Laserfiche WebLink
the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2596745 <br />EVERETT. WA 96201 <br />Fo SCONSTRUCTI06 <br />PERMIT PERMIT NO. 12526 <br />❑ COMBINATION EhBUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />SNOHOMTSH COUNTY 3015 IVetmore Everett TVA <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS city ZIP PHONE LICENSE <br />KIEWIT CONSTRUCTION 1300 Aloha Seattle WA QR109 674-R333 _ <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />KIEWIC1179CS <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR XXDEMOLITION O FENCE O SIGN O WOOD STOJEIFIREPLACE INSERT <br />VALUATION OF WORK <br />S <br />Demolish single family residence <br />PROPOSED USE OF BUILDING <br />— <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIER WITH <br />WHETHER SPECIFIED HEREIN OR NOT, THE GRANTI'1G OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCC OF CCP:STRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />X G'✓l��- 7Y/ --rt3y SLvU`10/7/83 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LC38 BLOCK 714 oF_ Everett Land Co 1st Add <br />JOB ADDRESS <br />3006 Lombard Avenue <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 — H.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 S DISK <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. IA <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />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 — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL 4 <br />SUBTOTAL f <br />PERMIT $ <br />PERMIT f <br />TOTAL FEE $1 <br />TOTAL FEE $ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />I :YES ::NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ <br />00 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX OCC. LOAD <br />PLUMBING <br />— <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />.YES f NO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />00 <br />00 <br />1FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMITVALIDATION <br />WHEN PROPERLY VALIDATED 11N TF{ISPAOCEI THI$ to O OR oPERMIT <br />LL yy 1Pf <br />1`J <br />YOUR RECEIPT <br />Tlin'VK YOU <br />5. GRADING <br />6. DRAINAGE <br />_ <br />7. ENVIRONMENTAL IMPACTSTATEMENT <br />6. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE 1 0 OCT 83 <br />