Laserfiche WebLink
the E YPrKreen <br />CITY OF <br />everett <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 <br />--CONSTRUCTIOP"' <br />PERMIT <br />❑ COMBINATION JQ BUILDING ❑ MECHANICAL <br />PERMIT NO. 14922 <br />❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Ramona Boylan 6917 Evergreen Way Everett 98203 353-7770 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE M <br />Al Kittleson P.O. Box 396 Clinton 98236 221-2734 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE M <br />Al KI TC 241LN <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 1 <br />❑ NEW Xis ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />$ 12,000.00 <br />Con-gi-ruCt 9n1u9d1 rnnm +, cvi etinrt hNi TAlnrt <br />PROPOSED USE OF BUILDING <br />Office Space <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 />GOVERNING 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 REGULATING CON STRU ION OR THE <br />PERF ANCE OF CONSTRUCTION. <br />SIGN CONTRACTO AUTHORIZED AGENT DATE <br />6/18 85 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT —BLOCK —OF 15 Beverly Hills Div. 1 <br />JOB ADDRESS <br />6917 Evergreen Way <br />PLUMBING <br />[CAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />YYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />LAVATORY(WASH BASIN) <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE& CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />5 <br />SUB TOTAL 5 <br />PERMIT <br />$ <br />PERMIT $ <br />TOTAL FEE <br />S1 <br />TOTAL IeE $ <br />SIDE YARD SETBACK <br />N/A <br />STREET SETBACK <br />N/A <br />REAR YARD SETBACK <br />N/A <br />PLAN CHECK NUMBER <br />85/14922 <br />PLAN <br />FEE 60.13 <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />B-2 <br />LOT AREA <br />10,500 Sq. Ft. <br />VACANT SITE <br />EYES iW <br />FEES <br />VALUATION <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />B-2 <br />NO. OF DWELLING UNITS <br />0 <br />BUILDING <br />512,000 <br />92 <br />50 <br />SIZE OF BLDG. <br />201x241 <br />NO. OF STORIES <br />1 <br />MA%. OCC. LOAD <br />5 <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />OYES ENO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />92 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) 1 HIS IS YOUR P.FBMIT_- C� <br />- �I <br />_I <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />EB <br />PLANS CHECKED BY <br />JEF <br />APPR, FOR ISSUANCE BY <br />LC <br />n <br />.. -4 <br />N x <br />m <br />co <br />m CD <br />c3c <br />O rn <br />-1 z <br />rxn <br />A Z <br />D <br />r- x <br />Ln <br />-I N <br />T <br />O P <br />l 3 <br />--I FIT <br />mVI <br />0 <br />of <br />cT M <br />C (n <br />m� <br />zC-) <br />-1 F <br />m <br />a <br />A <br />Z <br />O <br />n <br />rn <br />ADDRESS FILE <br />