Laserfiche WebLink
the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259.8145 <br />EVERETT. WA 98201 <br />CONRTRUCTION <br />rERMIT <br />COMBINATION It BUILDING • MECHANICAL It PLUMBING <br />everett <br />�e <br />OWNER MAIL ADDRESS ZIP PHONE <br />Dept of Gen. Admin. 108 Maple Park 753-7514 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />Solie Bldrs 7514 Juniper Dr. 353-2331 230-01-50- '- <br />GENERAL CONTFACTOR MAIL ADDRESS PHONE LICENSE NO. <br />ESSM <br />Z <br />C <br />MECHANICAL CONTRACTOR MAIL AOURESS PHONE LICENSE NO. <br />Sno Plbq <br />3 <br />W <br />Cn m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />CT) m <br />(11� <br />PERMIT <br />❑COMBINATION <br />❑ BUILDING O PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />El NEW ❑ADDITION [ALTERATION ❑REPAIR <br />I� <br />VALUATI N OF WORK <br />IS Agg 15,000.00 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />PROPOSED USE <br />Office for S DSHS <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCR"TION OF PROPERTY (SHOW BELCW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK670 DFP-00-Lots 1&2 <br />Everett Plat of 8392-64 <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />$ I <br />REFRIGERATION UNITS--H.P. EA. <br />BOILERS-H.P. EA. <br />1 <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />JOB ADDRESS <br />284 Grand Ave <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />—I— <br />BATH TUBS <br />S <br />I <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE. & CHIMNEY <br />I <br />DRINKING FOUNTA11.15 <br />I <br />FLOOR DRAINS <br />I <br />GAS. SV STE M: NO OP OUTLETS <br />KITCHEN SINKS & DISP. <br />I <br />SUB TOTAL S <br />I <br />BAR SINKS <br />I <br />PERMIT $ <br />ROOF DRAINS - RAIN LEADERS <br />I <br />TOTAL FEE $ <br />1 <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY T14AT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR T14E PERFORMANCE OF CONSTRUCTION. <br />X _ <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />I <br />WATER HEATERS -ELECTRIC <br />I <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />I <br />I <br />SUB TOTAL <br />PERMIT <br />S <br />TOTAL FEE <br />WATER <br />SERVICE SIZE SLDG. SUPPLY <br />SIZE <br />_ <br />79 <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YAROSETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE 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 />UNITS <br />NO. OF DWELLING <br />I <br />I <br />_ <br />BUILDING <br />$ <br />15,000.00 <br />1 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT FIRESPRINKLERS <br />REQUIRED <br />❑YES ONO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />—J <br />PENALTY <br />SEC. 303(a) <br />1 <br />TOTAL <br />72 I OO <br />PERMIT VALIDATION�'.i11 j^I.,Rj}�� <br />WHEN PROPSRLV VAI )DATED IIN HIbSACE1 1 I O PERMIT <br />YOUR RE4�EI0S <br />THANK YOUco <br />