Laserfiche WebLink
she Rvagrem <br />CITY OF C INSTRUCTION ev PERMIT PERMIT NO. 17436 <br />259-8745 8745 <br />❑ DEMOLITION <br />I I COMBINATION PUILDING <br />I J MECHANICAL <br />L 1 PLUMBING <br />DWNEn <br />[ J SIGN <br />MAR ADDRESS <br />LEE MC ELVAINE 1401 63rd St <br />- <br />Everett <br />WA 98203p <br />355-2845 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />HP <br />RIONC <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />IICFNSE E <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />M40NE <br />LICENSE F <br />M UMBING CONTRACTOR <br />MAIL ADElfI <br />CITY <br />LP <br />PHONE <br />LICENSE A <br />CLASS OF W DRK <br />IN NEW ❑ ADDITION L-1 ALTERATION ❑ REPAIR ❑ DEMOLITION <br />❑ BUILDING RELOCATION <br />VALUATION OF WOpK <br />s 2800.00 <br />Carport <br />HEAT SOURCE <br />❑ ELECTRICITY 0 OAS ❑ WOODSTOVE <br />❑ OTHER <br />I IT 4 BLOCK Z <br />1 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 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 PERRORMANEF AF✓hnAlaTwl IcnnM <br />M c T HORIZED AGENT, OR OWNER DATE <br />1401 - 63rd St X .J ✓, �G 11/19/86 <br />PLUMBING MECHANCCAI <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />----------- <br />NO. <br />TYPE OF EQUIPMENT <br />WATER CLOSET (TOILET) <br />FEE <br />MC — A/HNDLO UNITS — H P. <br />BATHTUB <br />REFRIGERATION UNITS — M.P. EA. <br />LAVATORY (WASH BASIN( <br />BOILERS — B TO IN P <br />SHOWER <br />GAS FIRED ABC. UNITS — T <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTEMS — B T.0 M EA <br />] <br />DISHWASHER <br />WALL HEATERS — B T.0 <br />LAUNDRYTRAY <br />UNITHEATERS—BT.U. M <br />CLOTHES WASHER <br />1154 <br />in <br />EVAPORATIVE COOLEM <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />' <br />RANGE HOOD <br />BACKFLOW PREVENT ERS <br />ROOF DRAINS — RAINLEADERS <br />WATER HEATER <br />WOOD STOVE <br />SINK (SERVICE —BAR, ETC I <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />E <br />SUBTOTAL <br />PERMIT <br />s <br />PERMIT <br />TOTALFEE <br />s <br />IRONT SETBACK <br />REAR SETBACK <br />SIDE SET&1CK <br />TOTAL <br />PLAN CHECK NUMBER <br />FEE <br />FEE <br />I <br />RECEIPT NO <br />1 <br />86/17436 <br />18.85 <br />83359 <br />USE ZONE <br />LOT AN A <br />VACANT SITE <br />FEES <br />V.ALUA71ON <br />FEE <br />6 Anti <br />❑YES NO <br />PE TYOF COAST <br />OCCUPA CY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />y <br />V-N <br />M-1 <br />0 <br />'[BOO. OO <br />54 <br />O <br />PLUMBING <br />SIZE OF SLOG <br />NO Oi STORIES <br />MAX DEC LOAD <br />480 Sf <br />1 <br />MECHANICAL <br />FIRESPRINKLERS REQUIRED YES NO <br />INVESTIGATION FEE <br />Set 30F1 <br />STATE BUILDING SURCHARGE <br />1 <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATIONACC BY PLANSCHECKEDBY <br />APPII FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />S9 jef <br />1e <br />TOTAL— <br />k36' <br />X <br />.L".."MN <br />WHEN PROPERLY VALIDATED pN THIS SPACE) THIS IS YOUR PERMIT <br />co <br />m <br />d- <br />L` <br />ADDW,:' j I ri. <br />