Laserfiche WebLink
, . , <br /> �he Evergreen ^ <br /> ��T�oF G('�WSTRUCTION � � <br /> everett PERMIT pERMIT NO. O?39H <br /> CITY HALI 259�8745 <br /> EVERETf,WA 98201 ❑ COMBINATION IX�CBUILDINO ❑ MECHANICAL ❑ PLUMBING <br /> • OWNER MPILA�OPE55 GITY 21P PHONE <br /> William Lanqua 1026 Rucker Avenue Everett 98201 252-3648 <br /> ARCMii[CT OF DESIGNER MRR ADDPE55 GTY ZIP PMONE <br /> GENER�L CANTR�CTOR MAIL�D�RE55 GITY ZIP PMONE LICENSE� <br /> Same <br /> AIECMANIC0.L CONTMGTOR MNIL RDORESS CITY liP PHONE LICENSC/ <br /> PLUAIBING CONTfUCTOP �IAIL ADDRESS GITY ZIP PHONE �ICENSE� <br /> IXA55OF WORK <br /> ❑NEW ❑AODITION �FLTERAIiON ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑C�ARAGE <br /> V�W�TNiN 9F NORN <br /> f rJ��.�� <br /> DESCRIBE WdiN <br /> kitchen remodel <br /> raovoseo use or euaort+c <br /> ainqle family residence 1 HEREBY CERTIFY THAT I HA`.�E READ AND E%AMINED THIS AP• <br /> �ecunr.scnia�wNorrno�ennisMowaeiowoannncNFovawwesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 29 214 Heights Addition ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �oT BLOCI(_OF TYPE OF WORK WILL BE CAMPLIED WITH WHETHER SPEC�FIED <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 LOCAI LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMAN F CONSTRUCTION. <br /> � . ��p�� SiGNA CTONORnU1HOR12EDnGENi OnTE <br /> 1026 Rucker llvenue X 3/27/80 <br /> PLUMlINO MECM I AL <br /> , NO. TYPE GF;-U(TURE OR ITEM FEE TYPE OF EUUIPMENT FEE <br /> � � WATER CLOSET OIL AIR CAND.UNITS—H.R EA. <br /> BFTHTUB REFRIGERATION UNITS—H.P.EA <br /> ' � LAVATOFV ASM BAS�N BOIlERS—H.P.EA. <br /> . ' SHOWEH GAS FIRED AA.UNITS—TONNAGE EA. <br /> � 1 KITCMEN SINK 6�ISP. Z OO FORCED AIR SVSTEMS—B 1.U. M EA. <br /> ! OISMWASHEFl WALL HEATERS—�T.U. M <br /> � UUNDRV iMV UNIT HEATERS—flT.U. M <br /> � ClO1 HE5 WASHER EVAPORATNE COOLERS <br /> . WATER HEqTER CLOTHES DRYEFS <br /> . ' URINAL VENTILATION FAN <br /> , DRINKING FOUNTAIN RANGE HOOD <br /> FLOOFi ORAIN AIR HANDLING UNIT-- CF.M. <br /> VACUUM BHEAKERS STOVE <br /> � , ROOf DMINS—RAINLEADERS METAL FIRFPLACE h CHIMNEY <br /> SINK(SERVICE—BAR,EfC. <br /> � SU!TOTAL 2 00 SUE TOTAI S <br /> PERMIT f PERMIT f <br /> TOTAL FEE f TOTAL FEE <br /> $IDE YARD SEiBACK STHEET SETBACK P[AR YARD SETUACK PLAN CHECK NUMBER PLAN CHECK fEE <br /> FEE RECEIPi NO. <br /> USE ZONE LOT AREA VAC4NT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> 7YPE OF CANST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> BUILDING 5 SOO.00 S OO <br /> SIZE OF B�DG. NO.Of STORIES MAX.OCC.LOt.O <br /> PLUMBING 2 OO <br /> FIREZONE BASEMENT FIRESPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APYIIOVALS er 11ATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST <br /> PENALTV U.B.C. <br /> 2. BUILDING PlANS O SEC.303�al _ <br /> ' 3. FIRE HYDPANT d TOTAL �� � OO <br /> � �. FIRE PROi�T10N SY�YEM PERMIT VIILIDATON <br /> � WNEN PROPEqLY VALIDATED(M THIS SPACE)THIS IS YOUR P[RMIT <br /> ti 5. GRA 1 <br /> t 00 6. DM.,1�1' ~ U �O�U • OOJ.OL' ��� �. <br /> ' � 7. ENV NMENTAL IM{�T STA?Eb'ENT M <br /> � 8. MEALTH p{�TRICT I` <br /> � AFPLI OmCC.PV PLANS CIIECKEU BV APPR.FOR ISSUANCE BV YD U�.R REC E I PT � <br /> c � I I THANK YOU <br />