|
J ` �� CITY OF EVERETT
<br /> ..ON�TRUCTI�N
<br /> PERMIT PERMITNO. 27649
<br /> 259-F810
<br /> ❑ DEMOLITION ❑ COMBINATION O BUILDlNG ❑ MECHANICAL ❑ PLUMBINC ❑ SIGN
<br /> pWNER MAILA�DRE55 CITY ZIP PMONE
<br /> Rod Nicholas 16000 Mill Creek Blvd. #110 t9i11 Creek 98012 337-6611 : , _._ �
<br /> TENANT IAAILAD�RESS C�TV ZIP PHONE C �RT NO. �
<br /> APCHITECTOROESIGNER MAILAD�RESS CIiY 21P PHONE eVere� M � �' , ' ,G, ` �
<br /> �
<br /> Craine Desiqn 12600 NE 85th St Kirkland 98033 827-0336 '� ' ' n ;� '
<br /> � . � ;4 � , �, u
<br /> GENERAICONTRACiOR MAILA�DRESS CITY ZIP PMONE LICENSE� F 4 ' �3 � �1�N�
<br /> � ' t - '
<br /> pwney RODNIFT137D0 � ��. �� .� . .�..! �, �.�� t ' .
<br /> 4 - t .
<br /> MECH�NICALCONTRACTOR MAILAUDRESS CIIY 21P PMONE LICENSEr �p POSTING -�a� � � � � ' I V� yt �k��{',:�'�� �
<br /> Electrical Enercrv 18908 Hiqhway 99 #E Lynnwood 98036 778-0555 ELECTEC160JE _ • a 8 8$ �$8 �� �g �� � �
<br /> City of Everett � � . . . �� � �� � � 4�;,. ' � : � � .,w a. ,
<br /> PLUMBINGLONTRACTOR MAILADDRE55 CIiV ZIP PHONE IICENSE� ,
<br /> Danco Plumbing PO Box 277 Everett 98203 258-6938 DANCOWAS187BN s �► ��� g � '^ ~ � ,� � ' '
<br /> CLASSOFWORN . !.r'. . . �� � �
<br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O UEMOLITION ❑ BUILDING RELOCATON Sewer Application a� P {{{r���� . � �x , � �
<br /> � � .. '�:
<br /> — CONTFCTPERSONANDPHONENO.IFOTHERTHANABOVE `�• �, ��� ag (} � S� 1 � �, r � �� � .;
<br /> ! � � �
<br /> CONTRACTPRICEOFWORK: $ '� mo i mo ��� i� �"{�k!!+�
<br /> UESCFIBEWORNANDSOUAPEFOOTAGEINVOLVEO NO. Z�4��. � DATE � '� � �'' �"' ��� i' ' �"y
<br /> New construction SH% Duplex ' � . 4w ���� �� �
<br /> 5729 Olamvood 11t� ,(''' � {�t' �n
<br /> 3556 sF + 1046 sF caraae 10;21/91 4:16FM OOOpHObol i:j k:� Service Address UUIIty Account No.
<br /> � �i � LM.� r:.
<br /> PROPOSEDUSEOFBUILDING q00007404 9 16000 Mi11 Cswk Hl�d �110 . . .,.,� ��y" ,.•ff�l��,' 1 ��
<br /> Billin Address ,�,
<br /> Dualex �--�- M
<br /> LFGALOESCRIPTIONOFPROPERTY�SMOWBELOWORATTFCNFOURCOPIES) Wh M�ll CLNk � 9�1Z !�� . �O�w;�` i .' ';� . �
<br /> H�0028491 City, State,Zip Permlt Fee $ 1 .
<br /> �or 2 BLOCK_OF Short lat 1202-8822-89 . ROd plCholY . `. ! a�,
<br /> Owner Connectlon Charge ,
<br /> EFIDIII 37�5.00 �:. , 7�0.00': �rr�kt '
<br /> �.�,, .;. ,:
<br /> — � • � Conr,ection by �r Trunk S
<br /> . ,:..,;.
<br /> It000�7649 , 7lS.00" � �t �^;i" .
<br /> JOBADOPESS - 1"` Add�eSS Let9f81 Z ,. . ,
<br /> 5729 A-B Glenwood Ave FLEG �1:O.OD 'ns�pp,,; � ��
<br /> PLUMBING :: '41 TotalConnectionCharge $
<br /> MECHANICAL �
<br /> , e .:•
<br /> NO. TVPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UI , FEE Phone 537�6EZI UUlity Development Fee .� -� ; •� � :
<br /> ( WATERCLOSET�TOILEn 30 00 NC-A/HNDLGUNITS-H.P. �� ^ Wfl�Bf S , `��1�� � • �,
<br /> Q B A T H T U B 2 0 0 0 F OR CEDAIRSYSTEMS-B.T. EA. "{ LegalDescription: . .
