Laserfiche WebLink
the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 874b <br />EVERETT. WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />,,e <br />everett <br />OWNER MAIL ADDRESS ZIP PHONE <br />Mr. Smith 4212 Rucker Avenue 98201 2528660 <br />ARCHITECT OR DESIGNER MAIL ACJRESS PIIONE LICENSE NO. <br />LICENSE NO. <br />9 <br />71 <br />:n <br />3 <br />Z <br />C <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE <br />Snoopy Roofing 328 75th Street 355-4153 SN 00 PR 232K4 <br />MECHANICAL CONTRACTOR MAIL ADDRESS P110NE LICENSE NO. <br />_p:' M <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />CD <br />PERMIT CLASS <br />❑COMBINATION <br />[]BUILDING []PLUMBING []MECHANICAL <br />OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />980.00 ❑DEMOLISH ❑FENCE []SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />re -roof ccmposition <br />PROPOSED USE <br />single family residence <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT 17 BLOCK 19-aa S nark Add to Everett <br />NO• <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA.. <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />1 <br />^ - <br />FORCED AIR SYSTEMS-B.T.V. MEA. <br />I <br />JOB ADDRESS <br />421 Rucker Avenue <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />1 <br />EVAPORATIVE COOLERS <br />PLUMBING <br />- <br />CLOTHES DRYERS ,....- • '"- <br />1 <br />VENTILATION FAN <br />RANGE HOOD <br />1 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- <br />BATH TUBS <br />S <br />_ <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />1 <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM: No OP OUTLETS <br />FLOOR DRAINS <br />I <br />— <br />SUBTOTAL S <br />I <br />KITCHEN SINKS & DI$P. <br />1 <br />- PERMIT $ <br />TOTALFEE S I <br />THIS PERMIT BECOMNULL AND VOID IF WORK OR CONSTRVC <br />ES <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION SUSPENDED ABANDONED <br />PERIOD OF120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />1 HEREIN CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PnDVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />On 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 REOULATING CONSTRUCTION <br />OR T14E PERFORMANCE OF L.JNSTRUCTION. <br />8/16/78 <br />X <br />SIG n7uNTiRJAc O n rH. nceNT DATE <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />_ <br />BAR SINKS <br />ROOF DRAINS - RAIN LEADER$ <br />SHOWER BATHS <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />1 — <br />URINALS <br />WATERCLOSETS <br />WATER HEATERS - ELECTRIC <br />I <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />I <br />I <br />SUB TOTAL <br />PERMIT <br />S <br />T F E <br />WATER SERVICE SIZE BLDG. SUPPLY 512E <br />SIDE YARDSETBACK STREETSETBACK REAR YARDSETBACK <br />U3E ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />WO OF UNITS DWELLING <br />I <br />BUILDING <br />$ 980.00 <br />I <br />10 100 <br />512E OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />I <br />' <br />FIRE ZONE <br />BASEMENT <br />FIRES RINK LERS <br />R YES; []NO <br />MECHANICAL <br />1 <br />1 <br />SPECIAL CONDITIONS: <br />OTHER <br />PENALTY <br />SEC. 303(a) <br />I <br />I. <br />10 100 <br />-.- <br />- <br />TOTAL <br />— <br />PERMIT VALIDATION �ff• <br />A1Mi4 <br />WHLN 1'HO PE 111 Y V A I ID Al C. 1111 CUP 1 HI'L HMI <br />YO U R kEG' W o <br />, <br />N+a 78 <br />AWLICALION ACCIPl1URV <br />YLPNS IIILCKIB PY. <br />AIT"OVH) I OR B.RIAWt BY <br />eb <br />ALJLJFTCJa rIL-r_ <br />1 <br />