Laserfiche WebLink
the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 <br />PONSTRUCTION <br />PERMIT <br />❑ COMBINATION Qj BUILDING ❑ MECHANICAL <br />PERMIT NO. 10572 <br />!_1 PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Herbert Pendry 5601 South 2nd Avenue Everett 98203 252-6048 <br />ARCHITECT 01. DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 1 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE) <br />❑NEW aADDITION ❑ALTERATION ❑REPAIR IJDEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />a 1100.00 <br />DESCRIBE WORK <br />Construct deck <br />PROPOSED USE OF EUII DING <br />Single Family Residence <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 OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTO OH�AUTMORIZED AGENT DATE <br />15, i <br />X <br />LEGAL DESCRIPTION OF PROPERTV(SHOW BELOW OR ATTACH FOUR COPIES) <br />3-24 36 Smith 1st <br />Lo BLDaL_OF <br />JOB ADDRESS <br />5601 2nd Avenue South <br />PLUMBING <br />MECHANICAL <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 — N.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.C. UNITS — TONNAGE EA. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B,T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />I EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES 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 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL <br />SUBTOTAL f <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />f <br />TOTAL <br />FEE f <br />SIDE YARD SETRACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />82/10572 <br />PLAN CHECK <br />FEE 12.3.9 <br />FEE <br />RECEI Np. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES LINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />Addition R- <br />NO, OF DWELLING UNITS <br />1 1 <br />BUILDING <br />$ 11UO . <br />19 <br />U O <br />SIZE OF BLDG. <br />tak 228 Sq. F <br />NO. OF STORIES <br />MAX OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRE� <br />DYES l KO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1, ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B C. <br />SEC. 303 (a) <br />— <br />2. BUILDING PLANS <br />TOTAL <br />19 <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 />C� <br />2825 S 0 1 9.0 0�—I`J <br />LC7 <br />YOUR R EC E I PT-i <br />THANK YOU <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />Ew <br />PLANS CHECKED DY <br />HwN <br />APPR. FOR ISSUANCE BY <br />LC <br />J <br />ADDRESS FILE <br />20MY82 <br />