Laserfiche WebLink
e,.T.areen COST R U CTIO N M <br />CITY OF <br />everett PERMIT PERMIT NO.06644 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 - ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />CWNER MAIL ADDRE55 CITY ZIP PHONE <br />MEL FORREY 7532 LOWER RIDGE RD P.17ERF.TT 4A901 353-4654 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IF <br />SAME <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />❑NEW CdADDITION ❑ALTERATION ❑REPAIR El DEMOLITION ❑FENCE El SIGN ❑GARAGE <br />1s <br />COFSTRCT AnnTTTnM Mn PVT41PTMC nARAFdR CTFIRATIR ARRA <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />43 BEVERLY <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT BLOCK_OF <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGN E OF CONT CTOR OR A ORIZED AGENT DATE <br />X 9/5/79 <br />JOB ADDRESS <br />7532 LOWER RIDGE RD. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />SHOWER <br />_ <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />— <br />_ <br />DISHWAPI'ER <br />WALL HEATERS—B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />_ <br />L'LOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />_ <br />AIR HANDLING UNIT — C.F.M. <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE —BAR. ETC.) <br />SUBTOTAL <br />SUBTOTAL S <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />5 <br />TOTAL <br />FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />T <br />79/6644 <br />10.00 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />R-1 <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ <br />V N <br />R-3 <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />16 T X22 L 1 <br />1 <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />3 <br />NO <br />OYES <br />JONO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVI-'IONMENTAL CHECKLIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (B) <br />_— <br />TOTAL <br />2. BUVLDIAG PLANS <br />3. FIRE HYDRANT <br />gn <br />no <br />4. FIRE PROTECTION SYSTEM <br />WHENPERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT ,tea <br />' g' S Q-� CAI wtQ� <br />5. GRADING <br />— <br />6. DRAINAGE <br />_ _ <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />,�CDp <br />f Pio <br />6. HEALTH DISTRICT <br />YOUR RECE <br />L O <br />THANK U <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />LC?VC <br />VC <br />VC LC <br />ADDRESS FILE <br />