Laserfiche WebLink
the Evergreen —�� C\o ��ST R U CT I O N � - - <br /> CITY OF <br /> everett PERMIT pERMIT N0. O$235 <br /> CITY HALL'255�tl745 <br /> EVERETT.WA sazoi ❑ CC�MBINATION � BUILDING ❑ MECHANICAL �] PLUMBING <br /> OIYNER MAllA0�RE55 CITY ZIP PHONE <br /> Dorothy Millen P.O. Box 239 Everett 98206 254-7166 <br /> ARCHITECT OR DESIGNER I.IqIL ADDRE55 CI1Y ZIP PHONE <br /> GENERAL CAN'flACTOR MAn.AD�RE55 CIiY ZIP PMONE IICENSE� <br /> MELMANICALCONTRAGTOP MAILA�DRE55 QTY ZIP PHONE ULENSE♦ <br /> PWMBINGCONTRACTOR MAILAOORE55 CI7V ZIP PMDNE UCENSE/ <br /> Allied Spraying and Landscaping 201 7th Snohomish 568-3197 <br /> cv.ss oF woaK <br /> ❑N2W ❑ADDITION ❑ALTERA710N ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VPLUATION Oi WOPK <br /> 5 <br /> DESCR!BE IYORK <br /> PROPOSEO USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGALDESCRIPf10NOFPROPERTY�SMOW BELOWORATfACMFOURCAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRFC;, <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior BLOCN_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIE� <br /> HEREIN OR NOT. THE GRAN-i ING OF A PERMIT DOES N�T <br /> PRESUME TO GIVE AUTHJRITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHEF STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE ?ERFORMANCE OF CONSTRUCTION. <br /> JOB ApDRE55 SiONAiURE OF CANiRACTOR 011 A iN PoZED AGENT DAiE <br /> 236 Elm � 9/9/80 <br /> X ��� �.Q �- <br /> PLUMBIN� MECHA AL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET QOIlE1) AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> IAVATORV(WASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED AC.UNITS—TONNAGE EA. <br /> KITCHEN SINK A�ISP. fORCED AIR SYSTEMS—B T.U. M EA. <br /> DISNWASHEfi WALL HEATERS—�.T.U. M <br /> LAUNORV TRAV UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLEPS <br /> \YATER HEATER CLOTHES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN NR HANDLING UNIT— GP.M. <br /> VACUUM BNEAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPL4CE 8 CHIMNEV <br /> :INK�SERVICE—BAR.ETC.) <br /> 1 Vacuum Breaker <br /> SUBTOTAL 5UBTOTNL S <br /> PERMIT S PERMIT S <br /> TOTAL FEE f S TOTALFEE S <br /> SIDE VARD SETBACK STREET SETBACK FEAR YARD SETBACK �LAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RC.CEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUA710N FEE ! <br /> NPE OF CANST. OCCUPANCY GROUP NO.OF GWELLING UNITS 1 <br /> BUIL�ING g <br /> 5'ZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING 5 00 <br /> FIRE 20NE BASEMENT FIRE 5.'RINKLERS <br /> REOUIRED MECHANICAL <br /> OYES �NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL:HECK LIST <br /> PENAL7Y U.B.C. <br /> 2. BUILDING PLANS SEC.303(a) — <br /> 3. FIREHYDRANT TOTAL S 00 <br /> 4. FIP_�ROTECTION SYSTEM PENMIT VALIDATION <br /> — WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS VOUR PERMIT <br /> �. GRADING <br /> - 74b7 $ 005. 00 --= � <br /> 6. DRAINAGE <br /> 7. ENVIRONMENTALIMPAC75TATEMENT N <br /> B. HEALTH DISTRICT �( l � v f\ f�L C C�PT O <br /> APPLICATION ACC.BY PLANS CHECKED BY APPH.FOR ISSUANCE BY <br /> ��f-�.ar�K ��ou <br /> ADDRESS FILE _ 9 V� 80 <br />