Laserfiche WebLink
II <br />Me L",I.T,T°I <br />IrONSTRUCTION <br />everett <br />PERMIT <br />PERMIT NO.09603 <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 <br />❑ COMBINATION BUILDING ] MECHANICAL <br />❑ PLUMBING <br />OWNER <br />MAIL ADDRESS <br />ZIP <br />PHONE <br />William Lucas P.O. Sox 956 Everett <br />98206 <br />ARCHITECT OR DESIGNF^. <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS Cm <br />ZIP <br />PHONE LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ?[DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />OF WORK <br />S <br />DESCRIBE WORK <br />Demolish single family residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />LEGAL DESCRIPTION OF PROPERTY (EHOW BELOW OR ATTACH FOUR COPIES) <br />25-�p 822 Everett Division "A" <br />LOT-BCOCK_OF <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <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 REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />X 4&--. <br />. <br />JOB ADDRESS <br />3414 Wetmore <br />PLUMBING <br />MECHA ICAL <br />NO. <br />I 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 — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />DISHWASHER <br />WALL HEATERS -- BLU. M <br />I Al INDRY TRAY <br />UNIT HEATERS — B T.U. M <br />AIR HANDLING UNIT — <br />SUB <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />PEE <br />FEE <br />RECEIPT NO <br />FEE <br />00 00 <br />— <br />00 00 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />VALUATION <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />S <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />❑YES nNO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />L ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303(R) <br />2. BUILDING PLANS <br />TOTAL <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />_ <br />PERMIT VALIDATION <br />WHEN PROPERLYVALIDATED (IN THIS SPACE) THIS IS YOUR PE01bT O !1 .__� <br />17 p U <br />0 � <br />( O <br />I t_ <br />! <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8, HEALTH DISTRICT <br />APPLICATION ACC, BY <br />PLANS CHECKED BY <br />APPR <br />FOR ISSUANCE BY <br />I <br />-7a,c1 <br />ADDRESS FILE <br />