Laserfiche WebLink
the £V�TY of I"'ONSTRUCTION <br />everett PERMIT PERMIT NO.10629 <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 ❑ COM."NATION ® BUILDING 1.9 MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY til• 19L <br />Judy Holbrook 3515 Oakes Everett 9E1201 159-1923 _ <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY "P EnUNL <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />r And Co. Const Co. 4507 144 Drive S.E. Snohomish 568-5528 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />AN DC OC 240JN _ <br />PLUMBING CONTRACTOR MAIL ADDRESS Chr ZIP PHONE LICENSE <br />L <br />❑NEW [:)ADDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN L :ARAGE <br />VALUATION OF WORK '— <br />£ 8,000.00 <br />Change single family residence to duplex <br />PROPOSED USE OF BUILDING <br />Duplex <br />1 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 />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 iMCiOR OR AUTHOR D AGETIZ DATE <br />X �-> <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT —BLOCK —OF 8-9 856Everett Div. M <br />JOB ADDRESS <br />3515 Oakes <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />I TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />2 <br />00 <br />1 AIR COND. UNITS - H.P. EA. <br />SATHTU!f <br />I REFRIGERATION UNITS - H.P. EA <br />LAVATOHY (WASH BASIN) <br />7 <br />nn <br />I BOILERS - H.P. EA. <br />1 <br />SHOWER <br />9 <br />Din <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />1 <br />KITCHEN SINK & DISP. <br />9 <br />FORCED AIR SYSTEMS -- B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS-B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS -8.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />2 <br />WATER HEATER <br />4 <br />no <br />CLO-HES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />SUB TOTAL <br />1 9 <br />n <br />SUBTOTAL S <br />PERMIT S <br />PERMIT $ <br />TOTAL FEE S <br />I 1 1 <br />nn <br />TOTAL <br />FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />82/10629 <br />PLAN CHECK <br />FEE 44.53 <br />FEE <br />RECEIPT NO. <br />787 <br />USE ZONE <br />R-3 <br />LOT AREA <br />VACANT SITE <br />[]YES R7kkO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />Alteration R-3 <br />NO. OF DWELLING UNITS <br />2 <br />BUILDING <br />b ,000. <br />68 <br />50 <br />SIZE OF BLDG. <br />40. OF STORIES <br />2 <br />MAX. ODC. LOAD <br />7 <br />PLUMBING <br />12 <br />00 <br />FIRE ZONE <br />BASEMENT <br />e5 <br />FIRE SPRINKLERS <br />REOUIRw <br />FlYES QGIYO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.BC, <br />SEC. 303 (a) <br />2. BU'LDING PLANS <br />3. FIRE HYDRANT Iw <br />TOTAL <br />SIX <br />5 0 <br />4. FIRE PROTECTION SYS?& <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />3 8 8 7 S O 6 S, 5 --- aj <br />N <br />Co <br />YOUR RECEIPT . -A <br />� <br />THANK Y,C. U <br />5. GRADING ../ V <br />6. ORAINMOE <br />7. ENVIR M�ITAL IMP/Mf6TgTEMENT <br />8. HEALT I(:T ,r <br />_ <br />APPLICA77�N. BY LANS CHECKED BY <br />e~ O O HWM <br />APPR. FOR ISSUANCE BY <br />LC <br />