Laserfiche WebLink
the Evergreen <br />O 1 ST R U CT I O I <br />CITY OF <br />� ��} <br />evereft <br />PERMIT <br />PERMIT No. <br />08943 <br />CITY ,ALL 259 6745 <br />EVFRETT. WA 96201 <br />❑ COMBINATION ❑ BUILDING EXWECHANICAL <br />E PLUM51NG <br />OWNER <br />MA,.. 'CRESS CITY <br />ZIP - <br />'HCNL - <br />George Vaughn <br />2113 <br />Hoyt <br />AYIHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />71P <br />PHONE <br />GENERAL COMTRACTOR - <br />MA L ADDRESS CITY <br />ZIP <br />PHONE LICENSE F <br />I MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE F <br />Natural Gas equipment <br />1611 East Grand Everett <br />98201 <br />258-2441 <br />PLUMBING CONIHACIOR <br />Ml iL ADDRESS CITY <br />ZIP <br />PHONE LICENSE <br />CLASS OF WORK <br />❑NEW <br />❑ADDITION <br />❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE <br />❑SIG.`I ❑GARAGE <br />VALUATION OF WORK <br />f <br />DESCRIBE WORK <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 />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <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 />SIGNATURE OF CONTRACTO R A ORIZED A DATE <br />X 3/2/81 <br />LEGAL DESCRIPf10NOFPROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK —OF <br />JOB ADDRESS <br />2113 Hoyt <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 />SHOWER <br />GAS FIRED A.C. UNITS -- TONNAGE EA. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS -- B.T.L. M EA. <br />_ <br />DISHWASHER <br />WALL HEATERS - B T.U. M <br />_ <br />_ <br />_ <br />LAUNDRY TRA <br />UNIT HEATERS - B.T.U. M <br />_ <br />_ <br />CLOTHES WASW 9 <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKR<a FOUNTAIN <br />RANGE HOOD <br />FLOCS DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />vACULM BREAKERS <br />STOVE <br />_I <br />HOOF DRAINS - RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE - BAR, ETC) <br />�Q <br />— <br />�4N <br />SUB TOTAL <br />SUB TOTAL S <br />4 <br />5 0 <br />PERMIT <br />f <br />PERMIT i <br />3 <br />00 <br />TOTAL FEE <br />f <br />TOTAL <br />FEE $ <br />7 <br />50 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT N0. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OOC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />REQUIRED SPRINKLERS <br />F]YES ONO <br />MECHANICAL <br />7 <br />50 <br />APPROVALS <br />BY <br />DATE <br />JOTHER <br />1, ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.BC. <br />SEC. 303(a) <br />2. BUILDING PLANS <br />TOTAL <br />7 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOU!PIi 11 r O -� <br />11 ( U cy <br />d <br />^ �-' a <br />I� <br />��� l L I` <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />R. HEALTH DISTRICT <br />APPLICATION ACC 9Y PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />4 <br />1 <br />1 <br />I <br />