2216 CLEVELAND AVE 2018-01-02 MF Import

the Evergreen CITY OI everett CITY HALL 2598145 EVERETT. WA 98201 "ONSTRUCTIOW r PERMIT PERMIT NO. 16224 kI COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING OWNER MAIL ADDRESS --• CIT" ZIP PHONE KENNETH W_ HOLMfR�N ARCH I OR DESIGNER _1�019511 ❑riVP SF MAIL AOOF' lS Fveratt WA CITY 9R204 337-16R6 PIP PHONE GENERAL CONTRACTOR MAIL AOURESS CITY ZIP PHONE LICENSE / MR SWANSON CITY ZIP PHONE LICENSE MECHANICALDONT &Ft MAIL AD DRESS PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE / CLASS OF WORN NEW El ADDITION ❑ ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑ WOOD STOVE/FIREPLACE INSERT f u..�.; .�4....le iam1110 rocidonrP PROPOSED USE OF BUILDING V I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS Single fami�yl residence APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIESI 22&21OCK 460OF Al tamont Addn GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH OF A LOT WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGN E OF CONTRACTOR OR AUi ORI4ED AGENT �/ W JOB ADDRESS X 2216 level and MECHANICAL PLUMBING NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE WATER CLOSET (TOILET) AIR COND. UNITS - H.P. EA. BATHTUB REFRIGERATION UNITS - H.P. EA. LAVATORYIWASH BASIN) BOILERS - H.P. EA. SHOWER GAS FIRED A.C. UNITS - TONNAGE EA. _ KITCHEN SINK A DISP. FORCED AIR SYSTEMS - B.T.U. M EA _ _1 DISHWASHER WALL HEATERS - B.T.U. M LAUNDRYTRAY UNIT HEATERS - B.T.U. M CLOTHES WASHER 2 nnEVAPORATIVE COOLERS WATER HEATER CLOTHES DRYERS — URINAL VENTILATION FAN DRINKING FOUNTAIN RANGE HOOD 4 50— FLOOR DRAIN AIR HANDLING UNIT - C.F.M. VACUUM BREAKERS STOVE - WOOD ROOF DRAINS - RAINLEADERS METAL FIREPLACES CHIMNEY SINK (SERVICE - BAR, ETC.) FIREPLACE INSERT HEAT PUMP SUBTOTAL 2 SUBTOTAL f PERMIT f PER TOTAL FEE t IOTAL FEE f SIDE YARDSETBACK STREET SET BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE 51 1 20 1 86/16224 FEE 110.83 RECEIPT NO. 7R5A7 USE ZONE LOT AREA VACANT SITE FEES _ VA_UATION FEE R-2 5000 sf apprx YES NO — TYPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING UNITS $L4 V-N R-3 1 BUILDING SIZ OF �c ��fiQG NO, OF STORIES MAX. OCC. LOAD I Sf l PLUMBING FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL �� 1 00 REOUIRED OTHER MIDI $1 .00 YES NO APPROVALS BY DATE _ _ _ 1. ENVIRONMENTAL CHECK LIST _ PENALTY 3 (e) 2. BUIL—LA IJG PLANS - TOTAL 1171-5 .00 241150 — 3. FIRE HYDRANT A. FIRE PROTECTION SYSTEIA — PERMIT VALIDATION WHEN PROPERLY VALIDATED (INWMPACF."IWDUR PERMIT %:r 5. GRADING S (�f ddl check 29.2`�(T\� 6. DRAINAGE plan 7. ENVIRONMENTAL IMPACT STATEMENT 11.50 U.) E On $15.00 • `� PLN CH .� 8. HEALTH DISTRICT APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY mm sg lC WNTB" ADDRESS FILL