4903 EVERGREEN WAY 2016-01-01 MF Import

r 1 rheE�•cTveoF j ' L/��7 1 ��L/ 1 IO� ' everett PERMIT PERMIT N0. 12O5f3 CITY HALL 259�8745 EVERtTf,WA98201 � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING . OYINER MFILADORE55 CITY ZIP PHONE Cut & Curl 4903 Evergreen Way Everett 98203 ARCHITECT OR OESIGNER MAIL ADOflESS CITY ZIP PHO4E GENERAL CONTRALTOR N.AIL AOOflE55 CI7Y ZIP PHONE LICENSE Y MECHANIC4L CONTRACTOR MAIL A�DFE55 CITY 21P PHONE UCENSE� �J Natural Gns Equipment YBHEXSYif8g88iiliXDtH�t Everett 98201 258-2441 .� iJ � PLUMBING CONTRACTOR MAIL AO�RE55 CRY 21P PMONE LICENSE M Iql 1625 East Marine View .Orive C1A55 OF VIORK ❑NEW O A�OITION ❑ ALTERAi ION ❑qEPA1R ❑ OEMOLI710N ❑ FENCE ❑ SIGN ❑ WOO�S70VE/FIREPLACE INSERT 6 ►�SPECTION REP�Oi �T �ALUATIONOFWORN t DESCRIBE WORN eV2(ztt ��e � � �`t — PflOPO5E0 USE OF BUILDING � Address ,�� I HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND q ^ LEGALDESCRIPTIONOFPROPEFiY�SMOWBELOWORATfACMFOURI:OPIES) CORRECT. ALL PFOVISIONS OF LAWS AND ORDINANCES � Coniractor _��'` ��--� LOT_BLOGK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH �' � -�� , WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A Owner �� " r'�� PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STPTE QR LOCAL LAW REGULATING CONSTRUCTION OR THE Date �/»�—�------ PERFORMANCE OF CONSTRUCTION. TYPE OF IKSPECTION REQUESTED lOBAODRESS SIGN REOFCONTRACiORORAUTMOFIZE�AGENT OATE 4903 Evergreen Way X 6/8 83 �BLDG: PmL No. � �---�7 MECH: ?mL No. - PLUMBING MECH NICAL \�i ELEC: Pmt. Na �� ❑ PLBG: Pmt. No. ---- � NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EDUIPMENT FEE ❑ Nousing ❑ Masonry ❑ ZGning WATERCLOSET�TOILEn AIR CONO.UNITS— H.P. EA. ❑ Footing ❑ Framing ❑ Groundwork BATHTUB REFRIGERATION 11NITS— H.P.EA. ❑ Foundation ❑ Drywall/Insulation f] Slab LAVA70RY�WASH BASIN) BOILERS— H.P.EA. ❑ Spec. lnsp. ❑ Rouc�h-In ❑ Final � ❑ Fireplace/Wood Stove ❑ Service ❑ ConsUlla�icn _ SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. ;�ITCHEN SINK 8 DISP. `� FORCE�AIR SYSTEMS— B.T.U. M EA. ! � APPROVAL Cl PARTIAL APPROVAL _ o�sH,:�nsHeR �'�'ALLHEATEPS— B.T.U. M f� VIOLATION ❑ CORRECTI�N REQUIRED _ LAUN�R1'TRAY UNITHEATERS— B.T.U. M _ GLOTHES WASHER EVAPOP.ATIVE COOLERS !7 Corrections listed below MUST BE MADE before work can be apProvF i. WaTER rilEA7ER CLOTHES DRYERS ❑ Please contact inspeclor and arrange lo�appointment. URINAL � VENTILATION FAN ❑ Was nol able to perform inspeclioa � ❑ CALL 259�8870 FOR REINSPECTION — 24 hour nOtic? �equired. ORINKING FOUN7AIN RANGE HOOD FLOOR �PAIN AIR HANOLING UNIT— C.F.M. A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND PG�STED ON VACUUM 9RcAKERS srove—w000 THE PREMISES PRIOR TO OCCUPANCY. RooF or�niNs— aniN�enoeas METAL FIREPLACE 8 CHIMNEV SINK(SEHVICE— BAR,ETC.) FIREPLACE INSER7 — HEAT PUMP �� 1 Water Heater 4 50 � ��'��`}�-�� - ( / _n y SUB TOTAL S SUA TOTAL 5 a so I � � ,� /J T! � �, �� Q PEHMIT S PERMIT f p �/?�' —��.C� --��1�� =�'�--' 1JTAL FEE S TOTAL FEE S 14 S 0 �;"'�/q��J_- �y � SIDE YARD SETBACK STREE�SETBACK REAR VAFD SETBACK PLAN CHECK NUM�ER PLAN CHECK FEE �—„'�� / FEE RECEIP7 NO. � — USE ZONE lOT AF EA VACANT SITE iiYES ❑NO FEES VALUATION FEE � TYPE OF CONST. O�:f,UPANCY GROCP NO.OF DWELIING UNITS � — BUILDING 5 __ ___ SIZE OF OLDG. NO.OF STORIES MA%.OCC. LOAD — — PLUMBIIJG J i / � Inspector �_%r�l-�y P�j. �— � FIRE20NE BASEMENT FIRESPRINKLERS MECHANICAL '� �j l ��¢---�'� Date�'_�� — REOUIRE� 14 50 / � CYES ❑NO APPROVALS BY OATE �THER • 1.ENVIFiONMENTAL CHECK LIST PFNALTY U.B.C. SEQ 903(al 2.BUIL�ING PLANS " 3.FIRE HVDRANT TOTAL 14 5 O L 4.FIRE PROTECTION SYSTEM PEPMIT VALIDA710N � S.GRADING WHEN PROPERLY VALIDATED(IN THtS SP,AGE)THI�Iy�Y�U(i•f�qNlT � iaaa u q � u 6.�RA�NAGE � 7.ENVIHONMENTALIMPACTSTATEMENT B.HEALTHDISTRICT YOU�R RECEIPT r-{ I APPLICPTION ACC.BY PLANS CHECKEC 3Y APPR.FOR ISSUANCE BY 7HANY. YOU - g ,�m 8 3 ACDRESS FILE � . �