Laserfiche WebLink
the Evergreen <br />everett <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 <br />SONSTRUCTION O <br />PERMIT PERMIT NO. 15350 <br />❑ COMBINATION ®C BUILDING ' MECHANICAL ❑ PLUMBING <br />OWNER <br />MAIL ADDRESS <br />1831 Walnut <br />Everett <br />ZIP <br />98201 <br />PHONE <br />487-1901 <br />Union Oil Company <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />21P <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE <br />S e S Sign Co. <br />13190 Stone Avenue North <br />Seattle <br />98133 365-0242 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE <br />SSSIGC*251PU <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE A <br />'Anew yr 11�n <br />C3 NEW O ADDITION O ALTERATION ❑REPAIR ❑DEMOLITION O FENCE 7(5{1 SIGN O WOOD STOVEIFIREPLACE INSERT <br />$ 1,500. <br />ATTa �aiA. aiy.. <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT—_BLOCK_OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCA ''LAW REGULATING CONSTRUCTION OR THE <br />PERF AN 0 1�CONST N. <br />SIGNATU T Dry OR A 0 TE <br />/ <br />�' 5-]5S <br />JOB ADDRESS <br />1831 Walnut Street <br />X e": <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 - M.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 />LAUNDRYTRAY <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 8 CHIMNEY <br />SINK (SWTOTALFEES <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL f <br />$ <br />PERMIT $ <br />TOTAL FEE i <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />:-:YES : -.NO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ 1500. <br />9 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />REQUIRED <br />OTHER <br />:-.YES .,NO <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 3031a1 <br />2. BUILDING PLANS <br />TOTAL <br />9 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMITVALIDATION <br />WHEN PROPERLY VALIDATED (IN TI-If ffGE) THIJI¢1TIT TTITop <br />7 l) <br />S. GRADING <br />1 7 0 U <br />Cr <br />LI: <br />YOUR REC C I PT <br />6. DRAINAGE <br />7, ENVIRONMENTAL IMPACT STATEMENT <br />8, HEALTH DISTRICT <br />r- <br />THANK Y O U <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />2 3 AUG 6 5 <br />ADDRESS FILE <br />