Laserfiche WebLink
the Evergreen <br />CONSTRUCTIONCITY <br />OF <br />� <br />everett <br />PERMIT <br />PERMIT NO. 06279 <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 <br />❑ COMBINATION <br />ERXBUILDING ❑ MECHANICAL <br />PLUMBING <br />OWNER <br />MAIL ADDRESS UI1 <br />ZIP PHONE <br />Ray Kirkpatrick 3006 <br />19th Street <br />252-0 8T <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />GENERAL CONTRACTOR <br />Sigurdson <br />Roofing Co. <br />MAIL ADDRESS CITY <br />10020 56th <br />ZIP PHONE LICENSE <br />Street Snohomish <br />98290 568-6567 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP PHONE LICENSE <br />SI <br />GU RR C262MT <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP PHONE LICENSE# <br />❑NEW ❑ADDITION IYLL&ERATION ❑REPAIR ❑DEMOLITION []FENCE DEIGN ❑GARAGE <br />r.L..I1.n VI wU.1 <br />s 1387.00 <br />replace windows <br />PROPOSED USE OF BUILDING <br />single family residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />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 />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAIUpE OF CONTRACTOR OR / THORIZF.D AGEN! 6 L]ATE6 7 9 <br />X / <br />LEGAL DESCHIPRON OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />E�2-3 4 Ready Land Co' s let <br />LOT RLOCKL OF <br />JOB ADDRESS <br />3006 19th Street East <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />SUBTOTAL <br />SUBTOTAL $ <br />_ <br />PERMIT <br />E <br />PERMIT $ <br />TOTAL FEE <br />S <br />TOTAL FEE $ <br />_ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARL SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES FIND <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />1387. <br />0 14 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />DYES ONO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC.03(a) <br />2. BUILDING PLANS <br />TOTAL <br />14 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />W:iEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />8617 <br />- C\J <br />YOUR RECEtt'T o <br />co <br />THANK YQU <br />I <br />i t <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />