9610 EVERGREEN WAY 2018-01-02 MF Import

the E%,ergreen CITY OF';ONSTRUCTIOV everett PERMIT CITY HALL 2E9-8745 EVERETT, WA 98201 ® COMBINATION ❑ BUILDING ❑ MECHANICAL PERMIT NO. 16601 ❑ PLUMBING OWNER MAIL ADDRESS CITY Zip PHONE JOHN M. MITCHELL 19612 50TH ST SE SNOHOMISH 98290 568-1263 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE BUCKLEY GRAHAM & KIM 106 SOUTH PINE ST P. 0. BOX 521 BURLINGTON 98233 GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE If MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A CLASS OF WORKy-j i"PNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT MATION OF WORK $ 39, 000 CONSTRUCT MODEL HOME PROPOSED USE OF BUILDING DEMONSTRATION MODEL HOME I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL AW REGULATING CONSTRUCTION OR THE PERF ANC F C NSTRUCTION. SIGN UP OF R TOR ARI E GE DATE UT�IO X 6/24/86 LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIES) LOT 8 BLOCK 6 OF INTERCITY ADDITION, DIVISION JOB ADDRESS 6> 9609 Evergreen Way PLUMBING YfCHANICAL NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) 2 00 AIR COND. UNITS — H.P. EA. BATHTUB 2 OO REFRIGERATION UNITS -- H.P. EA. LAVATORY (WASH BASIN) 2 00 BOILERS — H.P. EA. SHOWER GAS FIRED A.C. UNITS — TONNAGE EA. KITCHEN SINK 8 DISP. 2 OO FORCED AIR SYSTEMS — B.T.U. M EA. DISHWASHER WALL HEATERS — B.T.U. M LAUNDRYTRAY UNIT HEATERS — B.T.U. M CLOTHES WASHER EVAPORATIVE COOLERS WATER HEATER 2 OO CLOTHES DRYERS URINAL I VENTILATION FAN 3 ZU— DRINKING FOUNTAIN I RANGE HOOD 4 50 FLOOR DRAIN AIR HANDLING UNIT — C.F.M. VACUUM BREAKERS I STOVE — WOOD 7 0 ROOF DRAINS — RAINLEADERS _ METAL FIREPLACE 8 CHIMNEY SINK (SERVICE — BAR, ETC.) FIREPLACE INSERT HEAT PUMP SUB TOTAL $ 10 00 SUB TOTAL S 15 00 PERMIT S PERMIT S TOTAL FEE S 10 00 TOTAL FEE $ 15100 SIDE YARD SETBACK NA STREET SETBACK REAR YARD SETBACK NA PLAN CHECK NUMBER 86/16601 PLAN FEE 151. 78 CHECK FEE 8040gCEIPT NO. USE ZONE C-1 LOT AREA VACANT SITE $YES ONO FEES VALUATION FEE BUILDING CODE SURA 10:2 Ail OOOAH06691 5 TYPE OF CONST. V-N OCCUPANCY GROUP R-3 NO. OF DWELLING UNITS I BUILDING I`Q 233 50 SIZE OF SLOG. 1056 SF FIRE ZONE NO. OF STORIES 2 BASEMENT MAX. OCC. LOAD _ FIRE SPRINKLERS REQUIRE ❑YES NO PLUMBING MECHANICAL 6 SRCH $ 2 PL.BC1 $1 .50 10 .�—IS .00 00 OO OTHER ENERGY CODE Sul. Drivewa Y -4-i (a) $? .00 10 5.00 O(3� � 00 � APPROVALS 1. ENVIRONMENTAL CHECK LISTkILTf 2. BUILDING PLANS BY DATE TOTAL ii00025714 JO'' :E�� ck6 B.- 3. FIRE HYDRANT 4. FIRE PROTECTION SYSTEM s.cRADING PERMWHENT VALIDATION cc PROPERLY VALIDATED (INWT/f9 JAC4791519QOUR PERMIT 1171-5 $552.00 _ N000050&] ._ PATER $400.00 CHECK $2012.00 6. DRAINAGE 7. ENVIRONMENTAL IMPACT STATEMENT 8.HEALTH DISTRICT APPLICATION ACC. BY IV, PLANS CHECKED BY . JEF APPR. FOR ISSUANCE BY LC ADDRESS FILE