Laserfiche WebLink
d�c Eri•rtrren ' �� �y ST R U CT I O f .' <br /> r�.ii�r Of� � <br /> everett PERIVIIT PEFfMIT N0. 13� � 7 <br /> CITY HALL 259�8745 <br /> EVERET7,WA 98201 Y� COMBINATION `� BUILDING C�XJ MECHANICAL PLUMBING <br /> . lApIL A�ORE55 <br /> CITY 21P PHONE <br /> OWNFfI —� <br /> JlIl1 Miller ��i� Z�p PHONE <br /> pRGHRELT OR�ESIGNER <br /> MAII.ADORESS <br /> A1FIl aD�RES$ <br /> GITV 21P PnON <br /> GENERAL CONTRACTOR <br /> Anderson/Heckt P.O. Box 646 Mukilteo 9827�_ 355-484 <br /> MAIL ADDRESS <br /> CITV ZIP PMONE LICENSE X <br /> MECHANIGAlCON70ACTOF <br /> Z�p ' PMONE LIGENSE N <br /> PLUid81NG CONTRACTOB <br /> MAIL ADORE55 f.ITY <br /> GLASS OF WORK <br /> �NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ GEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIFEPLACE INSE <br /> VAUTATION OF\'JORK <br /> 5 1�5����.�� <br /> DESCRIBE WOPK _ <br /> Construct Single Family Residence <br /> PPOPOSEO USEOF BUILOING I HEREBY CERTIFY THAT I HAVE READ AIvD FXAtv1iNFD T�HIS z <br /> Single Family Residence APPLICATION AND KNOW THE SAME TO BE TR'JE AND � <br /> CORRECT. ALL PROVISIONS OF LAWS AND JRDItJHNCES •-� <br /> LEGAL OESCRIPTION OF PROPERTY�SHOW BEL01Y OA A174CH FOUR COPIES� � <br /> 2 Grana3a Seaview Estates Div. GOVERNING TfiIS TYPE OF WORK WILL BE COMPLIED WITH IT <br /> LOT__BLOCH__OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A „ <br /> PEHMIT DOES NOT PFESUMETO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULP.TING CONSTR'JCTION OR THE M� <br /> PERFOPMANCE OF CONSTRUCTION. oAtE �^ _ <br /> SIGN i E OF C01lT lGTOR OR AUTMOFIZ �AGENT Rl <br /> JOd FD�RE55 � � �' <br /> 4910 23rd Avenue 4;est X m o <br /> MECHANICAL �— o m <br /> PLUMBIlIG 'fYPE OF E�UIPMENT FEE <br /> — FEE N0. <br /> NO. TYPE OF F;XTJRE OR ITEM _ qiq coND.uNlis- H.F. En. m""� <br /> 3 WATE(7CLOSET�TOILEn �` <br /> REFRIGERA�ION UNITS – H.P.EA. p Z <br /> 2 BATHTUB BOILERS – H.P. EA. C <br /> >-i <br /> 3 LAVATORY IWASH BASIN� __ r = <br /> GAS FIRED A.C.UNITS–TONNAGE EA. ti � <br /> j SHOWEF FORCED AIR SYSTEMS– B.T.U. M EA. __ –� ✓' <br /> < <br /> 1 KITCHEN SINK 8 DISP. WALL HEA7ERS– B.T.U. _ �"� � <br /> 1 DISHWASHER O � <br /> UNIT HEA7ERS– B.T.U. M �3 <br /> ], LAUNDRVTRAY EVAPOFATIVE COOLERS � m <br /> 2 <br /> j CLO7HFS WASHER GLOTHES DRYERS m� <br /> � <br /> 1 WATEFi HEATER yENTII.ATION FAN __ <br /> URI!dAL 1 RANGE HOOD O m <br /> D�INKING FOUNTAIN C.F.M. 3 N <br /> AIR 11ANDLING UNIT– �r7 <br /> �LOOF7 DRAIN STOVE –4YOOD — –_{m <br /> VACUJM eREAKERS METALFIREPLACE 8 CHIMNEY -- <br /> fl00F �NAINS– F7A�NLEADERS _ n <br /> FIREPLAG�1_ � <br /> SINK(SERVICE– BAR, ETC.) HEAT PUMP � <br /> D <br /> – Z <br /> ---�--- <br /> _i <br /> _� _ <br /> SUB TOTAL S v` <br /> SUB TOTAL = � Z <br /> _ PEPMIT — p <br /> PERMIT 5 -- TO7AL FEE S 9 00 � <br /> 1'OTAL FEE E 30 ,OO pLAN CHECK f"EE c^. <br /> flF €I T NO. m <br /> SIDE YARD SETBACK STREET SLTBACK REAR YARD SE'BHCK PLAN GHECK NUMBeR FEE Z89.58 o,�V�j <br /> ��� 25� e'4/13357 --- <br /> LOT AREf+ VACANT SITE VALUATION _ FEE <br /> USEZONE FE=S –�—( <br /> R_, LZ�SOO XYES . .NO I <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF �WELLWG UNITS SlOS,000. 445 SO <br /> V–N R-3 _ 1 BUILDING _ <br /> SIZE OP BLDG. NO. OF STOPIES MA%.OCC. LOAD p�UMBING 30 OO_ <br /> 74'x24' z 5 -- <br /> FIRE SPflINH�EHS 'J OO <br /> FIRE ZONE BASEMENT REOUIRED MECHANICAL <br /> Ye5 �.YES X%i0 OTHFR — <br /> APPROVALS BY DATE U.B.C. <br /> PENALTY SEC.3031a) _ <br /> 1. ENVIflONMENTAL CHF.CK LIST t]St} SO <br /> 2,BUILDING PLANS 70TAL <br /> 3.FIFE HYLIPANT pEflM1T VALIDATION <br /> 4.FIREPROTECTION SVSTEM WNEN PROPERLY VALIDATED QN THIS SPAGEI iHIS IS`.'Ol1R PERMIT _ P'� <br /> S.GRADING – . , i � <br /> 6.DRAINAGE � � . t� 1 <br /> Z ENVIRONMENTALIMPAGTSTATEMENT : ' i� .� <br /> e.HEAL7H DISTFICT ' <br /> APPLICATION ACC. BY PLANS CHEGKED BY APPR.FOR ISSUANCE BV <br /> STG JEP LC <br /> _� <br /> AGDR[SS FILE <br />