Laserfiche WebLink
CITY OF rONSTRUCTION <br /> everettPERMIT PERMIT NQ:- 17819 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION 50 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAIL ADDRESS CITY ZIP PHONE <br /> D. Miller 102 77th Pl SW Everett. WA 98203 355-2622 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY 'IP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br /> Potter Const. 901 Bell St Edmonds 98020 621-9696 POTTEC195B2 <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br /> CLASS OF WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑BUILDING RELOCATION <br /> VALUATION OF WORK <br /> T 4,000.00 <br /> DESCRIBE WORK <br /> Finish interior of rec room, install wood stove <br /> HEAT SOURCE <br /> ❑ ELECTRICITY ❑ OAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSED USE Of BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL^ESCRIPTION OF fKiOPERTY(SHOW BELOW OR ATTACH FOUR APPLICATION AND KNOW THE SAME TO BE TRUE ANDRCOPIESI CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT 5 BLOCK _OF Cedar Ridge Estates GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THS 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 PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGNATURE 01CONTRACTOR AUTNGAIZED AGENT OR OWNER DATE <br /> 102 77th Pl SW X 2/20/87 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM --FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET ITOILETI AiC-AHNOLG UNITS-H P <br /> BATHTUB REFRIGERATION UNITS-H P EA <br /> LAVATORY(WASH BASIN( A BOILERS-B T U/H P <br /> SHOWER GAS FIRED AC UNITS-BTU <br /> KITCHCN SINK A DISP FORCED AIR SYSTEMS-B T U M EA <br /> DISHWASHER WALL HEATERS-BTU M <br /> LAUNDRY TRAY I UNIT HEATERS-B T U M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHES DRYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER <br /> ROOF DRAINS -RAINLEADERS 1 WOOD STOVE 30 00 <br /> SINK(SERVICE-BAR.ETC I METAL FIREPLACE A CHIMNEY <br /> FIREPLACE INSERT <br /> HEAT PUMP <br /> AS <br /> PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL ! SUBTOTAL 30 00 <br /> PERMIT f PERMIT <br /> TOTAL FEE i TOTAL FEE 3 OO <br /> FRONT SETBACK REAR SETBACK SIDE SETBACK PLAN CHECK NUMDER FEE RECEIPT NO <br /> USEZONE LOT AREA <br /> VACANT SHE <br /> CIYES LINO FEES VALUATION FEE <br /> TYPE OF CONST OCC(WANCY GROUP NO OF DWELLING UF117 BUILDING $ 63100 <br /> PLUMBING H I G <br /> SIZE OF BLDG NO Of STORIES MAY OCC LOAD <br /> MECHANICAL /100017819 30 00 <br /> INVESTIGATION FEE (e) ,.UUr <br /> FIR SPRINKLERS REOUIRED YES NO <br /> STATE BUILDING SURCHARGE MECH $M.00 1 50 <br /> I-H <br /> AI'PIILATIONACC BY 1`LANSCNECNED By APPR FOR ISSUANCE❑Y STATE ENERGY SURCHARGE bH <br /> DRIVEWAY PERMIT <br /> M.M. L.C. TOTAL 94 50 <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED ON THIS SPACE)THIS IS YOUR PERMIT <br /> Q" <br /> T— <br /> co <br /> I .rL <br />