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 • MECHANIC.11 • PI IlnnRlNln <br />i <br />- <br />BRASHEAR <br />MAH. ADDRESS <br />IIP PHONE <br />ARCHITEC70R DESIGN ER <br />3007 91st Street <br />S.E. 98204 337-3381 <br />R <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />G ENERAL CONTRACTOR <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />- <br />MECHANICAL CONTRACTOR <br />C <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />E <br />PLUMBING CONTRACTOR <br />!A <br />m <br />MAIL ADDRESS <br />PHONE LICENCE NO. <br />PERMIT <br />C' <br />❑COMBINATION <br />CLASS OF WORK <br />Cl' <br />BUILDING ❑ PLUMBING ❑ MECHANICAL <br />❑NEW <br />❑ADDITION ❑ALTERATION '0-� <br />VALUATION OF WORK <br />JUREPAIR <br />S 500.00 <br />❑DEMOLISH <br />❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Box i-n Stairway <br />PROPOSED USE <br />MECHANICAL <br />LEGAL U SCRIYTION OF PROPERTY (SHOW BELOW OR ATT ACf1 <br />FOUR COPIESI <br />TYPE OF ENERGY <br />LOT 21_22 BLOCK-BZSOFP.VPrPtt_DiVj_qio <br />❑GAS ❑ELEC. <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND, UNITS-H.P. EA, <br />g <br />REFRIGFRATION UNITS-H.P. EA. <br />BOILERS-N.P. Eq. <br />_ <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />JOB ADDRESS <br />-- <br />3426 Rucker Avenue <br />SPACE & WALL HEATERS - B.T.U. <br />T— <br />UNIT HEATERS-B.T.U. <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />RANGE HOOD <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />S <br />CLOTHES WASHER <br />I <br />1 <br />DISH WASHERS <br />I <br />WATER HEATER <br />- <br />DRINKING FOUNTAINS <br />1 <br />PAC. BUILT FIREPLACE & CHIMNEY <br />FLOOR DRAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />KITCHEN SINKS & DISP. <br />BAR SINKS <br />SUB TOTAL $ <br />ROOF DRAINS - RAIN LEADERS <br />PERMIT 5 <br />TOM FEE 5 <br />SHOWER BATHS <br />SERVICE SINKS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS CONSTRUCTION OR WORK T 5 SUSPENDED OCED IRHABANDONED FORIA <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. ALI. <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPL <br />OF WORK. WILL BE COMPLIED <br />SUMPS -SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />I <br />WATER HEATERS -ELECTRIC <br />I <br />WASH 8ASINS <br />I <br />LAUNDRY TRAYS <br />- <br />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 CONSTRUCTION. <br />� 5/18/78 <br />XBLDG. <br />SUB TOTAL <br />PERMIT S <br />OTA FEE <br />WATER SERVICE SIZE <br />SUPPLY SIZE <br />SIGNATURE OF CONTRACTOROR <br />AUTH. AGENT DATE <br />SIDE YARD SETBACK 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 />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />-�— <br />TYPE OF CO NET. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />I <br />SIZE OF BLDG. <br />NO. OF STORKS <br />MAX. OCC. LOAD <br />BUILDING <br />S <br />500.0) <br />5 I OU <br />FIREZONE <br />BASEMENT <br />FIRE SPRINK LERS <br />PLUMBING <br />REQUIRED <br />MECHANICAL <br />❑YES ONO <br />SPECIAL CONDITIONS: <br />I <br />I <br />OTHER <br />PENALTY <br />SEC. 3031A1 <br />I <br />TOTAL <br />I <br />S 100 <br />WHEN VALIDATION <br />tt <br />WHEN P VALIDLY VA t4.l i �N, t�rili q'lIiT1MII <br />VALIDATED II 1 L.`f};PAC <br />� 1 <br />YOUR RRt:d�rgpT <br />- <br />T` %�".1 n Y`�'.U- <br />AWLIC IIONA«EPHBNY. PLANSL,IECKLBHY. - <br />APPBOVID IOR ISSUANCE BY. <br />K.C.eb <br />ADn.pcGs rl,I _ <br />r I 17 FIT JS i+ i <br />,= <br />