Laserfiche WebLink
the Evergreen -, CITY OF C" NSTRUCTION <br />PERMIT <br />evel'ett PEWIT NO.08483 <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 ❑ COMBINATION ❑ BUILDING ®)MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Mary Turner 3515 Oakes <br />ARCHITECT OR DEF�CNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSED <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE f <br />MECHANICAL CONTRACTOR <br />Natural Gas EquipLent <br />1611 East Grand <br />98201 <br />258-2441 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE IF <br />y--r 1 ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION El FENCE ❑SIGN ❑GARAGE <br />S <br />DESCRIBE <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PUCATION AND KNOW THE SAME TO BE TAUE AND CORRECT. <br />ALL PROVISIONS OF LAWS 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 ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF TRACTOR OR IZIZED AGEN GATE <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) <br />LOT BLDCK_GF <br />JOB ADDRESS <br />3515 Oakes <br />PLUMBING <br />MECHAJJ16AL <br />NO. <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 — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A . UNITS — TONNAGE EA. <br />KITCHEN SINK d DISP. <br />FORCED AIR SYSTEMS <br />DISHWASHER <br />1 <br />WALL HEATERS — B T.U. M <br />6 <br />00 <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_ <br />WATER HEATER <br />CLOTHES DRYERS <br />_ <br />URINAL <br />VENTILATION FAN <br />_ <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />ISTOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 6 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL <br />SUS TOTAL f <br />6 <br />00 <br />PERMIT <br />f <br />PERMIT f <br />3 <br />00 <br />TOTAL FEE <br />TOTAL <br />FEE f <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 />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GFOUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f <br />SIZE OF BLDG, <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />REQUIRED SPRINKLERS <br />L7YES ❑NO <br />MECHANICAL <br />9 <br />00 <br />— <br />APPROVAL.S <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U I <br />BEi,. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />9 <br />0 0 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />9 6 5 9 A 0 0 9.0 0 -- <br />p RCI <br />Oc <br />,. . ! RECEIPT <br />// <br />�, ��L,I\h 1 cU <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 />2 7 OCT E 0 <br />ADDRESS FILE <br />