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THE EVERGREEN CITY OF <br />19 901 <br />everett <br />everett <br />CITY HALL/ EVERETT WASH. 95201 <br />INSPECTION REPORT <br />DATE z 2 V. <br />,.eInspecting Department: Housing <br />Building_Plumbirlg Sewer <br />Mechanical <br />Gj�Electrical_ <br />Inspectors Signature <br />Name of owner or building <br />Address of building 3 5 / <br />Type of Construction: Residential <br />Type of inspection requested <br />Report or inspectior <br />i <br />I <br />I <br />1 <br />I <br />I <br />I <br />DISPOSITION: — <br />Commelcial <br />!n') >'1 1 «71-0 <br />1 WAS IN ATTENDANCE WHEN INSPECTION WAS MADE <br />the Eve <br />-�-� <br />C- NSTRUCTION <br />-- -- <br />CITY OF <br />F <br />everett <br />PERMIT <br />` <br />PERMIT NO. <br />08483 <br />CITY HALL 259 8745 <br />❑ COMBINATION ❑ BUILDING ®»MECHANICAL <br />0 PLUMBING <br />EVERETT, WA 98201 <br />OWNER <br />MAIL ADDRESS CITY <br />21P <br />PHONE <br />Mary Turner <br />3515 Oakes <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LKIENSEF <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />98201 <br />PHONE LICENSE F <br />258-2441 <br />Natural Gas <br />Equipment <br />1611 East Grand <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN EIGARAGE <br />OF <br />s <br />PROPOSED USE OF BUILDING <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 LAWS AND ORDINANCES GOVERNING THIS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOr BLOCK____GF <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 ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF(CL�TRAL-'1R OR /�ytM�'IZED AGEN DATE <br />i" <br />JOB ADDRESS <br />3515 Oakes <br />_ <br />MECH <br />AL <br />PLUMBING <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />AIR COND UNITS NI H.P. EA. <br />WATER CLOSET OILET) <br />REFRIGERATION UNITS — H P. EA <br />BATHTUB <br />BOILERS — H.P. EA. <br />— <br />LAVATORY (WASH BASIN <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />KITCHEN SINK A DISP. <br />1 <br />WALL HEATERS — BTU M <br />6 <br />OO <br />DISHWASHER <br />UNIT HEATERS —B.T.U. M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER HEATER <br />VENTILATION FAN <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT — <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />METAL FIREPLACE &CHIMNEY <br />__ <br />ROOF DRAINS — RAINLEADERS <br />SINK SERVICE — BAR. ETC.) <br />SUB TOTAL <br />f 6 <br />00 <br />BUS TOTAL <br />PERMIT <br />f 3 <br />00 <br />PERMIT <br />f <br />TOTAL <br />FEE <br />TOTAL FEE <br />SIDE YARD SETBACK STREET SETBACK <br />f <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 />❑YES []NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CLNST. <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />BUILDING <br />$ <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />- <br />PLUMBING <br />FIRE ZONE <br />B.' 3EMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />MECHANI: AL <br />9 <br />00 <br />17YES ONO <br />APPROVALS <br />By DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC <br />SEC. 303 (a) <br />2.. BUILDING PLANS <br />TOTAL <br />9 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />9 6 5 9 $ 0 0 9.0 0 <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />« <br />J R RE CC I PT <br />8. HEALTH DISTRICT <br />c <br />U <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />