Laserfiche WebLink
� �� <br />the Evergreen ^O IV ST � U CT i O N <br />CITY OF i <br />evE�re� PERMIT pERMIT N0. 116Q 3 <br />CITY HALL 259�B7a5 <br />; eveaEtr, wn 9820� ❑ COMBINATION �}BUILDING ❑ MECHANICAL ❑ PLUfABING <br />Robert A. Johns� 816 Mad;c�n Everett 98203 353-7397 <br />A�iCHiTEGi OR DESIGHER IAAII AOORE55 C:iV ZIP CHONE <br />GENEPALCONTRPCTOR MNILADDRE55 CITY ZiP PHO`JE LiC[NSE� <br />Same <br />MEGHANiCALCONIFAGTOR MNILADDRESS CITY LIP PNONE LICENSEr <br />CITY 21P PHONE LICENSE x <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOUTION ❑FENCE ❑SIGN []�iARAGE <br />aX <br />VALUATION OF WORK <br />s Zin�0.0� <br />DESCRiBE N'ORN <br />erect carport and storage on existin slab <br />PnorOSEo u5E OF eulLoiNG <br />Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />�ccn�oescaianouoFPaoPearr�sHowae�owonnnncNFouaco.�ies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORPECT. <br />Beverl Hills #5 ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />�or 15 e�ocK_or y TYPE OF WORK WILL BE COMPLIED WITH NJHETHER SPECIFlED <br />�oo nouaess <br />816 Madison <br />PLUMBING <br />NO. TYP <br />WATGR CLOSET 1 <br />SHOV/ER <br />K17CHEN SINK 8 DISP. <br />D�SHVlASHER <br />LAUNDRVTRAV <br />CLGTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOH DRAIN <br />SINK ISERVICE — <br />OR <br />SIDE YAflD SETBACK STREET SETBACK <br />USE ZUNE LOT AREA <br />TYPEOFCONST. OCCUPANCV GROUP <br />V-N M <br />SI2E OF BLDG. NO. OF STORIES <br />448 Sq. Ft. <br />L ENVIRONMENTAL CHECK L15T <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4 FIRE PROTECTION SYSTLM <br />5. GRADING <br />6. DRAINAGE <br />Z ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPUCA110N ACC. BY PU1N5 CHECKED BY <br />STG H[qM <br />REAq YARD SETBACK <br />VACANT SITE <br />❑YES ❑NO <br />NO.OF DWEL <br />APPR.FORISSUANCE BY <br />HEREIN OR NOT. THG 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 P tf MAN,E OF CO STAUCTION. <br />SY ��E GOi RACTOR ' AUi " RED�GENt pATE <br />x ��-��� . �°`' ����3 <br />MECHANICAL <br />REFF�GERATION UNIiS - <br />�OILERS — H.P. EA. <br />oNorintuH�. �iviia— i�nrvrwcv�. <br />FOFiCEO AIR SYSTEh7S — BS.U. M <br />WALL HEATEfiS — B.T.U. M <br />lJNli HEATERS — B.T.II. h1 <br />FAN <br />STOVE <br />8 CHIMNEY <br />PERMIT <br />TOTAL FEE <br />83/11643 I FE[ 11. 38 I ���iP��° <br />FEES VALUAlION FEE <br />OUILDING �1,0U0. � 17 50 <br />PLUMBING <br />MECMANICAL <br />OTHER <br />PENALTY U B.0 <br />SEC.303(a) <br />TOTAL 17 S 0 <br />WHEN PROPERLY VALIOATED (W THIS SPACE) THIS IS YOUR PERMIT <br />G039 �0 I 1.50 - i� <br />� _ �}' <br />' . � <br />1'O'U'R RECEIPT � <br />TI-f�,t�!IC Y�O_U <br />• � �1 <br />�5� 83 <br />ADDRESS FILE <br />( <br />1 <br />� <br />� <br />