Laserfiche WebLink
the Everwreen __. <br /> CITY OF C'r)NSTRUCTION <br /> everett PERMIT PERMIT Ngi 8465 <br /> 259-8745 <br /> 0 DEMOLITION 0 COMBINATION 0 BUILDING ® MECHANICAL 0 PLUMBING 0 SIGN <br /> OWNER MAIL ADDRESS CITY ZIP PHONE <br /> Kim McShane 8113 Xavier Way Everett 98203 355-7285 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0 <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 4 <br /> Natural Gas Equipment 1625 E. Marine View Dr. Everett 258-2441 NATURGE321K4 <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ <br /> CLASS OF WORK <br /> ❑NEW 0 ADDITION 53 ALTERATION 0 REPAIR 0 DEMOLITION 0 BUILDING PELOCATION <br /> VALUATION OF WORK <br /> $ <br /> DESCRIBE WORK... <br /> Install gas piping, furnace, and water heater <br /> HEAT SOURCE <br /> ❑ELECTRICITY 0 GAS ❑WOODSTOVE 0 OTHER <br /> PROPOSED USE OF BUILDING <br /> Single family me residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL OESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIES) 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 <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 SIGN}ATT E OF CONTRACTOR.�AUTHORIZED AGENT.OR OWNER DATE <br /> 8113 Xavier Way X 1 1C�i 1.A,,x ? J(,lSil01), ,.. 1'"al-I17 <br /> PLUMBING MECHANICAL V <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET; A/C-ATHNDLG UNITS-H P. <br /> BATHTUB REFRIGERATION UNITS-H .EA. <br /> LAVATORY(WASH BASIN) BOILERS-B U./H_P. <br /> SHOWER GAS FIPED A C.UNITS-B.T.U. <br /> KITCHEN SINK&DISP, 1 FORCED AIR SYSTEMS-B.T.U. MEA, 9 00 <br /> DISHWASHER WALL HEATERS-B.T.U. M <br /> LAUNDRY TRAY 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 6 30 <br /> ROOF DRAINS RAINLEADERS WOOD STOVE <br /> SINK(SERVICE-BAR,ETC.) METAL FIREPLACE&CHIMNEY <br /> FIREPLACE INSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUST FAN <br /> SUB TOTAL f SUB TOTAL S 15 50 <br /> PERMIT S PERMIT S 15 00 <br /> TOTAL FEE S TOTAL FEE S 30 50 <br /> FRONT SETBACK REAR SETBACK SIDE SETBACK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE ZO.:I. LOT AREA VACANT SITE <br /> OYES 0 N FEES VALUATION FEE <br /> TYPE OF CONST OCCUPANCY GROUP NO OF DWELLING UNITS BUILDING (Sl/:'71t1( 10:1?A' ]QDPI6 i.4 t:111: <br /> PLUMBING / <br /> SIZE OF BLDG NO OF STORIES MAX OCC LOAD HVUVI,-.;, .I <br /> MECHANICAL hH1I1 3I 50 30 50 <br /> INVESTIGATION FEE CI'saiiO04(e) +;)•5U <br /> FIRE SPRINKLERS REQUIRED 0 YES 0 NO <br /> STATE BUILDING SURCHARGE <br /> STATE ENERGY SURCHARGE <br /> APPLICATION ACG BY PLANS CHECKED BY APPH.FOR ISSUANCE BY <br /> DRIVEWAY PERMIT <br /> S.H. TOTAL 30 50 <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> Lc) <br /> co <br /> IrC " <br /> co <br /> ADDRESS FILE <br />