Laserfiche WebLink
the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259-8745 <br />EVERETT, WA 9B201 <br />G(WSTRUCTION <br />PERMIT <br />❑ COMBINATION ®t BUILDING ❑ MECHANICAL <br />PERMIT NO. 08032 <br />❑ PLUMBING <br />OWNER MAIL ADDRESS CI11' ZIP PHONE <br />Frederick & Nelson 1512 South Broadway <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY 21P PHONE <br />MAIL ADDRESS <br />CITY <br />21P PHONE LICENSE <br />GENEn LCONTRACIIOR <br />512} Minor <br />Seattle <br />629-4243 <br />Meyer Signs <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE f <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSEE <br />PLUMBING CONTRACTOR <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPPIR ❑DEMOLITION ❑FENCE L}�W.N DGARAGE — <br />IS 2,000.00 <br />DESCRIBE WORK <br />ill. �HcA ei rtn <br />erect i.........—a...,.. --I-- <br />PROPOSED USE OF BUILDING <br />! HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE :AME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LLGAL DESCRIPTION OF PROPERTY (SHOW 9EIOW OR ATTACH FOUR COPIES) <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />I. r BLOCK_OF <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHJRI I-Y TO T^OLA1 E OR CANCEL THE PRO- <br />VISIONS OF ANY OTH;tR STATE OR LOCAL LAW REGULATING <br />CONSTRU TION OR TH ERFORMANCE OF CONSTRUCTION. <br />- 7 <br />SIGNATURE NTRACi0R0 A HO DAGENT DATE <br />dOBA DRESS <br />7/29/ <br />South Broadwav <br />X <br />_-1-5T <br />MECHANICAL <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR LAND. UNITS - H.P. EA. <br />WATER OSET (TOILET) <br />REFRIGERATION UNITS - H.P. EA <br />BOILERS - H.P. FA. <br />BATHTUL <br />LAVATORY (WASH BASIN] <br />GAS FIRED A C. UNITS - TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS - 8.T U. M EA. <br />KITCHEN SINK & DISP. <br />WALL HEATERS-B.T.U. M <br />DISHWASHER <br />UNIT HEATERS - B.T.U. M <br />_ <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER HEATER <br />VENTILATION FAN <br />URINAL <br />DRINKING FOJ NTAIN <br />RANGE HOOD <br />AIR HAN^.LING UNIT - C.F.M. <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />METAL FIflEPLACE 8 CHIMNEY <br />, <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR. ETC.) <br />SUBTOTAL <br />S _ <br />SUBTOTAL <br />S <br />PERMIT <br />S <br />_PERMIT <br />TOTAL FEE <br />S <br />TOTAL <br />FEE S <br />SIDE YARD SETBACK STREET SETBACK <br />RE+R YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />SITE <br />DYES VACANTONO <br />FEES <br />VALUATION <br />FEE <br />— <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$2 000. <br />9 <br />00 <br />SIZE OF BLDG. <br />170 OF STORIES <br />MAX. DOC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE REQUIRED SPRINKLERS <br />MECHANICAL <br />OYES ONO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />— <br />- <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />9 <br />00 <br />TOTAL <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />5 5 10-ml <br />5. GRADING <br />— <br />_ <br />6. DRAINAGE <br />7, ENVIRONMENTAL IMPACT STATEMENT00 <br />Y C % U R R E C. E I PTE) <br />'�'. i ^ ;; YOU <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />B AB <br />30il80 <br />ADDRESS FIL <br />