Laserfiche WebLink
� <br /> rhe£vergreen r <br /> CITY OF <br /> CC'NSTRUCTION �-� <br /> everett PERMIT <br /> CITY HALL 259�8745 PERMI: NO. �H 1 O 5 <br /> EVERETT,WA 9B20t ❑ COMBINATION ❑ BUILDING ❑ MECHRNICAL ❑'PLUMBING <br /> OWNcR MlILA00NE55 CIiY ZIP PNONE <br /> ROY HUGHES 1501 SOth S.W. Everett 98203 252—•,381 <br /> ARCHIiECT OR DESIGNER MAIL AD�RESS UiY � ZIP PHONE <br /> G�4EflAL CONiqACTOR MAIL ADDRE55 CIiY '� � ZIP. PHONE LIC!>!SE♦ <br /> r' . <br /> MECHANICALGONTRACTGR MAILAODflE55 - CITY ' <br /> ZIP PHONE UCENSE 1 <br /> Self � <br /> PLUMd!NG CONTRACTOR ,.FIAIL ADDRE55 CITY � Z�p <br /> , PM�N[ �ICENSE I <br /> CLA55 OF WURK � <br /> ��. � ❑NEW ❑ADDI7i0N ❑ALTERATION ❑REPAIR [-!p�MN.I*JGN ❑FEiJCE �❑SIGN ❑GARAGE <br /> . VALUATiON OF WfiNK '' — �- <br /> s . , <br /> � DESCRiOEWORK. • , ---. . <br /> - INSTALL �Eii,GTR,iCAL FUkiJACE �' i5 �- �� `� - ' ����� � �� �""----_._,., � -� .. <br /> � . arq __. .. . �� ' . .,,,� ���-.,. <br /> PROPOSEU USE OF f1U1LDING �� . —'�� ---- <br /> � . I HEf�E6'r' �EF±TIFY THATI�HH.c C�4n qND EXAMINED THIS AP- -- � <br /> LEGAL�ESCAIoLON Oi PPOPEflTY�SHOP/BEIOW OR ATfACH FOUR CAPIES� PiIC?QiL-N A'yD KNOW THE SAME TO BE'�RUt�iJ�E�:.pRRECL -�� ` <br /> ioT BLOCIL_OF ALC rFiUVISIONS vF LAWS AND ORDINANC�S GOVERNING iHl� �""""�• �..,,"V <br /> TYPE OF :?'QRK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEFEIN OR NOT. THE GRANTING OF A PERMIT DOES NOT - _�", <br /> PRESUME TO GIVE AUTHOR ITY TO b'IOLATE OR CANCEL THE PRO- <br /> VISiONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> J08 AD�FESS $IGNATURE OF CONiRACTOR OR qUiNOR12ED nGENT OATE <br /> 1501 50th S.W. X 8-13-80 <br /> PLUMBINO MECHANICAL <br /> NO• TYPE GF FIXTUHE Op I7EM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSE7(TOILE� AIR COND.UNITS—H.P.EA. <br /> BATHTUB <br /> REFRIGERATION IINITS—H.P.'eA <br /> LAVATORY ryJASH BASIN) BOIlERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS— <br /> TONNAGEEA. <br /> KITCHEN SINK 8 qISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> _ DISHWASHER WALL HEATERS—B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> � CLOTHES WASHER EVAPOHATIVE COOLERS <br /> ' WATER HEATER CLOTHES JRYERS <br /> i� URINAL . VENTILATION FAN , <br /> �1� DRINKING FOUNTAIN � RANGE HCOD <br />� , FLOOR ORAIN AIR HANC�_ING UNIT— C.F.M. <br /> �I! VACUUM BREAKERS 310VE <br /> y ROOF DRAINS—RAINLEADERS N�iAL rIREP1ACE 8 CHIMNEY <br />� �� SINK(SERVICE—BAR.E7C.) � <br /> SUB TOTAL ���� � SUB TOTAL S 5 00 <br /> VENMIT t / PEHMIT s <br /> TOTALFEE S TOTALFEE S <br /> SIDE YARD SETBACK STREE�SET�ACK REAR VAqD SEiBACK PLAN C4!�Gh;'NUAIBER PLAN CHECK FEE <br /> � <br /> '��� � . FEE RECEIPTNO. <br /> USE ZONE LOT AqEA VACANT SITE <br /> � ❑YES ❑NO '�EES VA�UATION FEE <br /> NPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> SIZE OF BLDG. NO.OF STORIES BUILDING g <br /> MA%.00C.LCA� <br /> ,� PLUMBING <br /> �' FIRE ZONE BFSEMENT FIRE SPRINKLERS <br /> � REOUIRED AMECHANICAL <br /> ❑YEa GNO <br /> APPpUVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHEG'K LIST <br /> PENALTY U.B.C. <br /> 2. DUILDING PLANS SE�.303(a) <br /> 3. FIREHY^:wiVT TOTAL — <br /> 4. FIHE FqOTECTION SYSTEM PEpM1T VALIDATION <br /> 5. GRADING WHEN P(70PEPLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT w <br /> 6. DRAIIlAGE 6 2 2 3 � O O V• O O r�'_'" <br /> 7. ENVIR�)NMEN'iAL IMPAC7 STATEMENT O <br /> 8. HEALfH DISTRICT � <br /> APPLICATION ACC.BY PLANS CHECKED BY 4PpR.FOR ISSUANCE BY �j',�U R R E C E I P�P° <br /> �;-1A�lt YOU <br />