Laserfiche WebLink
the ET,ergreen <br />CITY OF <br />everett <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 <br />CONSTRUCTION <br />PERMIT PERMIT NO.09962 <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER M4ILAODR156 LP O- 529 <br />John H. Dow 6121 Beverly Lane EverettRY 98�103 35P <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />LICENSE IF <br />Same <br />MECIIANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE_ <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR El DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />E <br />DESCRIBE WORK <br />Tna*aTT Fireplace insert <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />apartment <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT BLOCK_OF <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 LOCAL LAW REGULATING <br />CONSTRUCTI N OR THE PERFORMANCE OF CONSTRUCTION, <br />SIGNATURE OF 00 TOR OR HORIZEp AGENT 'TIE <br />(cam 11/2/81 <br />JOB ADDRESS <br />3507 Rucker <br />PLUMBING <br />MEC ANICAL <br />NO. <br />TYPF OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET)AIR <br />COND. UNITS — H P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />EEE <br />BOILERS— M.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA <br />SHOWER <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />KITCHEN SINK 8 DISP, <br />WALL HEATERS — B.T.U. M <br />DISHWASHER <br />UNIT HEATERS —BT. U. M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />WATER HEATER <br />CLOTHES DRYERS <br />VENTILATION FAN <br />URINAL <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />AIR HANDLING UNIT — CT M <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS —RAINLEADERS <br />METAL FIREPi-ACE 8 CHIMNEY <br />7 <br />50 <br />1 <br />Fireplace insert <br />SINK(SERVICE — BAR, ETC.) <br />SUB TOTAL S 7 5 0 <br />SUB TOTAL <br />$ <br />PERMIT <br />S <br />PERMIT <br />17 50 <br />TOTAL FEE <br />SI <br />TOTAL FEE S <br />SIDE YARD SETBACK STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />FEE RECEIPT N0. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />I ]YES ❑NO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX. OCC7. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />17 <br />5 0 <br />AYES IINO <br />OTHER <br />APPqA <br />DATE <br />1. ENVIRONMENTAL CHECPENALTY <br />U B.C. <br />SEC. 303 (B) <br />2. BUILDING PLANS <br />TOTAL <br />17 <br />5 0 <br />3, I IRE HYDRANT4. <br />FIRE PROTECTION SYSTPERMIT <br />VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />TD7. <br />5. GRADINGNB <br />DRAINAGE <br />CJAPPLIC%TION <br />ENVIRONMENTAL IN.. AS. <br />HEALTH DISTRICT <br />ACC. BY <br />FOR ISSUANCE BY <br />ADDRESS FILE <br />k <br />