Laserfiche WebLink
r <br />s <br />the Evergreen <br />CITY OF ewerett r :ONSTRUCTION <br />CITY HALL 2598745 PERMIT PERMIT NO. 13956 <br />EVERETT, WA 98201 ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING <br />GWNER MAIL ADDRESS <br />CITY ZIP PHONE <br />-•• rn�nt LIGLN5E N <br />PLUMOING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />XP NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE IIISERT <br />.UATION OF WORK — <br />s2500.00 <br />{CRIBE WORK — <br />Billboard 10' x 24' <br />PROPOSED USE OF DUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATT'ACM FOUR COPIES) <br />�� <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LOT _BLOCK _oF -_ <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED <br />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 />- - — <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />40B ADDRESS ----•--- -- <br />PERFORMANCE OF CONSTRUCTION. <br />6919 Everureen <br />SI�GNAT OF CONTRACTOR OR AUTHORIZECLAGENT DATE <br />X <br />�r _ <br />PLUMBING <br />MECHANICAL <br />N0. <br />__ <br />TYPE OF FIXTURE OR ITE_M <br />FEE <br />WATERCLOSET(TOILET) -- <br />NO. TYPE OF EQUIPMENT FEE <br />B.4'HTUB - <br />AIR COND. UNITS - H.P. EA. <br />LAVATORY(WASH BASIN) <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />SHOWER <br />KITCHEN SINKS DISP. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />DISHWASHER <br />FORCED AIR SYSTEMS - B.T.U. M EA, <br />WALL HEATERS - B.T.U. M <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />UNIT HEATERS - B.T.U. M <br />WATER HEATER <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />URINAL <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />VACUUM BREAKERS <br />AIR HANDLING UNIT -C.F.M. <br />ROOF DRAINS - RAINLEADERS <br />STOVE -WOOD <br />SINK (SERVICE - BAR, ETC.) <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TDIAL a <br />SUB TOTAL 5 <br />PERMIT <br />5 <br />PERMIT 5 <br />TOTAL FEE <br />$ <br />SIDE YARD SETBACK STREET SETBACK <br />NA <br />REAR YARD SETBACK <br />TOTAL FEE S <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />20' <br />NA <br />84/13956 FEE 25.03 qE �JPT NO. <br />USE 20NE <br />LOT AREA <br />VACANT SITE <br />65U�7 <br />''YES CNO <br />FEES <br />VALUATION FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ 2500.00 38 <br />50 <br />SIZE OF SLOG. <br />N0. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />MECHANICAL <br />OYES F.:NO <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />U.B.C. <br />SEC.. (a) <br />2. BUILDING PLANS <br />PENALTY <br />3. FIRE HYORANT <br />TOTAL <br />3$ 5O <br />4. FIRE PROTECTION SYSTEM <br />PERMIT <br />VALIDATION <br />PROPERLY VALIDATED (IN THIS SPACE) THIS.ISIYQUS P):R,IyiIT <br />/ R �, I, 1 Iit (J <br />Cr) <br />S.GRADING <br />WHEN <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE RY <br />U <br />Stg <br />jef <br />lnc <br />ADDRESS FILE <br />I <br />"_J <br />