Laserfiche WebLink
the Evergreen CONSTRUCTION everett <br />CITY OF PERMIT <br />everett <br />CITY HALL 2698 <br />EV F.q E7 T. WA 98201 COMBINATION 0 BUILDING • MECHANICAL 0 PLUMBING <br />01 <br />Arthur H. Pennock 2504 73rd 98203 z5z-ezyj I IT' <br />ARCHITECT 08 DESIONLR MAIL AOORESS PHONE LICENSE NO 3 <br />❑ENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSENO. z <br />Same _ <br />� <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />m <br />P LUM BIND CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />'ERMIT <br />(:I COMBINATION <br />❑ BUILDING ❑ PLUMBING []MECHANICAL <br />VALUATION OF WORK <br />s 3,500.00 <br />DESCRIBE WORK <br />Addition of 16'X16' room <br />PROPOSED USE <br />bedroom <br />❑NEW ❑ADDITION ❑ALT E HATION ❑REPAIR <br />[I DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />IIPTION OF PROPERTY ISHOW BELOW OR ATT <br />1 BLOCK -OF 46 Pinehurat Div E <br />- <br />joBAbDRESS <br />2504 73rd <br />PLUMBING <br />IFR SERVICE SIZE BLDG. SUPPLY <br />OYES [:)NO <br />MECHANICAL <br />TYPE. OF ENERGY <br />❑GAS ❑ELEC. <br />NO. _ TYPE OF EOUIPMENT FEE <br />-- AIR COND. UNITS-H.P. EA. <br />FORCED AIR SYSTEMS-B.T.U. MI <br />SPACE 6 WALL HEATERS - B.T.U. <br />UNIT HEATERS R.T.U. <br />EVAPORATIVE COOLERS <br />AIR HANDLING UNIT <br />WATER HEATER 1 <br />FAC. HURT FIREPLACE A CHIMNEY I <br />GAS. SYSTEM NO OP OUTLETS 1 _ <br />SUB TOTAL $ 1 <br />---- --- ---- PERMIT S- <br />TOTALFEE $ I <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK 1.5 SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT 114AVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CCOONSTRUCTION. % <br />X /n�%'� 11/22/77 <br />SIG AlI1RE OF CONT RACTOR ORAUTH.AGE NT DATE <br />PLAN CHECK NUMBER PL. AN CHECK FEE <br />FEE RECEIPT NO. <br />77/708 1 14.00 1 26146 <br />FEES I VALUATION I FEE <br />512E OF BLGG. NO. OF STORIES KTAx. DEC. LOAD BUILDING <br />PLUMBING <br />II ZONEIASTUEWT REOUIREDK RS __- <br />DYES []NO MECHANICAL. <br />SPECIAL CONDITIONS: OTHER <br />- - I'FNALIY <br />- TOTAL <br />-- - - PERMITVALI <br />W III N PHUP! <br />III I.. 1111, <br />l.I'1'II,IVI <br />IT. ... I'.C.lnl!.I.l llr <br />—r- <br />A I'I'111 n11f 111 /.1111'll11 l�� <br />1/.li`. <br />I--- K <br />s 3500.00 <br />SEC. 303101 <br />28i00 <br />28100 <br />t 1 <br />ATIONIBr <br />I v Vnl IDAiEO 11 1 'nCl I I I 4l91Fd11 <br />THANK YOO <br />y?ynor71 <br />