Laserfiche WebLink
the Evergreen <br />���Y�� � �ONSTRUCTIOI� � <br />everett PERMIT PERMIT NO. 14353 <br />CITV HALL 259�87<5 <br />EVERETT, WA 98201 � COMBINATION C� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDFESS pTY ZIP PHONE <br />John Maxwell 13405 28th Street N.E. XBYI Lake Stevens 334-3281 <br />•RGXITECT OF DESIGNER MqIL RDDRESS QTY ZIP PMONE <br />GENERA� CONTRACTOR MRIL ADOPESS GTY 21P PHONE LIGENSE 1 <br />Same <br />MECNFNICAL CONTRAGTOR MAIL AODRESS dTY 21P PMONE LICENSE II <br />PLUMBING CONTRACTOR MAIL AODRE55 pTV ZIP PMONE L�CENSE / <br />GLA55 OF WORN <br />O NEW XH ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WODU STOVE/FIREPLACE INSERT <br />t 2,000.00 <br />construct new decks <br />Apartment <br />EGAL DESLRIPTION OF PROPEf <br />�OT _ BLOCN _OF <br />2532 Grand Avenue <br />PLUMBIN6 <br />WATEH CLOSET (TOILET) <br />BATHTUB <br />SHOWER <br />KITCHEN SINK d DISP. <br />DISHWASMEP <br />LAUNDRYTRAY <br />CLOTMES WPSHER <br />WATER HEATER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOF DRAIN <br />ROOF DHAINS — RAINLEA�E <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />SIZE OF BLDG. NO. OF STORIES <br />FIRE ZONE BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CMECK LIST <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />B. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTA7EMENT <br />B. HEALTM DISTRICT <br />FEE <br />f <br />S <br />f <br />�.:YES C�,NO <br />MA%.00Q LOAD <br />BY <br />APPR.FOR�SSUANCE <br />� <br />� 4EREBY CEHTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVErINING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY 0'HER STATE OR <br />LOCAL LAW REGU�1 TING CONSTRUC:TION OR THE <br />PERFORMANCE OF�COJVSTRUCTION. <br />AUiHORIZED AGENT DATE <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT <br />AIR COND. UNItS — M.P. EA. <br />REfRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR S1'STEMS — B.T.U. M EA. <br />WALL HEATERS — B,T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATH'E COOLERS <br />CLOTHES ORVERS <br />VENTILA710N FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F,M. <br />STOVE — WOOD <br />METAL FIHEPLACE 6 CHIMNEV <br />FI(7EPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL f <br />PERMIT f <br />TOTALFEE f <br />FEE I RECEIPT NO. <br />VAIUATION I FEE <br />eUILDING E Zr000. 32 SO <br />PLUMBING <br />MECHANICAL <br />OTHEF <br />PENALTY U.B.C. <br />SEC. 303 (a) <br />TOTAL I I 32 � 50 <br />PERMIT VALIOATION <br />WHEN PROPERLY VALIDATED (M THlSSPAQE) THISJS YDU ��MiT (� <br />� ��:u—ub <br />M <br />'� <br />.. ,� t"� <br />�� i <br />ADDRESS FILE <br />. ,� <br />