Laserfiche WebLink
CPOF <br />CONSTRUCTION <br />PERMIT <br />06418 <br />-everef <br />PERMIT NO. <br />.CRY HALL 259.8745 <br />EvERETT. WA 9wi <br />- <br />I7 COMBINATION ❑ BUILDING ❑ MECHANICAL <br />❑ PLIOMBING' <br />OWNER <br />TOM Watson et al <br />MAIL ADDRESS CITY <br />18810 86th Place Edmonds <br />ZIP <br />98020 <br />BONE <br />774-7070 <br />ARCHITECT OR DESIGNER <br />MAIL ADC':SS CITY <br />ZIP <br />HONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0 <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE f <br />PLUMBING CONTRACTOR MAIL I DDRESS CITY Z P PHONE LICENSE <br />CUSS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR X31DEM.OLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OE WORK <br />S <br />DESCRIBE WORK <br />demolish single family residence <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 „RANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLOTE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRU(g4qN OR THE PERFORMANCE OF CONSTRUCTION. <br />SIG 1TURE DO RACTOR O�1°UTHORI2CO)AGENT OATC <br />X !J • C�� 7/24/79 <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES, <br />13-1d 55q Everet : <br />LOT BLDCx 'OF <br />_ <br />JOF \ODRESS ( <br />Cllh[XEYf[xxxx 2J25 Grand <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR CL_ND. L HITS — H P EA <br />BATHTUB <br />REFRIGLRATION UNITS — H P EA <br />LAVATORY (WASH BASIN) <br />BO.' ERS — HP. EA <br />SHOWER <br />GAS FIRED A UNITS —TONNAGE EA <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B T U. M EA. <br />DISHWASHER <br />WALL HEATERS — B T U M <br />_ <br />LAUNDRY TRAY <br />UNIT HEATERS — B T U M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — CF M <br />VACUUM BREAKERS <br />STOVE <br />_ <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR. ETC) <br />SUB TOTAL <br />SUB TOTAL f <br />PERMIT <br />$I <br />_ <br />PERMIT f <br />TOTAL FEE <br />$I <br />TOTAL <br />FEE <br />_ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEL <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />£ <br />00 <br />00 <br />SIZE OF BLDG. <br />NO OF STORIES <br />MAX OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />7YES LINO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />t. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U B C <br />SEC 303 (a) <br />2. BUILDING PLANS <br />00 <br />00 <br />1TOTAL <br />FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />6. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS !S YOUR PERMIT <br />iC 2i . , •� <br />�< <br />h} <br />6. D64dNAGE <br />7. ENV'RONMENTAL IMPACT STATEMENT <br />B. HcALTH DISTRICT <br />APPOCATION ACC BY <br />PLANS CHECKED BY <br />APPEL FOR ISSUANCE BY <br />Z <br />