Laserfiche WebLink
the£vergreen �O N s�R u CT I O N r <br /> CITY OF <br /> everett PERMIT pERMIT NO. 09547 <br /> CITY HALL 259�87d5 � COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> EVERETT,WA 98201 <br /> MAIL AODRE55 <br /> CITY ZIP PHONE <br /> OWNER _. <br /> (`nRTI(1N R��1R!' dq '� CRY ZIP PHONE <br /> ARCHITECT OR�ESIGNEF AIFILAD�FE55 <br /> MAIL ADDRESS <br /> CITY ZIP PHONE L�CENSE I <br /> GENEPALCON7RACTOR <br /> SAME GITY 21P PHONE UCENSE� <br /> MECMANICALCONTRACTOR <br /> MAIL A�DflE55 <br /> MAII AD�PE55 <br /> ��TY Z�p PHONE LICENSE� <br /> PLUMBING CANiRACTOR <br /> GLA35OF WORK <br /> ❑NEW ❑NDDITION ❑ALTERA71ON ❑REPAIR ODEMOUTION ❑FENCE ❑SIGN GARAGE <br /> VAWATIDN OF WORN <br /> b <br /> DESGPIBE WORN <br /> CONSTR. SWIMMING POOL <br /> PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> LEGA�OESCRIPiION OF PROPERTY�SHOW BELOW OR ATfAGM FOURCOPIES) ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior 4 e�a:�—oF GRANADH SEAVIES HSTATES TYPE OF WORK WILL BE c:OMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRU TION OR fHE PERFORMANCE OF CONSTR�A ETION. <br /> $IGNA7URE�'CO�ACT06�A AU HOFI2E0 AGENT <br /> JOB A�DRESS x L / l �] Z 4 S 1 <br /> 9914 23rd Ave. W. , <br /> MECHANICAL . � <br /> PLUMBIN6 FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FUUIPMENT <br /> AIR COND.UNITS—N P.EA. <br /> WqTER CLOSE7(TOILEq REFRIGERATION UNITS—H.P.EA <br /> BATHTUB BOILERS—H.P.FA. <br /> LAVATORY(WASH BASIN) - GAS FIRED A.C.UNITS—TONNAGE EA. <br /> SHOW ER FORCED AIR SYSTEMS—B.T.U. M EA. <br /> KITCHEN SINK&DISP. y.Jq�L HEATERS—B.T.U. �'� <br /> DISHWASHER UNITH�ATERS—BT.U. M <br /> LAUMDRY TRAY EVAPONATIVE COOLERS <br /> CLOTHES WASHER CLOTHES DRYERS <br /> WATER HEATER � VENTILATION FAN <br /> URINAL RANGE HOOD <br /> DRINKING FOUNTAIN q�q HANDLING UNI7— C.F.M. <br /> FLOOH DRAIN STOVE <br /> VACUUM BREAKERS METAL FIREPLACE 8 CHIMNEV <br /> ROOF DRAINS—RAINLEADEP.S <br /> SINK(SERVICE—BAR.ETC.) <br /> � SUBTOTAL s <br /> SU8 TOTAL pEHMIT _ s <br /> PERMIT s TOTAL PEE s <br /> TOTAL FEE S PLAN CHECK FEE <br /> SiDE YAaD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER FEL RECEIPT NO. <br /> LOT AREA VACANT SITE FEES VALUATION FEE <br /> USEZONE pYES ❑NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.Of D`NELLING UNITS — <br /> BUILDING $ <br /> SIZE OF 6LOG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPFINKLEF3 MECHANICAL <br /> RE�UIRE� <br /> OYES ❑NO <br /> BY OATE OTHER <br /> APPPOVALS U.B.G. <br /> t ENVIRONMEN7AL CHECK LISt PENALTY SEC.303(a) <br /> 2. BUILDINGPLANS SO 00 <br /> TOTAL <br /> 3. FIRE HYDRANT <br /> PERMIT VALIDATIOA <br /> 4. FIRE PROTECTION SYSTEM WHEN PROPERLY VAUJA7ED(IN THIS SPACE)7HIS IS YOUR E��O �, ,� �� <br /> l. ` � <br /> 5. GRADING � <br /> 6. DRAINAGE -�y� <br /> 7. ENVIRONMENTAL IMPACT STATEMENT � . I i Y' <br /> � <br /> B. HEALTH DISTRICT " � �,� <br /> i <br /> APPLICATION ACC.BY PLANS CNECKEO 8Y APPR.FOR ISSUANCE BV � <br /> _ . I <br /> ADDRE55 FILF <br />