Laserfiche WebLink
!he Evergreen rv N ST R U C���O� <br /> GTY OF <br /> e`�erett PERMIT RERkIIT NO. OQ221 <br /> CITY HALL 259�8745 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> EVERETT.WA 882�1 <br /> OWNER MAIIPD�RESS CITY ZIP PHONE <br /> Joyce Sea�s 201 Magnolia Everett <br /> ARCNIIEGTORDESIGNEf1 MA�LACORE55 CItY Zlv GNONE <br /> GENEPALLONTPACTOR MARADORE55 CITY ZiP PHONE LICENSEI <br /> �7 & E Const. 13109 28th N.E. Lake Stevens 98258 334-3975 <br /> MEGPANICALCONiRACTOR MAILADORE55 GITY � ZIP PIIONE LIGENSEI <br /> VLUMBINGCONTP�GTOR MNILADDRE55 G�iY 2�P PHONE UCENSE/ <br /> CLA550F 1YORN <br /> ❑NEW ❑ADDITION ❑ALTEflATION �EPAIR ❑DEMOLITION ❑FENCE ❑£IGN ❑GAFAGE <br /> VALUATION OF R'OFK <br /> � 80�. �� <br /> Di£CFIpE WORK <br /> re-roof-composition <br /> PROPOSED USE OF BUhDING <br /> sinqle familv residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �ecnioescaiPnor+cFcnoPeaTricHowoE�owoannncNFouAcoaiest PLICATION AND KNOW TH_ SAM� TO BE TRUt AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �T 75 o�aK_aF Airport Acres TYPE OF WORK WILL 6E COMPLIED WITH WHETHER SPEGf-IED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY 10 VIOLATE OR CANCEL THE PRO� <br /> VIS'ONS C- ANY OTH9R STATE OR LOCAL LAW REGULATWG <br /> CONSTRU(, JN OR THE PERFORMANCE OF CONSTRUCTION. <br /> 9G�1n1URE0°CONtRACtOFlCRAUiHQRIZED�GENT DAiE <br /> JOB AUDRE55 '� <br /> 201 Magnolia J i „-.� 5 6 81 _ <br /> • PLUMBING ME HANICAL _ <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYP OF EOUIPMENT - FEE _ <br /> WATER CLOSET(TOILEn AIR COND.UNITS—H.P.EA. _ <br /> BATHTUB REFHIGERATION UNITS—F�P_EH _ _ _— <br /> LAVATORY(WASH BASIN) BOILERS—H.P,EA. _ _.- <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE Eh _ <br /> KITCHEN SINY,8 DISP. FORCED AIR SYSiE�dS—BT.U. M EA. <br /> DISHWASHER Y✓ALL HEATERS—B.T.U. M <br /> LAUNDRYTRAY UNITHEATERS—B.T.U. M - <br /> CIOTHES VlASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DFYi:RS _ <br /> URINFL V`eNTILATION FAY <br /> DRINKING FOUNTAIN RANGE HGDD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STGVE <br /> ROOF�RAINS—RAINLEADERS MET�L FIREPLFDE 8 CHIMNEY <br /> SII:K(SERVICE—BAR,ETC.) — <br /> SUBTOTAL SUBTOTAL S <br /> PEHMIT E PEPM1SIT 5 — <br /> TOTAL FEE S TOTAI FF.E 5 <br /> SIDE Y.1RD SETBACK STREET SETBACK REAR YARD SETBHCK PLAN CHECK NUMBEfl PLAN CHECK FEE <br /> FEE REC�IPT NO. <br /> USE ZONE LOT PREA VACANT SITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> TYPE OF CONST. OCCUPANCY GROUP GO.OF DWELLING UNITS <br /> BUILDING $ BOO . 14 SO <br /> SIZE OF BLDG. N0.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIPE ZONE BASEMENT R OUIRED KLERS MECHANICAL <br /> fIYES ❑NO <br /> APPPOVALS BY DATE O7HER <br /> 1. ENVIRONM[NTAL CHECK LIST PENALTY U.8 C. <br /> SEC.303(t,) <br /> 2. BUILDINGPLANS 70TAL 1�} SO <br /> 3. FIREHYDR/NT <br /> 4. FIRE PROTEC110N SYSTEM PERMIT VALIDA710N <br /> WHLN PFOPERLY VAIIDATED(IN THIS SPACE)THIS IS YOUR PENMIT <br /> 5. GRADING � / �., !� � ,� I �. ti � _ � <br /> 6. DRAINAGE <br /> � <br /> 7. ENVIRONMENTFIIMPACTSTATEMENT � <br /> B. HEALTH DISTflICi „ �, � �fT O <br /> APPLICATION ACC.BY PU+NS CHECKED BY APPR.FOR ISSUANCE�Y , , „ �� <br /> i <br /> � ,_;'f `c� � <br /> ADDRESS FILE <br />