Laserfiche WebLink
�he Evergreen -�.,,. --,..C O N ST R U CT I 0'�1 ` <br /> CITY pF � <br /> � everett PERMIT PERMIT NO. 16045 <br /> CITV HALL 259-87�5 � <br /> EVEfiETT,WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING � <br /> OWNER MAIL AODRE55 CITY Z�•� PHDNE � <br /> Rob Miller <br /> ARCHITEI:I OR DESIGNEfl MAIL ADDRESS CITY ZIP PHONE <br /> i <br /> GENERAL CONTPqCTOR MAIL AD�RESS CITV ZIP PhONE LICENSE� <br /> Badine Construction Co. Inc. 6216 204th Street S.W. Lynnwood 987-7557 <br /> MECMANIC�L CONTRACTOR MAIL AUDRESS CITY ZIP PHONE LICENSE� <br /> AODINC*332RT <br /> PLUMBING GONTRACTOR MAIL 4D�RES6 CITY ZIP PHONE LICENSE 1 <br /> CLA55 OF WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION }�} REPAIR ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> Y�LUATIpN OF WpRK <br /> _ ��5.�� <br /> DESCRIBE WORK <br /> Repair sub-Floor in Kitchen area <br /> PROPOSED USE Of BUI�OING <br /> Single Family Residence 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 ATfACH FOUF COPIES; CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 2�eiocK�oF Beverly Park 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 ULATING CONSTRUCTION OR THE <br /> PERFOR NCE O CONSTRUCTIO <br /> JOB ADDRE55 SIGNATURE OF Tp HRED A NT � ATE <br /> 6024 Florida Drive X /6/86 <br /> PLUMBINO MECHANICAL <br /> N0. TVPE OF FIXTUHE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WA7ERCLOSET�TOILEn AIR COMD.11NITS- H.P. EA. <br /> BATHTUB REFRIGERATION UNITS- H.P. EA. <br /> LAVATORY(WASH BASIN) BOILERS- H P. EA. <br /> SHOWER GAS FIRED A.C.UNITS -TONNAGE EA. <br /> KITCHEN SINK 8 OISP. FORCED AIR SYS7EMS- B.LU. M EA. <br /> DISHWASHER WnLL HEA7ERS- B.T.U. M <br /> LAUNDRY TRAY UNI7 HEATERS- B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLEqS <br /> WATER HEATER CLOTHES ORYERS <br /> URINAL VENTILATION FAN <br /> URINKING FOUN7AIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE-W00� <br /> ROOF DRAINS- RAINLEADERS METAL FIHEPLACE 8 CHIMNEY <br /> SINK(SERVICE- BAR, ETC.) FIREPLACE INSERT <br /> � HEAT PUMP <br /> SUB TOTAL S SUB TOTAL S <br /> PERMIT S PERMIT f <br /> TOTAL FEE S TOTALFEE S <br /> SIDE YARD SETBACK STREET SEfBACK REAR VP.RD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> `._:YES -:NO FEES VALUATION FEE <br /> TYPE OF CONS7. OCCUPANCY GROUP NO.OF DNIELLING UNITS <br /> BUILDING S ']�j,0 �.4 SO <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOA� <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLEFS MECHANICAL <br /> RE�UIRED <br /> -YES �NO <br /> APPROVALS BY UATE OTHER <br /> 1.ENVIRQNMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS <br /> 3.FIRE HVDP.ANT TOTAL <br /> 0.FIRE PROTECTION SYSTEM PENMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDATED(IN THI3SBA�9 THIS�9�o�dp�nOr—�1 <br /> 6.DRAINAGE � <br /> 0 <br /> 7.ENVIRONMENTAI.IMPACTSTATEMENT <br /> B.MEALTH DISTRICT � � . • � � " '� �' �� �� <br /> �i <br /> APPLICATION ACC.BY PLANS CHECKEO BY APPfl.FOR ISSUANCE BV . . . . • � . ; � <br /> � . i <br /> - iC) JU <br /> ADDRESS fILE <br />