Laserfiche WebLink
Me Evergreen <br />(IT1 Or <br />everett <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 <br />PONSTRUCTIQR` <br />PERMIT <br />❑ COMBINATION] BUILDING ❑ MECHANICAL <br />PERMIT NO. 14711 <br />PLUMBING <br />OWNER <br />MAIL ADDRESS <br />CIT" <br />PHONE <br />Barry Hollander <br />2804 Grand <br />Everest <br />98201 252-1089 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />GENERAL CONTRACTOR <br />NAIL ADDRESS <br />CITY <br />ZIP PHONE <br />LICENSE R <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />LICENSER <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE R <br />V . V V ❑ NEW ❑ ADDITION X® ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEFIREPLACE INSERT <br />$ 1,000.00 <br />DESCR BE WORK <br />Tenant- Tmnvna.mm�nr <br />PROPOSED USE OF BUILDING <br />Retail Sales <br />I HEREBY CERTIFY 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 />GOVERNING 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 OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CO STRUCTION. <br />SIGN E F CONTRACTOR AUUTTTHHH RIZED AG NT DATE <br />r u y ���� <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT__ BLOCKOF <br />JOB ADDRESS <br />2804 Grand <br />PLUMBING <br />MECHANICAL <br />N0. <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 — M.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK 6 DISP, <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 />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />1 <br />FLOOR DRAIN <br />2 <br />00 <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />S <br />2 <br />SUB TOTAL S <br />PERMIT <br />f <br />PERMIT S <br />TOTAL FEE <br />S <br />2 <br />00 <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SET BACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />85/14711 <br />PLAN <br />CHECK FEE <br />9EPJ NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />-YES ;:NO <br />FEES <br />LUATION <br />FEE <br />-- <br />kEE11.38 <br />_ <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />000. <br />17 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />2 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />-. YES :NO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 lal <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />19 <br />50 <br />4. FIRE PROTECTION SYSTEM <br />S.GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY. .VALIDATED (IN THIS SPACE) THIS IS YO}1R/PERMIT___ � <br />71 <br />r. <br />C' <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />