Laserfiche WebLink
ldeEvC�YeOF � �:ONSTRUCTION -��� �. �� <br /> everett PERMIT pERMIT NO. 09547 <br /> CITY HALL 253�8745 <br /> EVERETf.WA sazoi ❑ COMBINATfON C�BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER S1F4ADDFE55 CITY ZIP PHONE <br /> �C1Qn0�1 SJORG 4919 Z3i <br /> ARCNITECT OR DESIGNER A!L S CITY ZIP PNONE <br /> GENERAL CONTRACTOR MAIL ADORESS CITY Z�P PNONE LIGENSE I <br /> SAME <br /> lAEGHANICALGONiRACTOR M41�ADDRESS CIiY ZIP PHONE LICENSE/ <br /> PWMBINGGON7RACTOR MAILAOOFESS GITV ZiP PnONE IICENSGI <br /> ClASS OF WORN <br /> ❑NEW ❑ADDITION CALTERATIUN ❑R[PAIR ❑DEn�JLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION Of WOFN <br /> S <br /> OESCFIBE WORK <br /> CONSTR. SWIMMING POOL _ <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS AP• <br /> LEGALDESCRIPiIONOFPROVERTY�SHOWBEL0YI0RATTACNFOURCAPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 4 GRANADS SEAVIES HSTATES ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior s�ocK_oF 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 /> CONSTRU TION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDFESS SIGNAiURE�CAl1TAACTO R AU HORRED AGFNT DATE <br /> 4914 23rd Ave. W. X � �< 7 24 81 <br /> � <br /> PLUMBING MECHANICAL , . <br /> NO. TYPE OF FIXTURE OR ITEM FEE tJO. TYPE OF EOUIPMEN7 FEE <br /> WATER CLOSET(TGILET) AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN) BOILEPS—H.F.EA. <br /> . SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KI7CHEN SINK 8 DISP. FOFCED nlR SYS7EMS—B.T.U. M EA. <br /> DISHWASHER WALL HEATERS—B.T.U. M <br /> LAUNDRY iRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATWE COOLERS <br /> WATER HEATER � CLOTHES DRVERS _ <br /> URINAL VENTILATION FA� <br /> DRINKING FOUNTAIN RAYGE HOOD <br /> PLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS S'fOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNFY <br /> SINK(SERVICE—BAR,h"TGI <br /> SUBTOTPL SUB TOTAL S <br /> . PEflM1T S PEHMIT S <br /> TOTALFEE S TO7ALFEE S <br /> SIDE YARD SETBACK STREET SE78ACK qEAR YARD SETBt.CK PLAN CHECK NUMBER PIAN CHECK FEE <br /> PEE RECEIPr NO. <br /> USE ZONE LOT AFEA VACANT SITE <br /> L�VES ❑NO FEES �ALUATION FEE <br /> TYPE nF CONST. OCCUPANCY GROi1P NO.OF CWELLING UNITS <br /> BUILDING $ <br /> SIZE OF BLDG. NO.OF SiOR1ES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPROVALS BY DATE OTHEF <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIRE HVDRANT T�TA� S O 00 <br /> 4. FIRE PROTECTION SYS7EM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT � <br /> 5. GHADING � ' I �. -' ,^ � I� :, � <br /> r . , - . _ . <br /> 6. DRAINAGE � <br /> 7 ENVIRONMENTALIMPACTSTATEMENT ' L� <br /> 6. HEALTFI DI T <br />