Laserfiche WebLink
TheGvO) 1-1CITYOFF C NSTRUCTION <br />CITY <br />everett PERMIT PERMIT NO.OS4O5 <br />CITY HALL 259-8745 <br />EVERETT, VIA 98201 ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING <br />OWNER MAI. ADDRESS <br />CITY <br />lip <br />PHONE <br />Robert A. Wright 1510 72nd Street <br />Everett <br />98203 <br />347-2547 <br />ARCHITECT OR DESN]NER MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL ODNTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />MNSE I <br />Same <br />MECHANICAL UDNTRACIOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE IT <br />PLUMBING CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE F <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />OF <br />WORK <br />install wocd stove <br />PROPOSED USE OF BUILDING <br />single family residence <br />— <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 />SIGN,q.bf OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />X L(y'j� 10/10/80 <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUROOPIESI <br />LOr RLOCK_OF <br />JOB ADDRESS <br />1510 72nd Street <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 ASH BASIN) <br />BOILERS — HP. EA. <br />SHOWER <br />GAS FIRED A . 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,EM <br />VACUUM BREAKERS <br />1 <br />STOVE Wood <br />SO <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE — BAR, ETC. <br />SUB TOTAL <br />SUB TOTAL $ <br />4 <br />50 <br />PERMIT i <br />PERMIT <br />TOTAL FEE S <br />TOTAL <br />FEE $1 <br />7 <br />Irn <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD 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 />[]YES LINO <br />FEES <br />VALUATION <br />_ <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />BUILDING <br />S <br />SIZE OF BLDG. <br />N0, OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />NO <br />MECHANICAL <br />7 <br />SO <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECKLIST <br />PENALTY <br />U.BC. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />7 <br />5 0 <br />A. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />8 99 3 $ 0 0 7. 5 0 <br />OD' <br />'I"J R RECEIPT CD <br />U <br />5. GRADING <br />B DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY I <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />