Laserfiche WebLink
the Evergreen <br />�1 CITY OF <br />Ir everett <br />CITY HALL 259.8745 <br />` EVER ETT.WA 88201 COMBINATION <br />CONSTRUCTION everett <br />PERMIT <br />• BUILDING • MECHANICAL • PLUMBING <br />j. <br />OWNER MAIL ADDRESS ZIP PHONE <br />First Presbyterian Church 2939 Rockefeller Ave., 98201 <br />m <br />378NO c <br />W <br />m <br />:13 <br />ARCHITECT OR DESIGNER MAIL ADDRESS <br />PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS <br />Sanford Wright P.O. Box 809, Everett <br />PHONE LICENSE NO. <br />259-4138 223-01-WR -IG-HS <br />MECHANICAL CONTRACTOR MAIL ADDRESS <br />PHONE LICENSE NO. <br />" <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />PHONE LICENSE NO. <br />PERMIT <br />❑COMBINATION <br />IK.BUILOING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />$ 1500.00 <br />❑DEMOLISH [R4NCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Construct parking bumper to protect adjoining property <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF ENERGY ❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) (� <br />LDT18-25 BLocK684OF Plat of Everett <br />_ <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />$ I <br />REFRIGERATION UNITS-H.P. EA. <br />-�- <br />BOILERS-H.P. EA. <br />1 <br />- -- <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />JOB ADDRESS <br />2930 Rockefeller Ave. <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />1 <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />s <br />1 <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />— <br />1 <br />DRINKING FOUNTAINS <br />I <br />FLOOR DRAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS_ <br />KITCHEN SINKS & DISP. <br />SUB TOTA:. $ <br />I <br />BAR SINKS <br />PERMIT $ <br />ROOF DRAINS - RAIN LEADERS <br />1 <br />TOTAL FE - $ <br />1 <br />SHOWER BAI HS <br />THIS PERMIT BECOMES NULL AND VOID li WORK OR CONSTRUC <br />TION AUT14ORIZED IS NOT COMMENCED WITHIN 120 DAYS. OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT t HAVE READ AND EXAMINED THIS A <br />PRIVATION ANDND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PFRFORMANCE OF CONSTRUCTION. <br />X f 9-30-77 <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />1 <br />WATER CLOSETS <br />1 <br />WATER HEATERS -ELECTRIC <br />I <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />I <br />1 <br />SUB TOTAL <br />PERMIT <br />S� <br />TOTAL FEE <br />WATER SERVICE 012E BLDG. SUPPLY SIZE <br />SIGNAIUREOF C ONTRACTORORAUTH.AGENT DATE <br />SIDE YARD SETBACK <br />STREETSEIBACK <br />REAR YARDSETRACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT.;REA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />- I <br />.. <br />TYPE OF CONST. <br />OCCUPANCY GROUP NO. <br />UNITS <br />OF DWELLING <br />I <br />BUILDING <br />$1500. 00 <br />15100 <br />SIZ' OF BLDG. <br />NO. OF STORIES MAX. <br />OCC. LOAD <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT FIRE <br />REQUIRED <br />SPR INK LERS <br />OYES ONO <br />- <br />MECHANICAL <br />I <br />1 <br />SPECIAL CONDITIONS: <br />OTHER <br />PENALTY <br />SEC. 3031R) <br />1 <br />TOTAL <br />15100 <br />v' <br />— <br />AM'LICAIIONACCLP1EO BY: PLABSCIIECKLO BY: JAPPROVI. OfOIl ISSIIMlLP BY <br />ADDRESS <br />I <br />PERMIT VALIDATION <br />WHEN PROPS RLV VALIDATED (IN ACE1SIASIly"FRMITJ <br />YOUR �lE4EI� <br />THANK YOUN <br />HA <br />FILE 3 P1 0 ]] <br />