Laserfiche WebLink
the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259.8745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION - BUILDING - MECHANICAL - PLUMBING <br />OWNER MAIL ADDRESS II' PHONE <br />Bob Kocher 1516 Virginia 98201 252-5291 <br />� <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />-i <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Everett Builders 5606 Evergreen Way 353-7161 EV ER EB 30 <br />z <br />PH C <br />I: ECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />E <br />m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />C1 <br />PERMIT <br />❑COMBINATION <br />❑(BUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION PgEPAIR <br />C <br />VALUATION OF WORK <br />S 11,300.00 ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Re-roof--Re-side <br />PROPOSED USE <br />single family residence <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FyO CO 1 SI Remington's let <br />LOT BL} PK 30 OF <br />314 <br />NO <br />O <br />E OFTS <br />FEE <br />AIR COND. UN H P.ETA. <br />s <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS- H.P. EA. <br />I <br />FORCED /SIR SYSTEMS-B.T.U. MEA. <br />I <br />JOB ADDRESS <br />1516 Virginia <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-O.T.U. <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />All; HANDLING UNIT- C.F.M. <br />BATH TUBS <br />S <br />I <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />I <br />OAS. SYSTEM: NO OP OUTLETS <br />FLOOR DRAINS <br />I <br />_, <br />SUBTOTAL 5 <br />I <br />KITCHEN SINKS & OISP. <br />BAR SINKS <br />I <br />PERMIT S <br />ROOF DRAINS - RAIN LEADERS <br />TOTAL FEE 91 <br />1 <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED 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 I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND 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 PERFORMANCE OF CONbTRUCTION. <br />6/4/79 <br />x <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />WATER HEATERS - ELECTRIC <br />I <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />I <br />I <br />SUB TOTAL <br />°ERMIT s <br />i <br />TOTALFEE S <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIG ATURE OFCONTRA ORAUTH. AGENT GATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNO. OFNITS OW ELLING <br />UNITS <br />I <br />BUILDING <br />S 11,300.0 <br />60 1 00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX.00C. LOAD <br />-SPRINKLERS <br />PLUMBING <br />W IRE ZONE <br />BASEMENT <br />REQUIREDED <br />REOUI <br />OYES ONE) <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />1 <br />I <br />PENALTY <br />SEC. 30300 <br />1 <br />TOTAL <br />60 1 00 <br />PERMIT VALIDATION ] rj a¢ p 6 Q 041 I� <br />WHEN PHOPE RL Y VAL IDATED II T I_.. 1'ACE I. f y 11T <br />YaUR KECEI.pf� <br />THANK YOU Cn <br />} CD <br />n - h ,ur 79 <br />-- <br />- <br />1111u110n AICLFHUNY. <br />PLAN CIItCKLU xY. <br />APPROVIF)MRI:SUAWA By <br />A7)DRESS FILE <br />O <br />