Laserfiche WebLink
L <br />the Evergreen CITYOFF CONSTRUCTIOP' <br />CITY I <br />everett PERMIT PERMIT NO. 13481 <br />CITY HALL 2598745 <br />EVERETT, WA 98201 9 COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY DP PHONE <br />ELIZABETH ANN DAVIS STEVENS 330 Elm #201 Everett WA 98203 252-6036 <br />Men ennRF55 CITY 21P PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />MECHANI TRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />­V V ❑ NEW ❑ ADDITION PALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />f 2700.00 <br />V��y�� -.. ♦.. ..} Nml}h non} rPGII;r•PIRPnts: adding floor drain <br />I\PnVuc uy ••D <br />_ <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Tavern (The Flame Tavern) <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY ISHOWBELOW OR ATTACH FOUR COMES) <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT__SLOCK_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 />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE CI- CONTRACT 1R THORIZED AGENT DATE <br />6/8/84 <br />JOB ADDRESS <br />4202 Rucker <br />X <br />PLUMBING <br />MEAANIIZAL <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 — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — M.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK f DI' Y. <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 H:—BAR, <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKIN <br />RANGE HOOD <br />FLOOR D <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM <br />ROOF DRADERS <br />IMNEY <br />j <br />SINK (SETC.) <br />2 <br />00 <br />mm <br />SUB TOTAL <br />f <br />2 <br />00B <br />TOTAL f <br />_PERMIT <br />f <br />SX <br />®®ERMIT <br />fTOTAL <br />FEE <br />f'dXTAL <br />FEE f <br />SIDE YARD SETBACK <br />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 />FEES <br />VALUATION <br />FEE <br />❑YES ONO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$2700.00 <br />38 <br />50 <br />SIZE OF BLDG, <br />NO. OF STORIES <br />MAX. OCC, LOAD <br />PLUMBING <br />2 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />REQUIRED <br />YES �_,NO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />U.B.C. <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC. 303 (e) <br />2. BUILDING PLANS Lw <br />TOTAL <br />40 <br />50 <br />3. FIRE HYDRANT o <br />4. FIRE PROTECTION SYSTE% <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SpgC <br />IS IS�QI)RRElq%0000 <br />S.GRADING <br />Jj UU UU JJ 0O <br />j RECEIP <br />6. DRAINAGE <br />ENVIRONMENTAL IMPACT TATEMENT <br />w,HEALTH DISTRICT o <br />APPLICATION ACC. BY <br />!-PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />C,° stg: �., <br />o <br />lc <br />=1 I-8JUN84 <br />w ADDRESS FILE <br />