Laserfiche WebLink
I <br />,heFT CITYen <br />OF <br />C�NSTRUGTION `: P-- <br />CITY I <br />everett PERMIT PERMIT NO. 06685 <br />CITY HALL 259 0745 <br />EVERETT. WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRLSS CITY ZIP PHONE <br />MAYNARD K. WARNER 6917 MORGAN RD. EV6RETT 98203 355-5536 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />1 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUM71NG CONTRACTOR MAIL I DURESS (,ITY ZIP PHONE LICENSE L <br />J]NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />{ <br />DESCRIBE W^RK <br />LOT BLOCK _OF <br />JOB ADDRESS <br />G017 nn <br />FOUR COPIES) <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 />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 C ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTR_,, TION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGN��` ATTUUR�RF 3� CONTRACTOR OR AUTHORIZED AGENT �L DATE <br />PLUMBING <br />MECF ANICAL <br />NO. <br />I 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 />REFRIGERA[ION UNITS — H.P. EA <br />1 LAVATORY (WASH BASIN) <br />BOILERS -- H.P. EA. <br />yI ROWER <br />GAS FIREF) A.C. UNITS — TONNAGE -1. <br />_ <br />KITCHEN SINK 6 DISP, <br />FORCED MR SYSTEMS — B T.U. M 'A. <br />T <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />T <br />LAUNDRY 1RAY <br />UNIT HEQERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTNIS DRYERS <br />J11MAL <br />VENTIL QION FAN <br />_ <br />DRINKING FOUNTAIN <br />RANGE IIOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE _4 <br />on <br />ROOF DRAINS — RAINI.EADERS <br />METAL FIRI PLACE & CHIMNEY <br />SINK ISERVICE — BAF ETC.) <br />SUB TOTAL <br />SUB TOTAL f <br />4 <br />00 <br />PERMIT S <br />PERMIT t <br />' <br />TOTAL FEE t <br />TOTAL <br />FEE <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 />OSE ZONE <br />LOT AREA <br />VACANT SITS <br />DYES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYH'i JF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ <br />_ <br />SIZE 0' BLOG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />DYES ONO <br />MECHANICAL <br />7 <br />no_ <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1, ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U B C <br />SEC. 303 (a) <br />2. BI'ILDING PLANS <br />TOTAL <br />7 <br />00 <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 />$ 0 0 7. 0 0 <br />CC77CC <br />(,[ <br />YOUR RECEIPT Cc <br />' <br />THANK YOU <br />i. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />S.HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />1c <br />