Laserfiche WebLink
the Evergreen Cr' NST RU CTIO V <br />CITY OF <br />everett PERMIT PERMIT NO.06916 <br />CITY HALL 9.8 A 98201 El COMBINATION [I BUILDING El MECHANICAL El PLUMBING <br />01 <br />EVERETT, WA <br />OWNER <br />MAIL ADDRESS <br />Drive <br />CITY <br />Edmonds 98020 <br />ZIP <br />7741-R1328 <br />Dale Kathol <br />1076 Puget <br />MAIL ADDPEgS <br />CIT: <br />ZIP <br />PHONE <br />AflC111TECT ON DESIGNER <br />CITY <br />ZIP <br />PHONE LICENSE <br />GENERAL CONTRACTOR <br />MAIL ADORESS <br />CITY <br />21P <br />PNONE LICENSE I <br />MECHANICAL CONTRACTOR <br />MAIL ADORE55 <br />CITY <br />ZIP <br />PHONE LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ACDRES$ <br />WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR K.I DEMOLITION ❑FENCE ❑SIGN =RAGE <br />V OF WORK <br />Demolition <br />ATTACH <br />LOT 4 - S BLOCK_J�WF <br />3007 Federal Street <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 OF LAWS AND ORDINANCES <br />TYPE OFVWORKSWILL COMPLIED COMPLD WITH WHETHERRNING S ECIF EID <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CON51B,UCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />DATE <br />X T ILL <br />MECHANICAL <br />1/17/80 <br />PLUMBING <br />NO. <br />E <br />- FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />Y OH.P,OA!PMENT <br />AIR COND. UNS <br />WATER CLOSET (TOILET) <br />REFRIGERATION UNITS — H.P. EA <br />BATHTUB <br />BOILERS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />— <br />SHOWER <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />KITCHEN SINK 8 DISP. <br />WALL HEATERS —B.T.U. M <br />DISHWASHER <br />UNIT HEATERS —B.T.U. M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER HEATER _ <br />VENTILATION FAN <br />URINAL <br />RANGE HOOD <br />_ <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT —GF.M. <br />FLOOR DRAIN <br />STOVE <br />VACUUM BREAKERS <br />METAL FIREPLACE 8 CHIMNEY <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR. E10.) <br />_ <br />SUB TOTAL $ <br />SUBTOTAL <br />PERMIT <br />PERMIT <br />$ <br />TOTAL FEE $ <br />TOTALFEE <br />STREET SETBACK <br />$ <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />SIDE YARD SETBACK <br />FEE RECEIPT NO. <br />USE ZONE LOT AREA <br />VACANT SITE ❑YES LNO <br />FEES VALUATION FEE <br />TYPE Of CONST. OCCUPAI+CY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING $ <br />SIZE OF 6LDG. NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE BASEMENT <br />FIRE SPRINKLERS REQUIRED <br />MECHANICAL <br />DYES ONO <br />APPROVALS <br />BY DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />ENVIRONMENTAL <br />PENALTY LIE C. <br />SEC., 303 (a) <br />2. BUILDING PLANS <br />TOTAL None <br />3, FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />VALIDATION <br />WHEN PROPERLYPERMIT VNLIDATED IIN THIS 7 IS IS IC O <br />8TAfI TM ITIJ ff� <br />— <br />5. GRADING <br />6. DRAINAGE <br />.,p� <br />YOUR REC E 1 Pl°p <br />THANK YOU o <br />APPR. FOR ISSUANCE BY <br />7. ENVIRONMENTAL IMPACT STATEMENT _ <br />8, HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />7 Im R 0 <br />