Laserfiche WebLink
the Evergreen <br />CITY OF <br />everett <br />City "Alt 25911tV <br />EVE 4E11, Nus1461011 <br />1n11 <br />DEPT Ot COMMUNITY BUILDING <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />r <br />everett <br />PLUMBING ,I�J <br />OWNER MAIL ADDRESS ZIP PHONC <br />Dallas Olson Jr. r..:. Box 607 ftkiltao 513M "(W 3834 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />CC <br />LU <br />m <br />Z <br />!- <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Soma 22301 10255 <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Action 3:1actr.ic <br />PLUMBING CONTRACTOR - _ MAIL ADDRESS PHONE LICENSE NO. <br />Arts Plumbing <br />PERMIT <br />,S� <br />IJBUILDING 15 PLUMBING 70 MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑A:)DITION ❑ALTERATION ❑REPAIR <br />- <br />VALUATION OF I A <br />$32r20-.00 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />d <br />fESCRIBE RK <br />e Pamriy Residence <br />2445 <br />PFOPOSED USE <br />Sintle Pamily ftsidence <br />MECHANICAL <br />_ <br />TYPE OF FUEL 0011. 0 <br />GGASAT. LPG. EF.EC <br />LEGAL DESCRIPTION OF PROPERTY 16110W BELOW OR ATTACH <br />FOUR COPIES) Coaifir <br />LOT ii BLOCK —OF <br />NO. <br />— <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS—H.P. EA. <br />S I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA <br />1 <br />312 918T STRBST S.R• _ <br />GAS FIRED A.C. UNITS -'TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />JOB <br />��Et��jjist Stroet S.R, <br />WALL <br />WALL HEATERS-B.U. M <br />UNIT HEATERS-B.T.U. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />_ <br />I _ <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />AIR HANDLING UNIT- C.F.M. <br />N <br />TYPE OF FIXTURE OR ITEM <br />F E <br />WATERCLOSET ITOILETI <br />S <br />INCINERATOR <br />1 <br />BATHTUB <br />_ <br />LAVATORY WASH BASIN) <br />1 <br />SHOWER <br />KITCHEN SINK B DISP. - <br />SUBTOTAL S <br />I <br />3100 <br />DISHWASHER <br />PERMIT S <br />ri <br />LAUNDRY TRAV <br />TOTAL FEE S <br />00 <br />I <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED, <br />I HEREBY CERTIF\ THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORM WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />X 5/4 r, <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />_ <br />VACUUM BREAKERS <br />--- <br />ROOF DRAINS-RAINLEAOERS <br />SINK (SERVICE -BAR, ETC.) <br />113 <br />rim <br />SUB TOTAL <br />PERMIT <br />S <br />TOTAL FEE <br />S <br />SIjNATURE OF CONTRACTOROR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />l <br />6 <br />STREET SE�TRACK <br />jl <br />REAR YAPgS fTBACK <br />� <br />P! AN CHECK NUMBER <br />77/285 <br />PLAN CHECK FEE <br />FEE RUIC RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />V�ri�r ANT SITE <br />LJYES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF OQ ST. <br />OCCUP0f CY GROUP UNtTS <br />1$TORIES <br />O DWELLING <br />I <br />BUILDING <br />S T' 0 <br />2 1OFFe4gG. <br />NO. OF <br />MAX,OCCC.LOAD <br />PLUMBING <br />FIR O <br />WV BAS o IEOUI <br />1T <br />RE'ON K • RS <br />❑YES []NO <br />MECHANICAL <br />OTHER <br />I <br />SPECIAL CONDITIONS <br />__ - -- <br />- -- --- - <br />- <br />•Mlll:/JI(IN aCCEPIEO flY - rl�NSI HI C�.l I1 P�— IA"ROVEDFOAIWIANCIEfly <br />PENELTY <br />SEC. 003(l) <br />I <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED ITN THIS SPACEI THIS IS YOUR PE RMIT <br />Y <br />