Laserfiche WebLink
R� F , rMe£rtranrn . • _ <br /> evereTtt � �ONSTRUCTION� �� <br /> '41 CITYHALL26&87�5 PERMIT PERMIT N0. 16070 <br /> ' EVERETT,WA9B2pi [� COMBINATION � BUILDINO � MECHANI^,AL � PLUMBIN(i <br /> i <br /> # 0� MAILADOflESS CITY ZIP PHONE <br /> ° Michael Peaco^.k 4809 Foreat Drive Eberett 98203 259-7083 <br /> X T O ONE MAIL�DORESS LITY ZIP PHONE <br /> 3 <br /> 6 N RAL CONTMCT MAII ADORESS CITY ZIP PHONE LICENfiE� <br /> t Everett Buildere Iac. 5606 Evergreen Way Evarett 98203 353-7161 <br /> MECNANIGIL CANTMCTOR M�IL AOOFESS CITY 21P PHONE LICENSE� <br /> EV ER EB *3 11L3 <br /> � PLUMBINQ CONiRACTOR MAII ADDRESS QTV 21P PHONE UCENSE I <br /> CU880F WOpK <br /> vi ❑NE1K SXADDITION ❑ ALTERATION ❑REPAIR ❑ OEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIPIREPLACE INSERT <br /> VALUATION OF WOflK <br /> = 1���54.�� <br /> DESCRIBE WORK <br /> Construct 10'x23' Addition to existing residence <br /> PROPOSED USE OF BUILUINQ <br /> Single Family REsidence I HEREBY CERTIFY THAT I HAVE READ AND FJ(AMINED TIiIS <br /> LEGAL DESCRIPTION OF PROVENTY�SNOW BELOW OR ATTACM FOUH COPIES� aPPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> G�RHECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or�� e�ocK 6 oF Forest Park GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> � C495-000 027 0201 PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLATE <br /> OR CANCEL THE PROVI.SIONS OF ANY OTHER STPTE OR <br /> LOCAL AW REGULATING CONSTRUCTION OR THE <br /> PERFO ANCE OF C NSTRUCTION. � <br /> JOB ADDflESS SIGNA UR CONT�iACTO R UTHr^�ZEO AGE! ATE <br /> 4809 Forest Drive X Z <br /> PLUMBINO MECNANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOU�PMENT FEE <br /> WATERCLOSET(TOILE'f) AIR COND. UNITS- H.P.EA. <br /> 1 BATHTUB Z 00 REFRIGERA710N UNITS- H.P. EA. <br /> 2 LAVATORV�VYASH BASIN) 4 OO BOILERS- H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. <br /> KITCNEN SINK 6 DISP. FORCED AIR SVSTEMS- B.T.U. M EA. <br /> DISHWASHER WALL HEATERS- B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS- B.T.U. M <br /> CIOTHES WASHER EVAPORATIVE COOLERS <br /> WATEfl HEATER CLOTHES ORVERS <br /> URINAL � VENTILATION FAN <br /> DRINKING FOUNTAIN RANG(:HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE-WOOD <br /> ROOF DMINS- RAINLEA�ERS METAL FIREPLACE 8 CHIMNEV <br /> SINK(SERVICE- BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL S 8 00 SUB TOTAL t 6 OO <br /> VEpM1T S PENMIT f <br /> TOTAL FEE f $ QQ TOTALFEE f 6 00 <br /> SIDE YARD SEfBACK STREET SETBACK REAR VARD SETBACK PLAN CHECN NUMBER PLAN CHECK FEE <br /> 5� 2�� 20� 86/16070 FEE 52.33 RECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> R-1 �L�S Scl. Ft. CYES �O FEES VpLUATION PEE <br /> 7YPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 gUILDING s 10,054. 86 $� <br /> SIZE OF BLOG. NO.OF STORIES MAX.OCC. LGPD <br /> 23O SCj. Ft. 1 PLUMeING 8 OO <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED 6 OO <br /> ❑YES ❑NO <br /> APPHOVALS BY DATE nTHER <br /> 1.ENVIRONAIENTAL CHECK LIST PENALTY U.B.C. <br /> 2 BUILDING PUNS SEC.303(a) <br /> 3.FIREHYDRi.NT v TOTAL 100 50 <br /> 5.GP.AD�GTECTIONSYSTEM / �qM�T'����������D(IN.RHIS��PJ'C�THIS�Sa'�I�PF�i�IT—' a <br /> HEN <br /> B.DRAINA � �-� � <br /> 7.ENVIR02�MENTAL IMPACT STATEM- O <br /> 8.HEALT STRICT , ...� � � �. �.., i:i��� ' � ��. . �..l. I.I I" j Ln <br /> APPLICAj1QN ACC.BY� '� PLANS QH�FCKED BY APPR.FOR ISSUANCE BY . � � � 1 , � � <br /> �, -; � . `�"C; '1 <br /> __ , , „5 <br /> i '•j � L''1 u '� �% '; i �3 u <br /> � i. . <br /> ADDRESS FILE <br />