Laserfiche WebLink
I I <br />the EterRreen <br />ever CITY <br />TtOF r `ffl*ONSTRUCTIOV <br />CITY HALL 25R.8745 PERMIT PERMIT NO. 12959 <br />EVERETT, WA 98201 ElCOMBINATION BUILDING MECHANICAL PLUMBING <br />OWNER MAIL ADDRESS 4-T., PHONE <br />Cascade Savings & Loan 2828 Colby Avenue Everett 98201 258-2424 <br />ARCHITECT OR pESIGNER MAIL ADDRESS CITY LP PHONE <br />r <br />GENERAL CCNTggCTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />CCC Inc. 2828 Colby Everett 98201 258-2924 CCCl93-RJ <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />L <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR )(9 DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />Interior demolition <br />PROPOSED USE OF BUILDING <br />I 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 />GOVEPNING 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 VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGUL IN CONSTRUCTION OR THE <br />PERFORMA 0 ONS UCTION. <br />SIGNAT RE OF C NT A OR OR RIZEO AGENT DATE <br />2/3/84 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />1 18A BLOCK 668DF Everett <br />4391-218- 668-018-003 <br />OB ADDRESS <br />2828 Colby <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />ER CLOSET (TOILET) <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />AIR COND. UNITS - H.P. EA. <br />FEE <br />HTUB <br />REFRIGERATION UNITS - H.P. EA. <br />70RY(WASH BASIN)BOILERS <br />!LA <br />- M.P. EA. <br />WER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />HEN SINKd DISP.FORCED <br />AIR SYSTEMS - B.T.U. M EA.WASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />UN;T HEATERS -B.T.U. M <br />CLOTHES WASH!R <br />_ <br />EVAPORATIVE COOLERS <br />TER <br />CLOTHES DRYERS <br />VENTILATION FAN <br />OUNTAIN <br />RANGE HOOD <br />IN <br />=8RICEAK <br />AIR HANDLING UNIT - C.F.M. <br />EAKF_RS <br />STOVE -WOOD <br />S - RAINLEADERSCE <br />- BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL f <br />SUBTOTAL f <br />PERMIT <br />f <br />f <br />REAR YARD SETBACK <br />PERMIT <br />TOTAL <br />PLAN CHECK NUMBER <br />f <br />FEE f <br />PLAN CHECK FEE <br />FEE RECEIPT INC. <br />TOTAL FEE <br />STREET SETBACK <br />BIDE YARD SETBACK <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />7YES ['.NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f <br />00 <br />00 <br />SIZE OF SLOG. <br />FIRE ZONE <br />NO. OF STORIES <br />BASEMENT <br />MAX. OCC. LOAD <br />FIRE SPRINKLERS <br />REQUIRED <br />YES NO <br />PLUMBING <br />MECHANICAL <br />APPROVALS <br />_ <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC 303 (B) <br />00 <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />00 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHd! PROPERLY VALIDATED UN THIS,SPAACj) THIS f JfO� TPETTIiMIT_C7� <br />// 11 // U U U U U - �I <br />C\J <br />YOUR REC E 1 PT.-i <br />7IHANK YOU <br />5.GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />I <br />L✓ <br />ADDRESS FILE <br />-3FED 84 <br />J <br />