Laserfiche WebLink
� �/ IheEvergreen '^� Cp�ySTRUCTION �� <br />CITY OF <br />everett PERMIT pERMIT N0. 07560 <br />CITY HALL 259�87A5 <br />EVERETT. WA 98201 ❑ COMBINATION i�Ix BUILDING ❑ MECHANICAL PLUMBING <br />OWNER MRI_ADORE55 r,ItY ZIP PMONE <br />Robert E. Blem 6815 Morqan Road 98203 353-6803 <br />ARCHITECT OR OESIGNER MAIL ADDRE$$ GITY ZIP PNONE � <br />GENEPRL CANTMCTOP MnIL ADDRE55 CITY 21P PHONE LICENSE 1 , <br />Same <br />MECHANiGLCANTRAGTOR MAILADDRESS CITY ZIP PHONE I�CENSE� <br />PLUM6MGfANTqACTOR MAILADORE55 GTV ZIP PHONE LICENSE• i <br />SSOF WORK <br />❑NEW X�[.IADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br />UATION OF WORK <br />S f1�0.00 <br />LEGAI DESCRIPTION Oi PROPEPiY �Si <br />LOT 11 BL�'x OF <br />S 12' of W 62' Lot 9 <br />JCB AUORESS <br />�rgan Road 681 <br />PLUM61N0 <br />N0. TYPE OF <br />WATER CLOSET (TOILET <br />&1THTUB <br />LAVATORY ASH BASI� <br />SHOWER <br />KITCHEN SINK & DISP. <br />SINK <br />� <br />� <br />OR ATTAGH FOUR CAPIES� <br />Lv Hills 115 <br />.� uoaa <br />iIDE YARD SETBACK STREET SF:TBAGK <br />JSE ZONE LOT AREA <br />fVPE OF CANST. OCCUPANCY GROUP <br />SIZE OF B�DG. NO. OF STORIES <br />FIRE ZONE BASEMENT <br />AVPROVALS <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PUNS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRAINACaE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH OISTRICT <br />APPIIiATION ACC. BV PLANS CMECKED BY <br />SETBACK <br />VACANT SITE <br />❑YES ❑NO <br />LOAD <br />APPR. FOR ISSUANCE BY <br />L.C. <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 ORUINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPE�IFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOE : NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTNE PRO� <br />VISIONS OF ANY O�HER STATE OR LO(:AI. LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNI.TU Of CANiRAGTOR OR AUiHORIZEO GEN DATE <br />X i ' C�'2�,9� � ` — 5/�/eo <br />MECHANICAL <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNI7S — H.P. EA <br />ppILERS — H.P. EA. <br />GAS FIRED AL. UNITS — TONNAGE EA. <br />PoRCED AIR SYS7EMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />iivnucei[aS—BTII M <br />AIR <br />MECHANICAL <br />O7HER <br />PENALTY <br />. �I <br />d <br />FEE <br />$ 600.00 <br />U.B C. <br />SEC. 303 (a) <br />RECEIPT NO. <br />[:� � 1 <br />VALIDATED (IN THIS S I E)t Hs�51S YQU�P� �.T� a�� <br />� 7 � <br />� � . <br />� <br />YOUR RECEIP� <br />7;-IANK YO U <br />� <br />'` <br />� <br />