Laserfiche WebLink
the Evergreen <br /> f,ITY OF �•rO N ST R U CT I O N <br /> everett PERMIT PERMIT NO. 10082 <br /> CITY HALL 259'8745 <br /> EVERITT.WA 90201 ❑ COMBINATION ❑ BUILDING L] MECHANICAL :U PLUMBING <br /> ,. LM',L AODRE66 ('lY ZIP 1'NJNI <br /> John Delisle 316 61st Street S.W. (@ 98203 353-6479 <br /> ARCHInCI OR DESIONL6 --VA LAODPE65 CR/ ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDINW CRY ZIP PHONE UCFNSEP <br /> MECHANICAL CONTRACTOR RANI ADDIu.65 CT' ZIP PIK)NE LICENSE F <br /> PLUMSINGOATRACTOR MAIL ADOWW CRY ZIP PHONE LICENSE <br /> Coalwell' s Plumbing and )seating Co. P.O. Box 1181 Marysville 252-1861 <br /> CUSS OF womc <br /> i7NEW OAODITION OALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN Cf7(j&4A(KP NI94QN <br /> VALUOK)N OF WOFK <br /> s <br /> DESCRIBE WORK <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br /> LEGAL DESCRIPTION OF PROPER"ISHOW BELOW OR ARACH FOUR COPIESI PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LOT__BLmx OF TYPE OF WORK WILL BE COMPLIED WITH WHITHER 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 IIIEGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OFCONST UCT N. <br /> SIGNATU�RyE/OO/F`..CONIRACTORORAUTHORIZED AGENT <br /> JOB ADDRESS / ' <br /> 316 61st Street S.W. ®L-L- <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER C.USET OIL AIR CONO.UNITS—H P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY ASH BASIN OOILERS—F.P.EA. <br /> SHOWER GAS FIRED A .UNITS—TONNAGE EA. <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALL HEATERS—81.1t, M <br /> LAUNDRY TRAY UNIT HEATERS—BTU. M <br /> CLOTHES WASHER 2 0 EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS - <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE A CH,MNEY <br /> SINK ERVICE—BAR,ETC.) —' <br /> SUB TOTAL 2 SUBTOTAL f <br /> PERMIT f PERMIT f <br /> TOTAL FEE Im A n TOTAL FEE f <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> DYES ONO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING f <br /> SIZE OF BLDG NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING 5 DO <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> PRI KLERS MECHANICAL <br /> IRED <br /> OYES ONO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIR')NMENTAL CHECK LIST PENALTY 6ECC307 Ea) <br /> 2. BUILDING PIANS TOTAL 5 00 <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEMPERMIT VALIDATION <br /> -- pall N PROPERLY VALIDATED LIN THIS SPACE)THIS IS YOUR PERMIT <br /> S. GRADING _ F --- <br /> 00 <br /> 6. DRAINAGE (0 <br /> T. ENVIRONMENTAL IMPACT STATEMENT _._ C) <br /> HEALTH DISTRICT .• i l"I <br /> APPULATION ACC.BY PIANS CHECKED BY APPR.FOR ISSUANCE BY <br /> ADDRESS FILE <br />