Laserfiche WebLink
NirEvergrcen � C�NSTRU�iION � � <br />CITY OF <br />everett PERMIT PERMIT N0. OH531 <br />CITY HALL 259�8745 <br />EVERET1,lNA 98201 ❑ COMBINATION ❑ BUILDING �. MECHANICAL ❑ PLUMBING <br />OWNER MPIL AUOR[55 CIiY ZIP PNONE <br />Virginia Chase 221 Tamarack <br />APCMIiELi OR DES�GN[Il MAIL ADDR[SS CIiY ZIP PHONE <br />GFNERAL CANiRACiOR MPIL ADOOCSS CITY ZIP PHONE UCENSE / <br />MECNANICALfANi11ACi0R MAILADORES$ CIiY ZIP PHONE UCENsc� <br />Natural Gas Equipment 1611 East Grand 98201 258-2441 <br />PLUAIOINGCONiRAC10P MAIL �ODRE55 CII1' ZIP �'HONE LICENSE � <br />C1A55 OF 1YOFN <br />❑NEW <br />\'ALUAiION OF WORK <br />S <br />DESCRIOE WOBK <br />PROPOScU JSE OF BUILDING <br />l[GAL OESLRIPt10N Of PROP[RT <br />LOT 9LOC�OF <br />PLUMBINO <br />WATER <br />YARD SETBAGK <br />OF <br />SIZE <br />P <br />A <br />❑ADDITION ❑ALTERATION ❑REPAIfl ❑DEMOLITION ❑FENCE ❑SIGN ❑GARFGE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />OR ATTFCM FOURCOf'IESI PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF VJORK 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 COy$�AL�O�Ui� IZED A[ �A�� <br />'�� X J l7 — <br />OR <br />STREET SET�ACK <br />LOT AREA <br />OJCUPANCY GR( <br />1:0. OF STORIES <br />1. ENVIRONMENTALCHECKLIST <br />2. 9UILDING PLANS <br />3. FIRE MYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRAOING <br />6. DflAINAGE <br />7. ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />FEE <br />YAPJ SETBACN <br />❑VES ❑NO <br />MA%. <br />APPR.FORISSUANCE BY <br />FEE <br />UR COND. UNITS — H.R EA. <br />iEFRIGERAiION UNITS — HP. EA <br />301L@RS — H P. EA. <br />;AS FIRED PC UNITS — 10PINAGE EA. <br />=ORCED AIR SYSTEIAS — B.T.U. M <br />NnLL HEATERS — �.i.U. M <br />JNIT HEAiEFS — 0?.U. M <br />VAPORATIVE COOLERS <br />JLOTHf.S �RYEPS <br />JENTILATIUN FAN <br />9ANGEHOOD <br />AIR HANDLING UNIT — C <br />STOVE <br />METAI FIREPLACE 8 CMIIdNEY . <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />FEE RECLIPT NO. <br />FEES VALUATION FEE <br />:.JILDING � <br />PENALTY <br />TOTAL <br />U.B.C. <br />SEC. 3D3 (a) <br />0� <br />PERMIT VALIOF71oN <br />WHEN PROP6RLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />ei2a g009.�0 — � <br />M <br />� <br />� " r-c�i�T o <br />�; •�;� YCU <br />� . �. ,� ... <br />ADDRESS FILE <br />� !� Gii'1 8 � <br />