Laserfiche WebLink
the Evergreen <br />OF r O N ST R U CT I O N <br />everett PERMIT PERMIT NO.11168 <br />CITY HALL 259.8745 <br />EVERETT. WA 98201 ❑ COMBINATION ❑ BUILDINGS} MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS (IG♦ LI' PHONE <br />Allen D. /Jumphries 2006 74th Street Everett 98203 347-6638 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />_Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />Install woodstove <br />PROPOSED USE OF BUILDING <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 />SIGNATURE OF CONTRACTOR O UTHORRED GENT DATE <br />X 10/21/8: <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES( <br />LOT BLOCK ---OF <br />JOR ACn R[S5 <br />2006 74th 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 — H P EA <br />SHOWER <br />GAS FIRED A C UNITS —TONNAGE EA <br />KITCHEN SINK A DISP. <br />FORCED AIR SYSTEMS — B.T U M EA <br />DISHWASHER <br />WALL HEATERS —87U M <br />LAUNDRY TRAY <br />UNIT HEATERS — 8.1 U. M <br />_ <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 />1 <br />STOVE Wood <br />7 <br />ROOF DRAINS — RAINLEADERS <br />I METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE — BAR. ETC <br />SUB TOTAL I <br />SUB TOTAL f <br />7 <br />50 <br />PERMIT $I <br />PERMIT f <br />10 <br />00 <br />TOTAL FEE f <br />TOTAL <br />FEE f <br />7 <br />5 0 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT'1TE <br />I IYES LINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST, <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />REQUIRED <br />DYES <br />SPRINKLERS <br />FIND <br />MECHANICAL <br />17 <br />50 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC <br />SEC 303(a) <br />2. BUILDING PLANS <br />TOTAL <br />17 <br />50 <br />3. FIRE HYDRANT <br />A. FIRE PROTECTION SYSTEM <br />5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THISiPfrf) JHIS ISICURIPfjTM�o _— <br />Ogs <br />77 11 B 7 i IJ f ( I CD <br />YCQ U. R HOOK <br />T I; �'YN K Y^ U <br />B. DRAINAIX <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC BY <br />LANS CHECKE <br />PD BY <br />APPR FOR ISSUANCE BY <br />1 <br />J <br />ADDRESS FILE <br />