609 MAULSBY LN 2018-01-02 MF Import

theeTCtT',OF crtv of r ^/" NSTRUCTIot' �/' 1, V everett PERMIT PERMIT NO. 13596 CITY HALL 259.8745 EVERETT, WA 96201 ❑ COMBINATIONS BUILDING ❑ MECHANICAL ❑ PLUMBING OYINER MAIL ADDRESS CRY ZIP PHONE Everett 98201 259-6269 Julian C. Dewell 609 Maulsby Lane ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR Timberline N.W. Construction MAIL ADDRESS CITY ZIP PHONE LICENSc M 5019 156th Street S.E. Bothell 98012 MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I PLUMBING CONTRACTOR MAIL ApORESS CITY ZIP PHONE LICENSE CLASS OF WOV.K ❑ NF.W $$ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑ WOOD STOVEIFIREPLACE INSERT VALUATION OF WORK S 6,000.30 - DESCRIBE WORK Enclose Existing Deck _ PROPOSED USE OF BUILDING Family REsidence EBY CERTIFY TKNOW RSAME rTOEBEnTIO Single APPRCATIO�4 AND THE RUEAND LEGAL DESCRIPTINTM PROPERTY)SHOW BELOW O R ATTACH FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES 3 Bayview GOVERNIN_ TUIS TYPE OF WORK WILL BE COMPLIED WITH LOT —BLOCK _—OF �y ER SP.9CIFIED HEREIN OR NOT. THE GRANTING OF A of Replat of Lots 15-19 Block 132 and 24-24 1161PERMIITiDOESNOTPRESUMETOGIVEAUTHORITYTOVIOLATE Block 133 OR CANCEL THE PROVISIONS OF ANY OT;iER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERF�JRMANCE OF CONSTRUCTION. JOB ADDRESS S1GNA RE Of CON]R T OR AyYtHORIZED AGENT DATE �L r 609 Maulsby Lane X is {1 It n+a S t PLUMBING MECHANICAL NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) AIR COND. UNITS - H.P. EA. REFRIGERATION UNITS - H.P. EA. BATHTUB LAVATORY(WASH BASIN) BOILERS - H.P. EA. GAS FIRED A.C. UNITS - TONNAGE EA. SHOWER FORCED AIR SYSTEMS -B.T.U. M EA. KITCHEN SINK 8 DISP. WALL HEATERS - B.T.U. M DISHWASHER UNIT HEATERS - B.T.U. M LAUNDRY TRAY CLOTHES WASHER EVAPORATIVE COOLERS WATER HEATER CLOTHES DRYERS URINAL VENTILATION FAN ter' DRINKING FOUNTAIN RANGE HOOD FLOOR DRAIN :11R HANDLING UNIT - C.F.M. C7 VACUUM BREAKERS STOVE - WOOD ROOF DRAINS - RAINLEADERS METAL FIREPLACE 6 CHIMNEY SINK (SERVICE - BAR, ETC.) FIREPLACE INSERT HEAT PUMP H F FH .= U7 �. SUB TOTAL i SUBTOTAL S PERMIT $ PERMIT $ TOTAL FEE S TOTAL FEE S STREET SETBACK REAR YARD SETBACK 61 PLAN CHECK NUMBER PLAN FEE SIDE YARD SETBACK CHECK FEE NO, r 201 201 84/13596 36.73 76$lffT USE ZONE — FEE T LOT AREA VACANT SITE FEES VALUATION R-1 i-.YES XXNO - TYPE OF CONST. OCCUPANCY GROUP rNO. OF DWELLING UNITS H In V-N Addn R-3 1 BUILDING $6,000. 56 50 SIZE OF BLDG. NO. OF STORIES MAX. OCC. LOAD Existing Deck 1 PLUMBING FIRE ZONE BASEMENT FIRE SPRIIREDNKLERSREQ MECHANICAL N YES 5NO APPROVALS BY DATE OTHER U.B.C. 1. ENVIRONMENTAL CHECK LIST PENALTY SEC. 303 (a) U 2. BUILDING PLANS TOTAL 56 50 3. FIRE H. FANT k 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION PROPERLY VALIDATED (IN THIS SPACE) THIS--,IS,i&6 PfPq IT— Ld 5. GRADING WHEN C 6. DRAINAGE Ln 1 r 7. ENVIRONMENTAL IMPACT STATEMENT - II -� M 8. HEALTH DISTRICT T-4 APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY EB HIRM LC ADDRESS FILE