Laserfiche WebLink
rhe E�•ergreen �� O N ST R U CT I O» . <br />Cirv oF <br />everett PERMIT PERMIT NO. �-6OH3 <br />CITV HALL 259�B7a5 <br />EVERE77,WA98201 ❑ COMBINATION Iy� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Dr. Jenkins <br />ARCNITEGT OR DESIGNER M�IL ADDRESS CITY ZIP YHONE <br />GENEPAL CONTRACTOR MAIL AO�RESS CITY ZIP PMONE UCENSE I <br />James Gaffney Const. Inc. 1710 100th Place S.E. Everett 98204 338-2114 <br />MELNANIC�L CONTRAGTOR MAIL AODRE55 CITY ZIP PHONE LICENSE � <br />JA ME SC C256QK <br />PWMBING CONTRRCTOR MAIL �COFE55 CITY ZIP PNONE L�CENSE / <br />� NEW ❑ AD7ITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVE/FIREPLACE INSERT <br />VALUATION OP WORK <br />f %ioo.00 <br />OESCRIBE WOR1c <br />oo^�Construot^Single Family Residence —�������Q� <br />Single Family Residence <br />�or 6 e�ocn_oF <br />5031� Harbor Lane <br />OW BELOW OR ARACH FOUR COPIE51 <br />Harbor Ridqe <br />PLUMBINO <br />NO. TVPE OF FIXTURE OR ITEM <br />BATHTUB <br />LAVATORY (VJASH BASIN� <br />SHOWER <br />LAUNDRVTR0.Y <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />VACI'UM BREAKERS <br />ROOF ORAINS — FAINLEADERS <br />SINK ISFRVICF — BAR. ETC 1 <br />SUB TOTAI <br />PENMIT <br />TOTAI FEF. <br />D SE78ACK STREET SETBA� <br />7�' 25' <br />= I.OT AREA <br />R-S <br />!'-N <br />SIZc OF F.L.:G. NO. Of <br />540 Sq. Ft. <br />FIRE ZONE BASEh <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING �LANS <br />3. FIRE HYDRANT <br />4. FIRE PROTEC710N SYSTEM <br />5. GRADING <br />fi.DRAINAGE <br />7.ENVIRONMENTAI'NPACTSTAT <br />8. HEALTH DISTRIC' <br />APPLICA710N ACG LY PLAI <br />M <br />STG <br />FEE <br />� <br />f <br />s <br />REAR YAR� SE' <br />25' <br />VACANT SITE <br />::VES x]Q�10 <br />NO. OF DWELLI <br />0 <br />MA%. OCQ LOA <br />FIRE SPRINKLE <br />REOUIRED <br />i-�.YES siNO <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 />PEFMIT 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 />FIKRFORMANCE OF C9NS7RUCTION. <br />OF CONTRAC�Y.{lIQ�(ZED�R'iEFlT OATE <br />�a ,/x U/i 2� ,a-- <br />FeE <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 A�R SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTMES ORYERS <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SU8 tOTAL S <br />PERMIT S <br />TOTALFE! S <br />86/16083 IFE`- 44.53 I R 386 <br />FEES VALUATION FEE <br />BUILDING E ']200.00 64 $0 <br />PLUMBING <br />MECHANICAI <br />OTHEFi <br />PENALTY SEC�3031a1 <br />TOTAL 64 SO <br />PEPMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THI$,5� qCE) THIS 161(01.1R,PyRNMT _� <br />U U 1 � U 4 J U <br />� <br />i.o <br />�, � � n . <br />BY . � . �. r._�..�L:Ii I� <br />' ' ^.� ;',: Y+.-i �1 <br />AUDRESS FILE <br />� j . � ���i <br />ii',.� � u <br />