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIESI CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES = <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCK-OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A m <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE T <br /> PERFORMANCE OF CON:IRUCTION. <br /> JOB ADDRESS SIGNATURE OF COIURACTOR OP AU HORIZ'0 AGENT DATE til H <br /> 309 61st Street X 3/1/85 c m <br /> co <br /> PLUMBING MECHANICAL m U <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE o= <br /> WATER CLOSET(TOILET) AIR COND.UNITS-M.P. EA. <br /> BATHTUB REFRIGERATION UNITS - H.P. EA. = " 1 <br /> m <br /> LAVATORY WASH BASIN) BOILERS-H P.EA. C <br /> SHOWER GAS FIRED A.C. UNITS-TONNAGE EA. <br /> KITCHEN SINK b DISP. 1 FORCED AIR SYSTEMS- B.T.U60 M EA. 1" _ <br /> DISHWASHER WALL HEATERS- B.T.U. M 'i N <br /> LAUNDRYTRAY UNIT HEATERS- B.T.U. M ' T <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN m N <br /> DRINKING FOUNTAIN RANGE HOOD <br /> 3C3 <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. E'I m m <br /> VACUUM BREAKERS STOVE-WOOD m N <br /> 100F DRAINS- RAINLEADERS METAL FIREPLACE&CHIMNEY I <br /> Z C <br /> _ . m <br /> $:NK(SERVICE -BAR.ETC.) FIREPLACE INSERT D <br /> HEAT PUMP p <br /> ZC <br /> s_ <br /> 2 <br /> -i <br /> SUB TOTAL ! SUB TOTAL ! 6 70TO = <br /> PERMIT i PERMIT ! 10 00 N <br /> TOTAL FEE ! TOTAL FEE ! 16 00 Z <br /> O <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> H <br /> FEE RECEIPT NO. Pn <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> 'YES NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING ! <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC,LOAD <br /> PLUMBING <br /> FIRE ZONE -BASEMENT TIRE REOUSREO PRINKLERS MECHANICAL 16 00 <br /> : YES IiNO <br /> APPROVALS FBYDATEOTHER <br /> I.ENVIRONMENTAL CHECK LISTPENALTY . .C.SEG. . 1s1 <br /> 2.BUILDING PLANS TOTAL16 00 <br /> 8.FIRE HYDRANT4.FIRE PROTECTION SYSTEMPERMIT VALIDATION <br /> 5.GRADIND WHEN PROPERLY VALIDATED(IN THIS SPA9E)THIS IS YPl�1 JRMII_ ry( <br /> 8.DRAINAGE Ln <br /> ?.ENVIRONMENTAL IMPACT STATEMENT r d' <br /> R.HEALTH DISTRICT - I' 1 �-•{ <br /> APPLICATION ACC.BV PLANS CHECKED BY APPR. FOR ISSUANCE BY <br /> ADDRESS FILE <br />