Laserfiche WebLink
^he Evergreen C01'1 ST R U CTI O N <br /> CITY OF <br /> everett PERMIT PERMIT NO. 06531 <br /> CITY HALL 2598745 <br /> EVERETT.WA 98201 ❑ COMBINATION ❑ BUILDINQ El MECHANICAL PLUMBING <br /> PHONE <br /> OWNFR MAIL ADDRESS GUY ZIP <br /> Loren J. Sand 2107 -61st Everett oR2nz 355-0252 <br /> ARGHITfGT OR DESIGNER <br /> MAIL ADDRESS CITY 21P PHONE <br /> Same CITY ZIP PHONE lK ENSE/ <br /> GENERAL CONTRACTOR MAIL ADDRESS <br /> MECHANICAL CONTRACTOR <br /> MALI ADDRESS CITY ZIP PHONE LICENSE/ <br /> ZIP PHONE LICEN5E/ <br /> PLUMBING CONTRACTOR <br /> MAII ADDRESS CIiY <br /> CLASS OF WORK <br /> []NEW QOADDITION []ALTERATION ❑REPAIR ❑DEMOLITION []FENCE ❑6tGN EIGARAGE <br /> VALUATION OF WORK <br /> = 4600.00 <br /> DESCRIBE WORK L <br /> 24 x 24 garage addition <br /> PROPOSED USE OF BUILDING <br /> gra e I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> IE�iAI DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COFESI PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 11ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LOT 11 BLOCK 1 GF Pinehurst Addition _ TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> D1V1siOn A PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULA'.ING <br /> CONST UCTION OR THE ERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE F CON i0R OR RIZEDD AGENT DATE <br /> JOB ADDRESS Y�tA <br /> _ X <br /> 61st Pyerett <br /> PLUMBING MECH ICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET OILET) AIR COND,UNITS—H P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY ASH BASIN BOILERS—H P.EA <br /> GAS FIRED AC.UNITS—TONNAGE EA. <br /> SHOWER <br /> KITCHEN SINK b DISP. FORCED AIR SYSTEMS—B T.U. M EA <br /> _ DISHWASHER WALL HEATERS—B.T.U. M <br /> IAUNDRY TRAY UNIT HEATERS—83.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS _ <br /> WATER HEATER CLOTHES DRYERS <br /> VENTILATION FAN <br /> URINAL <br /> _ RANGE HOOD <br /> DRINKING FOUNTAIN <br /> AIR HANDLING UNIT— CFM <br /> FLOOR DRAIN <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 6 CHIMNEY <br /> SINK(SERVICE—BAR,ETC.) <br /> RUB TOTAL BUB TOTAL f <br /> PERMIT <br /> f PERMIT <br /> f <br /> TOTAL FEE TOTAL FEE f <br /> EE <br /> 610E YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK F <br /> FEE RECEIPT NO <br /> USE LONE LOT AREA VACANT SITE FEES A A ION E <br /> DYES ❑NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> _ BUILDING f 4600.00 32 00 <br /> SIZE OF BLDG NO,OF 5-TORIES CC <br /> OCC.LOAD <br /> PLUMBING <br /> FIRE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> 3 <br /> NO ❑YES ❑NO <br /> APPROVALS BY DATE OTHEP <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY SEC.303(a) <br /> 2. BUILDING PLANS TOTAL <br /> 32. 00 <br /> 3, FIRE HYDRANT <br /> PERMIT VALIDATION <br /> 4. FIRE PROTECTION SYSTEM WHEN PROPERLY VALIDATE (IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING 1 <br /> S DRAINAGE O I 1 _ 32,10 <br /> 7. ENVIRONMENTAL IMPACT STATEMENT to <br /> B. HEALTH DISTRICT ' <br /> S <br /> APPLICAI ION ACC,BY PLANS CHECKED By APPA.FOR ISSUANCE BY YOUR REd E l PT <br /> THANK YOl <br />