Laserfiche WebLink
the Evergreen CONSTRUCTION <br />CITY OF <br />everett PERMIT <br />CITY HALL 259.8745 <br />EVERETT, WA 98201 0 COMBINATION BUILDING ❑ MECHANICAL <br />PERMIT NO. 07840 <br />❑ PLUMBING <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />OWNER <br />Luther Child <br />Center 4526 Federal <br />Everett <br />98203 <br />258-4521 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />_ <br />CITY <br />ZIP <br />PHONE LICENSE, <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />Same <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE• <br />MECHANICAL CONTRACTOR <br />CITY <br />ZIP <br />PHONE LICENSE 0 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CLASS OF WORK <br />5�31EW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN OGARAGE <br />s 300,000.00 <br />SCRIBE WORK <br />Erect two story orrice ouiiaJLng <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />office <br />PLICATION AND KNOW THE SOME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BE LOW OR ATTACH FOUR COPIES) <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT -BLOCK -OF <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 />L 31-29-5 <br />CONSTRUCTION OR E PERFORMANCE OF CONSTRUCTION. <br />SIGN TUR OF CONTRACTO OR UTHORIZEQ AGENT DATE <br />' O <br />X <br />JOB ADDRESS <br />4526 Federal <br />MECHANICAL / <br />PLUMBING <br />FEE <br />NO. MEN FEE <br />TYPE OF EOUIP <br />NO. TYPE OF FIXTURE OR ITEM <br />UNITS - H.P. EA. <br />AIR CUNITS <br />WATER CLOSET (TOILET) <br />REFRIGERIGER UNITS - H.P. EA <br />BATHTUB <br />BASINI <br />2 <br />BOILERS - H.P. EA. <br />11 <br />LAVATORY (WASH <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />SHOWER <br />KITCHEN SINK R DISP. <br />FORCED AIR SYSTEMS -B.TU .. M EA. <br />WALL HEATERS -U.I.U. M <br />DISHWASHER <br />LAUNDRY TRAY <br />71 <br />C. <br />I' <br />UNIT HEATERS -B.T.U. M <br />EVAPORATIVE COOLERS <br />_ <br />CLOTHES WASHER <br />.:,� <br />I! <br />CLOTHES DRYERS <br />WATER HEATER <br />VENTILATION FAN <br />2 <br />URINAL <br />RANGE HOOD <br />1 <br />- <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT - C.F.M. <br />FLOOR DRAIN <br />STOVE <br />VACUUM BREAKERS <br />METAL FIREPLACE 8 CHIMNEY <br />ROOF DRAINS - RAINLEAUERS <br />1 <br />SINK (SERVICE - BAR. ETC) <br />SUBTOTAL S 12 <br />SUBTOTAL <br />52 <br />00 <br />S <br />PERMIT S <br />PERMIT <br />TOTAL Fc12 0 0 <br />E f <br />TOTAL FEE <br />f <br />5 2 <br />PLAN CHECK FEE <br />PLAN CHECK NUMBER RECEIPT NO. <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />SPECI <br />L PROPERTY US <br />PERMIT <br />80/7840 FEE381.55 49264 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES IXW <br />FEES <br />VALUATION <br />FEE <br />R-1 <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />S300,000 <br />587 <br />00 <br />V-1 Hr. <br />B-2 <br />_ 0 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. O''C. LOAD <br />52 <br />34'x185' <br />2 <br />348 <br />PLUMBING <br />00 <br />FIRE ZONE- <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUI <br />ftro <br />MECHANICAL <br />12 <br />00 <br />3 <br />OYES <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 n` <br />TOTAL 651 00 <br />3. FIRE HYDRANT N <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />VALIDATn(IN THIS SPACE)HIS IS Y1T <br />,PJPTGT _O , <br />�5. GRADING <br />00 <br />N6, DRAINAGE.. <br />00 <br />YOUR REC E I '� <br />RECEIPT <br />7ENVIRONMENTAL IMPA6-STATEMENT- <br />8. HEALTH DISTRICT <br />CD <br />,, ,; �, 1` Y \11 U THANK Y O U <br />BY <br />APPR. FOR ISSUANCE BY <br />oAPPLICATION AOD. BY <br />j°LANS CHECKED <br />�. n1 <br />C <br />HWM <br />HWM <br />) <br />