Laserfiche WebLink
the Evergreen <br />r0 N ST RU CTI O N <br />(-fi Y Or <br />everett <br />PERMIT <br />PERMIT NO.09079 <br />CITY HALL 259 8745 <br />❑ COMBINATION ki BUILDING ❑ MECHANICAL <br />El PLUMBING <br />EVERETT, WA 98201 <br />OWNER <br />Jerald A. <br />MAIL ADDRESS CITY <br />Bentz 9320 Sharon Drive <br />ZIP PHONE <br />98204 355-1190 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE 1 <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE 1 <br />PLUM BING CONTRACTOR - MAIL ADDRESS CITY Z-P PHONE LICENSE <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION 294PAIR El DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />S 500.00 <br />Repair foundation and patcli sneet rocx <br />PROPOSED USE OF BUILD IG <br />Retail Sales <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <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 />LOT 6-7 BLOCK-5 OF Friday' s lst <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <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 REGUL\TING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAT E OFCONTRACTORORAURIORIZED AGENT DATE <br />4/6/81 <br />X n �• <br />JOB ADDRESS--- <br />3511 Rucker Avenue <br />PLUMBING <br />MECHANICAL _ <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P EA. <br />REFRIGERATION UNITS — H.P. EA <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />— <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />SHOWER <br />__ <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />KITCHEN SINK 8 DISR <br />WALL HEATERS—BT.U. M <br />DISHWASHER <br />I INIT HFATFRS—BTU. M <br />_ <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEAD <br />SINK (SERVICE — BAR. ETC. <br />sun <br />SIDE YARD SETBACK I STREET SETBACK I REAR YARD SETBACK <br />OF BLDG. I NO. OF STORIES I MAX. <br />APPROVALS BY DATE <br />1. ENVIRONMENTAL CHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />J FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8 HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY <br />TOTAL <br />FEE I RECEIPT NO. <br />BUILDING S 500.00 10 100 <br />PLUMBING <br />MECHANICAL <br />U.B.C. <br />SEC. 303 (a) <br />mull <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />6255nio.oa—� <br />CD <br />r C. is F'I O <br />Y ( U <br />DAB <br />