Laserfiche WebLink
7he Evergreen �C J ST R�1 CT I C� i,� <br />CITY OF <br />�vere�t P�Rh��T PERMIT IVO. O7H6J� <br />CITY HALL 259�B745 <br />EVERETT, N!A 98201 � COMBINATION ❑x BUILDING � MECHANICAL � PLUMBING <br />04YNER MldLA0DRE55 G�Y TiP PHONE <br />Sherstad and Williams, Inc. P.O. Box 419 Kirkland 98U33 827-0494 <br />ARCHITECTOROESIGNEF MAILADDPE55 CRY :IV PHONE <br />GENEPNL CONTRFGTOR MAIL ADDRE55 CITV Z�P pHONE IICENSE • <br />Same SH ER SW 24613 <br />MEGHANICALfANTRACTOR IAAILApOflE55 CITV IIP PMONE LICENSEI <br />PLUMBWGCONTRACTOR MAILADDPESS CITV IIP PHONE UCENSEI <br />,I�'NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑JEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />S 65,000.00 <br />OESCPIBE WORK <br />Construct Sinqle <br />PROPOSED IISE OF 9UILDING <br />Single Family Res <br />LEGAL DESCRIPTION OF PROPERTV �SNOY/ DELOYI <br />,,,, 24 0,�,, „� Ceda <br />ce <br />M i iUR COPIES� <br />dge Estates <br />R 12-28-4 <br />J06 ApDRE55 <br />7612 Tower Ridge Road <br />PI.UMBING <br />NO. TYPE OF FIX.TURE OR ITEM FEE <br />�. WATER CLOS[T (TOILET) <br />]. BATHTUB <br />�. IAVATORY �WASH BASIN) <br />SHOINER <br />], KITCHEPi SINK 8 DISP. <br />1 DISHW�SHER <br />LAUNDRVTRAY <br />1 CLOTHES WPSHER _ <br />1 WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR. ETC.) <br />SUB70TAl l� <br />SIDE YARD SETBACK STREET SETBACK <br />6' 20' <br />USE 20NE LOT AREA <br />R-1 <br />TYPE OF CONST. OCCUPANCY GROUP <br />V-N R-3 <br />SIZE OF BLDG. NO. OF STORIES <br />2�'X60' 1 <br />3 <br />none <br />1. ENVioONA'ENTALCHECKUST <br />2. BUILDING PLANS vi <br />3. FIRE HYDRANT �� <br />4. FIRcPROT[C710NSYSTEM � <br />5. GRADING � �' - <br />—r— �, <br />6. DRAINAGE ��_' ' � - <br />7..�NVIRONMENTAL IA7PACT STATE <br />8. V'CALTH DISIRICT�., r <br />�CC. Bvl I P�5$ CHECKED �V <br />REAR YARD SETBACK <br />20' <br />VACPNT SITE <br />Cjtlj€S ❑NO <br />NO.OF DWEILING UNITS <br />1 <br />MAX.00C.LOAD <br />BY <br />I HEFEBY 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 />TYPE OF WORK WILL BC COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A P[RMIT 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 />SIGNFTURE OF 0 O H D AGENT DATE <br />X � <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT T— FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERAiION UNITS — H.P. EA <br />BOII ERS — H.P. EA. <br />G�S FIRED A.C. UNITS — TONNAG[ EA. <br />FORCED AIR SYSTEMS — B.T.U. M <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORnTIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />PE`MIT S <br />TOl AL FEE S 14 <br />ECK NUMBEfl PLA�; CHECK FEE <br />Hy78F5 FEE lO$.�O I RECEIPTNO. <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />\NHEN PROPERLY <br />$� � il.�� <br />'� � f: f:EC[IPT <br />APPR. FOR ISSUANCE UV , .��. •.-�, �' <br />v <br />�65,000 <br />U.B.C. <br />SEC. 303 (a) <br />217 00 <br />14 00 <br />14 00 <br />�_ � 245 � o0 <br />f�ED (IN THIS Sg1CiEC�T��SIS Y�U� P�Fi�AITC O�� � <br />`7 � <br />cn <br />���;';R RECEIPi� <br />� I i;'`.F!}: YO U C� <br />� <br />