Laserfiche WebLink
the eDCITO <br />r �,ONSTRUCTIOW <br />everett <br />PERMIT PERMIT NO— <br />23870 <br />259-8810 <br />❑ DEMOLITION <br />❑ COMBINATION ® BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWIIER <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />Harry Dahl <br />3425 Lombard Everett 98205 <br />TENANT <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP ✓HUNG uUcrvoGr <br />Lakeside Home & Roof <br />11505 20th Ave. <br />NE Lake Stevens 98258 <br />334-0675 LAKESHR134CC <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE A <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION <br />❑ ALTERATION <br />$] REPAIR ❑ DEMOLITION <br />❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF OAHLH ]MAN AUUVG <br />CONTRACT PRICE OF WORK: $ 7250.00 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Repair fire damage and reroof <br />SFR _ <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT —. BLOCK — OF <br />JOB ADDRESS <br />1 49S T.-1—A AVP_ <br />PLUMBING —_ <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET ( i DILET) <br />.JC — A/HNDLG UNITS — H.P. <br />— <br />BATHTUB <br />FORCED AIP. SYSTEMS — B.T.U. M EA <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />KITCHEN SINK & DISP. <br />CLOTHES DRYERS <br />VENTILATION FAN 90 1R <br />01_T7L7- <br />' <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER II000238 00 <br />_ <br />— <br />CLOTHES WASHER <br />WOOD STOVE BLDG $99. <br />CD <br />URINAL <br />METAL FIREPLACE & CHIMfiZRCH $4•L <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT CRSH 5103. <br />_ <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS — RAINLEADERS <br />EXHAUSTFAN <br />SINK (SERVICE— BAR. ETCJ <br />— <br />— <br />SUBTOTAL $ <br />SUBTOTAL 5 <br />PERMIT $ <br />PERMIT 5 <br />TOTALFEE $ <br />TOTALFEE 5 <br />FRONT SETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USEZONE <br />LOT AREA VACANT <br />SITE <br />❑ YES [I NO <br />FEES <br />BUILDING CODE <br />I�Oh­­— <br />FEE <br />BUILDING <br />S 7250.00 <br />99 <br />00 <br />TYPE OFCONSTRUCTION AUOWABLE <br />TYPE OF CONSTRUCTION ACTUAL"" <br />NO OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG. <br />NO, OF STORIES <br />BASEMEN <br />❑ YES ❑ NO <br />MECHANICAL <br />OCCUPANCYLOAD FIRE SPRINKLERS REO'D HEIGHT LIMITATION <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />OTHER <br />STATE BUILDING SURCHARGE <br />4 <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />SH <br />PLANSAPPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />L <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />103 <br />50 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />ADDRESS FILE <br />23870 <br />