<br /> fj LAVATORY(WASHBASIN) 30 00 UNITHEATERS-B.T.U. M '' � � ,
<br /> CLOTHES DRVERS L�t 2 0! Short ?la! 1Z02-22-89 $8W8f a �,�� ,
<br /> SHOWER 20 00 2 '� • '
<br /> KITCHEN SINK 8 OISP. 10 6 VENTILA710N FAN Block Total Development Fee s� �'�� ~ � '•f .
<br /> DISHWASHER O RANGEHO00 , � ' � � ���+Ye.,. ��
<br /> LAUNDRY7RAV WATER HEATER PI2� �1.�!. � • . ���.Y� r;Y
<br /> CLOTHESWASHER 1 WOODSTOVE ==I f, �;. ,i-. .• • �•.,!`�,.,
<br /> URINAL ME-TAL FIREPLACE 8 CHIMNEV Unplaried Descripdon: Sewer Bond District .
<br /> DRINKING FOUNTAIN FIREPLACE INSERT � � ��� � � �`�' ��. .
<br /> FLOORDRAIN HEATPUMP AbuttingLotLine . ,, � ��,.,`-,,;.:. .
<br /> BACKPLOW PREVENTERS GAS PIPING � � � ' ,
<br /> F%HAUST FAN N�S� E�W �•I � ��,, j,n'
<br /> ROOFDRAINS-RAINLEADERS � � .
<br /> SINK(SERVICE-BAR,ETC.) � r�`,,�• , --
<br /> Type of Permit � °D°°°Q�OR Approved By ' ' n,
<br /> �F.;
<br /> . � ..�.\;�F� �.�:•:�.I
<br /> Remarks Issued By �ah'•
<br /> SUBTOTAL S 130 00 SUBTOTAL S , . _ ' �;� , 1 ':7:��",;,�::,
<br /> PERMIT 5 - - PEHMIT s -- - Customer Slgnature - �
<br /> TOTAL FEE S 130 00 TOTAL FEE S 120 00 � � � ����� �
<br /> i`�I�
<br /> FRONT EETBALK REAR SETDAGK SIOE SET3ACN PLAN CHECK NUMBER FEE 593.13 R RECEIPT NO. IMPORTANTI � � ,- . .� �
<br /> West-5' East 5' N-20' 5-40' 27649 pD 556.73 53411 - f `
<br /> �•.
<br /> USEZONE LOTr1REA VACANTSITE BUILOINGCOOE FEE � ' , �' �•
<br /> x-z 7,796 1�,ES oNo FEES VALORiION CALL 1-800-424-5555 48-HOURS '� �� .. ,���;•t , �'�`
<br /> ' TYPEOFCONSiRUCiIONALLON'ABIE TYPEOFCONSiRUCiIONACNAL ��� ��a��ELLINGP41i5 BUILOING 5177,476 BZZ so . PRIORTODIGGING . , " -�� � :?� � �
<br /> V-N �-N R-3 2 PLUMBING 130 00 , � �
<br /> �tlF .}C� �' 1046 S NO.OFSTORIES 0A5«.,ENT Inspection ey ,
<br /> z ❑�ts �No h1ECHANICAL izo 0o CALL 259-8810 FOR INSPECTION ;;., , ���G
<br /> Date Inspected
<br /> OCCUPANCYLOAD FIRESPRINKLERSREO'D HEIGHTLI'dRATtON �THER '�' Addnl plan c fee 36 4� . . . � . ;' � !•,•L . '
<br /> J �
<br /> NA ❑ves IXYo Z8� � � .. ".� ..... .r,ax l������. I
<br /> S7ATE DUILDING SURCHARGE 4 SO � ' }! t
<br /> REPSONPOFSPRINKLER$ ' C % ��' • �� i
<br /> STATcENERGVSURCHAFGE SEESKETCHATTACHED � . � .� _ ..N0��28481 �ij�� � s _
<br /> APPLICFTIONACC.DY PUNSAPPROVfDOY CITYOFEVERETT • � 1 � '� 1 . r'` ' +, ' ` �
<br /> LOCAL SALES PU�LIC WORKS zo 00 � �`, ;F. 4 ,� ; ,
<br /> JH TAX CODE IS INSPECTION,: , . .. -
<br /> 3105 TOTAL 1223 40
<br /> WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
<br /> Nw�� ,;
<br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN AnniaESS F�l E 2 7 6 4 9
<br /> 1B0 DAYS OR CEASES FOR MORE THAN 180 DAYS.
<br />
|