Laserfiche WebLink
!he£veryerKn �� CO N ST R U CT I C�I <br /> CiTVOF ��-'�. �� �_ <br /> everett PERMIT PERMIT N0. 1�8HZ <br /> CITY HALL 25487�5 <br /> EVERETT,W>9B2p7 � COMBINATION ❑ BUILDING Q� MECHANICAL ❑ PLUMBING <br /> OWNER MAIL ApDRE55 LITV ZIP PHONE <br /> Earl Hanson 5252 Evergreen Way Everett 98204 <br /> AR�MITECT Op OESIGNEH MAIL ADDRESS CITY 21P PHCNE <br /> GENEPAL CONTAACTOR MOIL ADDRE55 CITY ZIP PHONE IIGENSE� <br /> MECM�NIC�LCONfRACTOR MAILAODRE55 CITY ZIP PHONE LICEHSE� <br /> Natural Gas Equipment 1625 East Marine View Drive Ewerett 98;?�1 258-2441 <br /> PWMBING CONiR�CTOR MAIL ADDRE55 QTY =�P PMONE LICkNSE/ <br /> CU55 OF WOHK — ' <br /> ❑NEW ❑ ADDITION O ALTERATION ❑REPAIR C] OEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VRLUATION OF WORK <br /> f <br /> DESCRIBE WORK — <br /> PHOPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL DESCRIPTION OF PPOPERTV�SHUW BELOW OR ATfACH POOp COPIES� APPUCATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LUT_BLOCK_OF GOVERNING THIS T}�pE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMI'i DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PR�VISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMA OF CONSTRUCTION. <br /> JOB AD�RE55 SIGNATURE OF NT qUTHORIZED AGEhT DATE <br /> 5252 Evergreen Way X <br /> PLUMBING MEOHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EUUIPMENT FEE <br /> WATERCLOSET�TOILE� AIR COND. UNITS— H.P.EA. <br /> BATHTUB pEFRIGERATION UNI75— H.P.EA. <br /> LAVATORY�NASH BASIN) BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS — 6.7.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRYTRAY 2 UNIT HEATERS— B.T.U. 60 M 12 00 <br /> CLOTHES WASHER EVAPORATIVE COOLEFS <br /> WATER HEATER CLOTHES DFiYERS <br /> URINAL VENTI�ATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WC10D <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE&CHIMNEY <br /> SINK�SERVICE— BAR, ETC.) FIREPLACE INSEfiT <br /> HEAT PUlAP <br /> Pi in 2 00 <br /> � <br /> SUB TOTAL i SUB TOTAL S 14 00 <br /> PENMIT S PEflMIT S 10 00 <br /> TOTAL FEE S TOTAL FEE S 2 <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHE:K FEE <br /> FEE FECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> �iVES r_7N0 FEES VALUATION FEE <br /> 7YPE OF CONST. QCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING $ <br /> P.�IZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIFE SPHINKLERS MECHANICAL <br /> REOUIRED 24 GO <br /> ❑VES GNO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENAL7Y U.B.G. <br /> 2.BUILDIN�PLANS SEC.303(a) <br /> 3.FIREHYDRANT � TOTAI 24 00 <br /> 4.FIRE PROTECTIUN SYSTEM pEHMIi VALIDATION <br /> 5.GflADING VlHEN PROPERLY VALIDATE�(IN THI��RG€)THIS(1S!Y(711H PERIAIT__ � <br /> 6.DRAINAGE V L '� V U <br /> 7.ENVIFlONMENiALIMPACTSTATEMENT � <br /> 8.HEALTH CISTRICT �� _� �: � ;',�"'.. �� I i 1 r-4 <br /> APPLICA710N ACC. BY PLAN3 CHECKED BY APPR.FOR ISSUANCE BY � �� <br /> . . . ,. :.. �( .. �� <br /> I Q Ji;i� ii(, <br /> .4DDRESS FILE <br />