Laserfiche WebLink
, - , <br />` <br />,. <br /> I • <br />� <br />;� theEvergreen -- C(�ySTRUCTIa►N <br /> i cirv oF <br /> r everett PERMI� pERMIT NO. OH494 <br />� <br />� GTY HALL 259�8745 <br /> EVERETf.WA sezo� ❑ COMBINATION � BUILDIHG ❑ MECHANICAL PLUMBING <br /> I OWNER MAILADDNE55 GTY ZIP PNONE <br />'� Morris R. Davies 4959 Elm Street 98203 <br /> ARCHITECT OR�ESIGNER MAIL ADORE55 CITY ZIP PHONE <br /> i` <br /> GENERALGONTRALTOR MAILA�DPESS QTY 21P PNONE LICENSE/ <br /> Buds Masonary 1923 71st Street N.E. Marysville 98270 659-5055 <br /> AIEGMANIGALCONTRACiOR MAILADDRE55 ��ry ZIP $U DS M204J3�cer+se� <br /> PLUMBING CANTflACTOR MAII ADDRE55 Cltt ZIP PHONE UCENSE/ ' <br /> CLASS OF WOPK <br /> ❑NEW ❑ADDITION ❑ALTEPATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑:IGN GARAGE <br /> VFLUATION OF WORK <br /> s 1300.00 <br /> �ESGRIBE WORK <br /> construct masonary fireplace <br /> PRpPO5E0 USE OF BUILDING <br /> sin le famil residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> IEGAL DESGNIPTION OF PROPEFN�SHOW BELOW OR FTfACN FOUfl COPIE5) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior ZZ eiceK_oF View Rid e TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESU�4E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL IAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGN CONiPAGTO UiHO . AGENT DAiE <br /> JOB AOOflE55 10/2 8/8 0 <br /> 4959 Elm Street X � Uvc <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILEn AIR COND.UNITS—H.P.EA. <br /> REFRIGERATION UNITS—H.P.EA <br /> BATHTUB <br /> LAVATORV(WASH BASINI OOILERS—HP EA <br /> GAS FlRED A C. UNITS—TONNAGE EA. <br /> SHOWER <br /> KITCHEN SINK 8�ISR POHCE�AIR SVSTEMS—B.T U. M EA. <br /> WALL HEATEflS—B T.U. M <br /> OISHWASHEP <br /> UNIT4EATERS—BT.U. M <br /> LAUN�RYiRAY <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRVERS <br /> VEN7ILATION FAN <br /> URINAL <br /> DRINKING FOUNTAIN RANGE HOOD <br /> pIR HANDLING UNIT— C.P.M. <br /> FLOOR DRAIN <br /> VACUUM DREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS 61ETAL fIREPLACE 8 CNIMNCY <br /> SINK(SERVICE—BAR.ETC) <br /> SUB TOTAL SUBTOTAL f <br /> PERMIT f PERMIT S <br /> TOTALFEE S TOTAL FEE : <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PV.iJ CHECK FE ECEIPT NO. <br /> FEE <br /> USE ZONE LOT AREA VACANT SILE FEES VALUATION FEE <br /> f]YES ❑NO <br /> 7YPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS � <br /> BUILDING $ 1300.00 22 00 <br /> SIZE OF BLDG. N0.OF STORIES MN(.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKIERS MECHANICAL <br /> REOUIRED <br /> ❑YES ❑NO <br /> APPROVALS <br /> BY DATE OTHER <br /> 1. ENVIRONMENTAI.CHECKLIST PENALTY U.B.C. <br /> SEC.3031a) <br /> 2. BUIIDING PlANS TOTAL 2 2 O O <br /> 3. FIRE MYDRANT <br /> 4. FIfiE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDAIEO(IN THIS SPACE)THIS IS YOUR PCRMIT <br /> 5. GRADING � <br /> 6. DRAINAGE 9 � 3 � ,� 0 � �. O Q —� <br /> _ � <br /> 7, et:VIRONMENtAL IMPACT STATEMENT � <br /> B. HEAUH DISTRICT `. � I I\ 1\�C E I PT� � <br /> qPPLICATb�N ACC.8� PLANS CNECKED BY APPR.FOR ISSUANCE BY , <br /> V.C. . " ''.\If� �iC� U <br />