Laserfiche WebLink
2 <br />C <br />C <br />/C the Evergreen <br />/-l' Iv OF tt �ONSTRUCT10% <br />CITY HALL 2598TAS PERMIT PERMIT NO. 15950 <br />EVERETT, WA 98201 ❑ COMBINATION Q BUILDING ❑ MECHANICAL PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Chris Coblentz 1616 Rainier Everett 98201 252-6193 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0 <br />Cl NEW (ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE Cl SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />S9,000.00 <br />Construct Garage and bathroom <br />PROPOSED USE OF BUILDING <br />Single family residential garage <br />9 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF C NSTR TI N. <br />SIGNAT OF CONT OR UTH 12 D ENi DATE <br />X <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT16_178LOCK 3 OF. Pinehurst <br />JOB ADDRESS <br />1910 Pinehurst <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />1 <br />WATER CLOSET (TOILET) <br />2 <br />00 <br />AIR COND. UNITS - H.P. EA. <br />1 <br />BATHTUB <br />2 <br />00 <br />REFRIGERATION UNITS - H.P. EA. <br />1 <br />LAVATORY (WASH BASIN) <br />2 <br />00 <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA, <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />S <br />6 <br />00 <br />SUB TOTAL S <br />PERMIT <br />$ <br />PERMIT $ <br />TOTAL FEE <br />S <br />6 <br />00 <br />TOT<'_ 'EE S <br />SIDE YARD SETBACK <br />51 <br />STREET SETBACK <br />201 <br />REAR YARD SETBACK <br />20' <br />PLAN CHECK NUMBER <br />86/15950 <br />PLAN <br />FEE <br />48.4383054 <br />CHECK FEE <br />RECEIPT NO. <br />USEZONE <br />R-2 <br />LOT AREA <br />7600 Sq. Ft. <br />VACANT SITE <br />'.YES XXIO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />$9,000. <br />74 <br />50 <br />SIZE OF BLDG. <br />896 Sq. Ft. <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />PLUMBING <br />6 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />YES NO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHE LIST <br />PENALTY <br />SEC.0 303(a) <br />2. BUILDING PLANS <br />TOTAL <br />80 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPffl THIS�1S ?Uj PKR�IT <br />t 11 11., ff lU� 77 'I <br />Cn <br />RECEIPT Ln <br />`� n !) R � <br />I�l.i'�� i�o� <br />3. GRADING <br />'B. DRAINAGE <br />:?.ENVIRONMENTAL IMP ySTATEMENT <br />'B. HEALTH DISTRICT m <br />` PPLICATAON AiC. BY <br />Q nT <br />C <br />PLANS CHECKED BY <br />JEF <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />1(3JAN86 <br />