Laserfiche WebLink
the Evergreen --, CITY OF C A N ST R U CTI O N <br />\ <br />everett PERMIT PERMIT NO.09110 <br />CITY HALL 259.8745 <br />EVERETT, WA 98201 ❑ COMBINATION ® BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP "W"Il <br />Gilbert Stuart 120 74th Ave. S.E. Everett 98203 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />I rIONE <br />LICENSE I <br />L & L General Const. <br />210 Beech Street <br />Everett <br />98203 <br />353-2914 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CRY <br />ZIP <br />PHONE <br />LICENSE F <br />LL GE NC <br />219BU <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE E <br />Pt <br />UU Ur wtwrA <br />❑NEW I}tDQTDIT10N ❑ALTEMTION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN OGARAGE <br />VALUATION OF WORK <br />s 2500.00 <br />Conn}rnb} �Ar-pOrt <br />PROPOSED USE OF BUILDING <br />single family <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 />LEGAL DESLRIPTKONOF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />IT. 21-22 Beverly Acre <br />Tracts <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LDT BLOCK_OF <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 />— <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />" <br />JOB ADDRESS <br />120 74th Street S.E. <br />X <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <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 — H.P. EA. <br />GAS FIRED A . UNITS —TONNAGE EA. <br />SHOWER <br />FORCFD AIR SYSTEMS — B T.U. M EA. <br />KITCHEN SINK A DISP. <br />WALL HEATERS —BT.U. M <br />DISHWASHER <br />UNIT HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />AIR HANDLING UNIT — C.F.M. <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK SERVICE — BAR, ETC. <br />SUB TOTAL <br />SUB TOTAL I <br />PERMIT <br />t <br />PERMIT I <br />TOTAL FEE <br />I <br />TOTAL <br />FEE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />F.AN CHECK <br />FEE <br />K NIXXXX <br />FEE@X7jF I <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />L)YES LINO <br />FEES <br />VALUATION <br />E <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />I oxxxx <br />38 <br />50 <br />V-N <br />M-I <br />SIZE OF RLDO <br />NO, OF STORIES <br />MAX- OCC. LOAD <br />I <br />PLUMBING <br />FIRE ZONE <br />BASEMEN) <br />FIRE RSPRINKLERS <br />EOU1RED <br />MECHANICAL <br />[]YES O <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC 303 (A) <br />2. BUILDING PLANS <br />TOTAL <br />3 8 <br />5 0 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />J J J U a <br />5. GRADING <br />S. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />CT) <br />C.1 <br />S. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />vFC, <br />ADDRESS FILE <br />