Laserfiche WebLink
�a ���a7C'��J <br />I'� ,lu� t ;, ts�� <br />�y OF E��KETT <br />Pl�nnln4 �ept. <br />' Rroll Paq �Z� <br />, CI!! 0! EV�L!! <br />carv=c�riaK or i,or sr a � 6' <br />Dlli <br />A lot Mf►!ch quslifi�� a� a�ub�tandard lot� a� pro�id�d b� 9ubWction 38.080.A.1 oi <br />th� E��r�tt 2onios Cod�, �u�t M c�rtiii�d u a nonconiosfin; lot prios to tha <br />i��uanc� of a buildios p�s�it. In osd�r to b� c�rtifi�d �� a l��al lot for buildin` <br />p�spo���, eh� applleant �6a11 pra�ld� �utiicisnt infor�ation to nrif� ehat eha lot <br />Na� l�pll� crut�d and that �I1 appllc�bla Cit� Louia` Cod� r�qnfre�ent• !a aEi�ct <br />•t eh� tiM t!u lot Mu crutad �nr� wt� or t6at tha lo! wa� cruted prlor to <br />am�sation to eh� Cii� �nd Mt tlu �laia Loniui Coda e'�9nirwab of Snoho�i�h <br />Count� ae tlN tiN th� lot rs� ��labll�h�d. <br />ro es �ra,su oo! � aeMac,�N'ri <br />011satt 1�W,�, bl�leR1AR1AlC�� ��1 b -b 3� <br />Add!!��! Rl� C�I�An1D /4d� <br />�'i--�-.r �.te. 4azoi <br />Addr��• o! lot D�io� e�rtili�ds fSU4 ('�ww1� �M/E ��� L�1� ci fttol <br />11rvu.or'. Aceouae No. (�i1q05- I- 008 - 00 <br />i .. /1l�Xiii�✓_.!7ite�ii✓/�iiSi Al� <br />D�t� o! Ann�sationt <br />Docu�ane DaN <br />(eop� to attaeMd) <br />��_,. ��� n0• <br />MOit�t�� <br />Wasract� D��d /�� � <br />Qultelaia D��d � <br />Da�d of Trwt <br />R�al E�tit� ContiaCt o�n�_a�t.�r,�� <br />0�!! <br />I h�r�b� care!!� ehat eh� �boh inioa�atian 1� tsw �sd eornct to th� b��t oi q <br />knarladp. <br />� f011oriot !■ W b� d�t�salsad b7 Plamini DaDasWnt! <br />'1'h� lot do��/� �t Zoaios Cod�/SnbdlH�loa r�qairwat� !u �ff�ct at ths <br />tiM eh� abo� tr�owctioa(�) i(wr�) r�cosd�d in eL� Conaq Audieos'� Of!lc�. <br />I har�b� ilnd tlut eh� abo�a pare�l i�%iA a le�al lot for buildin; putpo�e� <br />tmd�r eh� Cii� tonin� a� Subdl�i�ion Cod��. lhi� c�st!lieation !s subjact to <br />r��oeation ii ie i� lcmd ehat tha inioi�ation apoa Mhieh !t i� ba��d i� �rro�o�i�• <br />Iwehort:.a sf�o.enr. � <br />Dth <br />ccs Buildin; Depart�ant - for addra�� fil� <br />O�mar/Purchuer <br />llsld <br />TO BE <br />BUILDING DEPARTMENT �— <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION <br />nwnFR MAILADORE55 <br />TENANT <br />MMI.RDORESS <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC <br />❑ BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br />CI7Y ZIP PHONE <br />ARCNITECTORDESIGNER MAILADDRE55 CITY ZIP PHONE <br />GENERALCONTRRC70F MAILADDRE55 CIN ZIP PHONE STPfcLICENSEI <br />CONTRACTOR <br />CITY ZIP PHONE STATE IICENSE • <br />PLUMBINaCONTflACTOR MRILADDRE55 CITV ZiP PHONE STATEUCENSE• <br />CONTR�CT PRICE OF WORK <br />SOUAREFOOTAGEINVOLVEO_, <br />i <br />� <br />LEGAL DESCHIPT PROVERTV (SHOWN BELOW OR ATTALH TWOCOPIES� <br />ior e�ocK —�-- oF � � <br />�ir� C�%or <br />/Z - <br />PARCELTAXI.D.NUMBER <br />py$Tp qN LOAN LENDER, ADDRESS. TELEPXONE. NUMBER <br />�po� CT ADDRESS <br />�6D4 (vRA�7) RiI£ . L�f�°F��1l� � <br />pLUMBINO <br />Np, TYPE OF fll(TURE OR ITEM FEE <br />WATER CLOSET (TOILET) <br />enniTue <br />LAVATORV(WASH BASIN) <br />SHOWER <br />KITCHEN SINK S DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PfiEVENTERS <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE—BAR, ETC.) <br />SUB TOTAL $ <br />PERMIT S <br />TOTAIFEE $ <br />FOR OFflCE USE ONLY: <br />�� <br />IYPE OF CONST. <br />SQE� <br />S 2B ' <br />OCGUPPNCYL <br />� <br />REFSON <br />YTAKE 2Y <br />PNONE NO. <br />I IiEF�EBY CERTIFV THAT I HAVE READ AND ExAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIfIED HEHEIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR Cf,NCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WNICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />1! �/,�/Y� <br />5 UNE � DAiE <br />MECHANICAL <br />/ SIDE SETBACK I PLAN <br />LOT RNEA <br />NO. OF STOP.IES <br />FIRE SPRI�NI(LERS HEO'D <br />�o <br />FIRE ALARM PEOD <br />�v _ <br />PLANS PPPROVED BV <br />OATE � /7��G � <br />WCANT SITE <br />❑ YES C NO <br />pCCI1VAN4Y AO OfOWEIIiNGUH�i6 <br />BASEMENT <br />❑ YES �✓O <br />HEIGNTLIMI�ION / <br />EVEHETT <br />SALES <br />E IS 3105 <br />A/C—A/HNDLG UNI TS—H.P. <br />FORCED AIR SVSTEMS—B.T.U. <br />UNIT HEATERS--B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BUf <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />PERMIT $ <br />TOTALFEE $ <br />� <br />ew�oiNc 5 ! � <br />� <br />PLUMBING � <br />MECHANICAL ' <br />� <br />ADDITIONAL PLAN CHECK � <br />� <br />OTHER <br />STATE BUILDING SURCHARGE � <br />i <br />PUBLIC WORKS � <br />TOTAL I r-�' � i <br />