Laserfiche WebLink
the Evergreen (— CITY OF "O N ST R U CT 1 O I <br />everett PERMIT PERMIT NO. 12416 <br />CITY HALL 25"745 <br />EVERETT, WA 98201 ❑ COMBINATION PX BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Albert Heinke 4639 Claremont Everett 98204 252-1439 <br />111Y ZIP PHONE <br />GENERAL CONTRACTOR h1AIL ADDRESS CITY PHONE LICENSE <br />ZIP <br />Same <br />LICENSE <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICEN N <br />CLASS OF WORK <br />❑ NEW ❑ADDITION ❑ALTERATION X$REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑ WOOD STOVEIFIREPLACEZNSERT <br />s 3,200.00 <br />roof—sh <br />Claremont <br />LOT 100SLOCK-OF <br />4102 000 100 0008 <br />4926 <br />nelaware <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />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 LAW REGULATING CONSTRUCTION OR THE <br />PERFV�ANC�p CONKRU�LnARNT ENDATE <br />YLUMUINU <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />.._ <br />BATHTUB <br />BOILERS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />KITCHEN SINK 8 DISP. <br />M <br />WALL HEATERS — B.T.U. <br />DISHWASHER <br />UNIT HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />WATER HEATER <br />CLOTHES DRYERS <br />VENTILATION FAN <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT — C.F.M. <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL i <br />SUB TOTAL a' <br />f <br />PERMIT $ <br />PERMIT <br />TOTAL FEE S <br />TOTAL FEE S <br />SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />RECEIPT NO. <br />FEE <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE _ <br />DYES LINO <br />— <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$3,200. <br />44 <br />50 <br />SIZE OF BLDG. <br />WO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />SPRINKLERS <br />Sp <br />MECHANICAL <br />ONOOTHER <br />APPRE <br />1. ENVIRONMENTAL CHECPENALTY <br />U.B C. <br />SEC. 303 (a) <br />_2. <br />BUILDINGPLANSTOTAL <br />49 50 <br />WLIST <br />3. FIREHYDRANT4. <br />FIRE PROTECTION SYSTEPERMIT <br />VALIDATIONWHEN PROPERLY VALIDATED (IN THI$ $PAGE) THIJSTYpI PERh11T <br />I{7 U6. <br />5. GRADINGIf1L <br />4U <br />n <br />RECEIPT <br />DRAINAGE7. <br />ENVIRONMENTAL IMPAC <br />B.HEALTH DISTRICT <br />'YOUR <br />THANK YOU <br />APPLICATION ACC. DY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />1 3 SEP 8 5 <br />'ADDRESS FILE <br />