Laserfiche WebLink
The Evergreen <br /> CITY OF C*I N ST R U CT I O N <br /> everett PERMIT PERMIT NO. 08698 <br /> CITY HALL 259.0745 <br /> EVERETT.WA 96201 ❑ COMBINATION L_1 BUILDING I} WECHANICAL U PLUMBING <br /> OWNER MAIL FOUR,ES CFfY zor PHONE <br /> William W. Morgan 130 76th Street Everett 99203 353-6265 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> Same — <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> PLUMBING CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE 1 <br /> CLASS OF WORK �-I <br /> ❑NEW ❑ADDITION ❑ IJ <br /> ALTERATION REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> S <br /> DESCRIBE WORK <br /> Install wood burning stove <br /> PROPOSED USE OF BUILDING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPE 5) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL FROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LGT BtotK_nF 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 VIC:J4TE 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 OR AU'HOR TO AGENE DATE <br /> JOD AU R <br /> �A'S 76th Street X2 , 12/17/90 <br /> PLUMBING IMECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIP ENT FEE <br /> WATER CLOSET ITOILED AIR CONE.UNITS—HP EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY ASH BASINI 8011 ERS—H.F.EA. <br /> SHOWER <br /> E;A;FIRED A S UNITS—TONNAGE EA ` <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. MEA <br /> DISHWASHERWALL HEATERS—B.T.U. M <br /> ,AUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER 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 1 STOVE WOOD 4 50 <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 6 CHIMNEY <br /> SINK ISERVICE—BAR.ETC, <br /> SUBTOTAL SUBTOTAL f 4 50 <br /> PERMIT f PER f 3 00 <br /> TOTAL FEE f TOTAL FEE f 7 5 0 <br /> SIDE YARD SETBACK STREET SETBACK RI AR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> OYES ONO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLDG. NO,OF STORIES MAX-OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERSREGMECHANICAL 7 50 <br /> LTYES LINO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.0 <br /> SEC.3D31a1 _ <br /> 2. BUILDING PLANS <br /> TOTAL 7 P 0 <br /> 3. FIRE HYDRANT <br /> p <br /> A. FIRE PROTECTION SYSTEM PERMWHEN PROPERL <br /> IYIVALIDATED LIN THIS SPACFJ iNl�g YOU!Ftt NJT7.5 0 ' <br /> S. GRADING 1 iS 00 <br /> S. DRAINAGE _ <br /> T� <br /> 7. ENVIRONMENTAL IMPACT STATEMENT ,'� <<L-C <br /> B. HEALTH DISTRICT 1 ; •,r� 1 <br /> APPLICATION ACC.BY PUNS CHECKED BY APPR FOR ISSUANCE BY ` <br /> V.C. <br /> IIUFC80 <br /> ADDRESS FILE <br />