Laserfiche WebLink
� <br />d�eEvCgree�F - C���TRUCTION �- �--��. � <br />everett PE�MIT pERMIT N0. O65HH <br />CITY HALL 259�B7a5 <br />EVERETf, WA 9620! ❑ COMBINATION �}BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OYlNE{i MFILFD�RESS CITY ZIP PHONE <br />Gil Leishman 421 Madison 98203 355-5728 <br />ARCMR[CT OR 0[SIGNER MAIL ADDRE55 QTV ZIP PHONE <br />GENERFL CONiRACTOF IAAIL ADDRESS CIiY ZIP PHOWE LIGENSE I <br />Same <br />MECHANICALGONTRACTOR MAILAO�RESS qiY ZIP PMONE LIGENSE� <br />PLUTA�ING GONTRACiOF <br />❑NEW <br />MAIL AO�RESS <br />CITY <br />❑ADDIiION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />S <br />OESCRIBE 1VORK <br />Grading 2950 cu. ydes. <br />PROPOSED USE OF BUIL�ING <br />LEGAL DESCRIPTION OF PROPEFN �SNOW BELOLY Ofl AiTAGH FOl1R COPIES) <br />3 5 Intercity Add #1 <br />�OT BLOCK_OF <br />South 30' of lot 3� 4, 5, 6, <br />JOB AODPE55 <br />9300 Evergreen t4ay <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM FEE <br />WA7ER CLOSET (TOILEf) <br />BATHTUB <br />LAVATORY (WASH HASM) _ <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNOFYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUtJTAIN <br />FLOOR DRAIN <br />VACUUM 9FEAKERS <br />ROOF DflAINS — RAINLEAOEFS <br />SINK ISERVICC — 6AR. ETC] <br />SIDE'lARD SETBACK STREET SEl <br />USE ZONE LOT ASEA <br />TYPE OF CONST. OCCUPANC <br />SIZE OF BLDG. NO. OF STC <br />FIRE ZONE BASEMENT <br />REAR YARD SETBACK <br />❑YES ❑NO <br />NO. OF DWELLING UNITS <br />APPHOVALS BY oa7E <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRF. PFiOTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPAC757ATEMENT <br />e. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BV APPR. FOR ISSl1ANCE BY <br />/ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TIiIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUA4E TO GIVc AUTHORITY TO VIOLATE OR CANCELTHE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTR TION OR T�1E PERFORMANCE OF CONSTRUCTION. <br />SIGNAiUR OFCONTRACTOF� AUTHORIZEDAGENT ; 9�1i�9 <br />r <br />X '- lX <br />MECHANICAL <br />TYPE OF E�UIPMENT <br />AIF COND. UNITS — H.P. EA. <br />RFFFIGFRATION 11NITS — H.P. EA <br />�JILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — <br />FORCEU AIR SYSTEMS — <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — 9.T.U. <br />EVAPORATIVE COOLERS <br />EA. <br />M <br />VENTILATION FAIJ <br />RANGEHOOD <br />AIR HANDLING UNIT — GF.M. <br />STOVE <br />�dETAL FIREPLACE 8 CHIMNEY <br />SUBTOTAL <br />PEPMIT <br />TOTALFEE <br />79/6588 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />PENALTY <br />TOTAL <br />FEE 20.00 <br />$ <br />U.B.C. <br />SEC. 303 (a) <br />FEE <br />RECEIPT NO. <br />42498 <br />FEE <br />� �1 <br />PEHMIT VALIOAIIUN <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />208•9 f08h.D0 �1 � i <br />� <br />� <br />Yt7U R REGEtPi'o <br />' TN,��NK Y�O�i' <br />j � Sc� .7 9. ( <br />AUDRESS FILE , <br />