Laserfiche WebLink
�heEvergreen � ���������� � � ' � <br /> CITY OF <br /> everett PERMIT pERMIT NO. O671Z <br /> GTY HAIL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION L,�BUILDIN� ❑ MECHANICAL ❑ PLUM8ING . <br /> OWNER MAIIAD�RE55 CITY ZIP PMONE <br /> Roae C. Harrison 4328 Forest Drive 98203 252-9727 <br /> ARCHItECTORDE5IGNER MAILADOFlE55 qTl' ZIP PHONE <br /> GENEFA�WNiRPCTOfl MAILAppRE55 CIiY ZIP PHONE LIGENSE� <br /> �� <br /> MECHANICFL CONianCTOR MAII ADORE55 QTY ZIP PHONE LICENSE I <br /> PIUMBING CONTRACTOR MAIL qDDFE55 CI1Y ZIP PHONE LICENSE I <br /> ClAS50F WORK <br /> ❑NEW ❑AD�ITION ❑ALTERATION G�7IEPAIR ❑DEMOiITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUAiIOh OF WORK <br /> S 70�.0� <br /> DESCRIBE WqRK <br /> re air ca ort <br /> PROPOSED USE OF BUILDING <br /> Single family residence I HEREBY CERTIFY 7HAT I HAVE READ �ND EXAMINED THIS AP- <br /> IEGAt DESCRIPiION OF PFOPEPiY(SHOW�ELOW OR ARACH FOUR GOPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 2-3 2 Forest Park Add. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> tor e�ce�oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <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 I.00AL LAW REGULhTING <br /> CONSTRUCTION OR THE,PERFORMAN��E OF CONSTRUCTION. <br /> J08 FODRE55 S�GNAiURE 0 ONTRACT09�OR IORpED AGENi DATE <br /> 4328 Forest Drive k --��,e � 9/19/79 <br /> PLUMBING , MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EUUIPMENT PEE <br /> WATER CLOSET(TOILET) AIR COND. UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY(WA51'3ASM) BOILERS—H.P.EA. <br /> SHOWEH GAS FIRED A.C.UNITS—TONNAGE[A. <br /> KITCHEN SINK 8 DISP. FORCE�AIR SVSTEMS—B.T.U. M eA. <br /> DISHWASHER WALL HEATERS—BSL. M <br /> LAUNURV TRAY UNIT HEATERS—B.T.U. M <br /> CLOTFIES WASHER `eVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> UflINFL V[NTILATION FAN <br /> DRINKING FOUIJTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING GNIi— C.EM. <br /> VACUUM�REAKERS STOVE <br /> ROOF Df7AINS—RAWLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR,ETG) <br /> SUB TOTAI SUBTOTAL S <br /> PERMIT S PEHMIT S <br /> TOTALFEE S TOTALFEE S <br /> SI�E YARD SETBACK STREfT SETBACK FEAR VARD SETBaGK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE I.OT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLIN6 UNITS <br /> BUILDING s 700,OO 7 OO <br /> SIZE OF BLOG. N0.OF STORIES MA%.pCC. LOAD <br /> PLUMBING <br /> FIRE ZONE BASEt��[NT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPROVALS � BV DATE ��THFR <br /> L ENVIRONMENTALCHECKLIST PENALTY U.B.C. <br /> 2. 9UILDING PLANS � � SEC.303(a) <br /> 3. FIRE HYDRANT TOTAL � 7 00 <br /> 4. FIRE PHCrECTION SYSTEId PEHidIT VALIDATION � <br /> WHEN PROPERLY VALIDATED d•t THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADIhG .f <br /> 6. DRAINAGE `S �� +O�B I.p�D � �.� - � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT � <br /> B. HEALTH DISTRICT � (,� <br /> APPLICATION ACQ BY PIANS CHECKED BY APPR.FOR ISSUANCE BV �'O'U R REGEJPT� <br /> . <br /> � 7t�lANK YOU ' <br /> > . . , <br /> ACDRESS FILE • ' -' +2 O �-�q <br />