Laserfiche WebLink
the Evergreen <br />CITY OF CC" VSTRUCTI©N <br />eeerett PERMIT PicRMIT NO.08106 <br />26; <br />CITY HALL 259 8745 <br />EVERETT, WA 9B20i ❑ COMBINATION D BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Snohomish Commercial Assoc. 430 Cascade Center 98201 259-0202 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE III <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />PLUMBING CONTRA, OR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION J(iEPAIR ❑DEMOLITION ❑FENCE El SIGN ❑GARAGE <br />VALUAT ON OF WORK <br />f 1,750.00 <br />DESCF IBE WORK <br />re -roof Composition <br />PROP.ISED USE OF BUILDING <br />apartment <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 LkWS 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 THEIR STATE OR LOCAL LAW REGULATING <br />CON RUC Oy,OR THE PERFO-IMANCE OF CONSTRUCTION. <br />SIG TLIP F 'IiACT R OR AUTHO D AGENT DATE <br />v 6/13/80 <br />LEGAL DESCRIPTION OFPROPERTY (SHOW BELOW ORATTACH QURCOPIES) <br />Ptn 5 615 Everett <br />LOT �Q�lCIF <br />.LOB ADDRESS <br />!9-2631 Grand Avenue <br />LKyMWNp <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TY IE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H P EA. <br />BATHTUP <br />REFRIGERA, ION UNITS — H.P. EA <br />LAVATO'.IV ASH BASIN <br />BOILERS — H P. EA. <br />SHOVER <br />GAS FIRED A C. UNITS — TONNAGE FA. <br />KITCHEN SINK 8 DISP, <br />_ <br />FORCED AIR SYSTEMS — B T U. M EA <br />DISHWASHER <br />WALL HEATERS — B T.U. M <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 />1 VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />_ <br />HUA7R DRAIN <br />AIR HANDLING UNIT — C.F M <br />_ <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />W s TOTAL <br />SUB TOTAL f <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />8 <br />TOTAL <br />FEE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />BUILDING <br />s1750.00 <br />18 <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 />REQUIRED <br />OYES ONO <br />MECHANICAL <br />APPROVALS <br />By <br />DATE <br />OTHER <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U B C <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />18 <br />00 <br />3. FIRE HYDRANT <br />A. FIRE PROTECTION SYSTEM <br />5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />G 2 2 6 S 0 11! e 0 •--cal <br />CD <br />T"I <br />YOUR R s C L I PIE <br />T;-i AN K YOU <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />1 3 AUC 8 0 <br />