Laserfiche WebLink
♦ <br />,�u� Ere.e.ren <br />��� �" � ���1Sil��ICTIO(�' <br />r��ere�� PERMiT PERtviIT NO. •�� � �_% <br />CRY HALL 259�8745 <br />eveAerr,w�oszoi [� COMBINATION Cx� BUILDING GG MECHANICAL � PLUMBING <br />OWNER A1FIL Af1DFE55 CITY ZIP PNONE <br />Rose Sowman 17 LVest Mnrilyn �verett 96204 <br />AHCMITECT OR UESIGNER MAIL AODRE55 CIiV 21V PH04[ <br />GENERAL LONTRACTOR MAII AODPESS CITV ZIP PHONE LIGENSE I <br />Carl Larsen Construction Inc. 4801 76th S.W. Mukilteo 98275 355-4745 <br />MECMANICAL CONiRAGTOP MAIL A�DRE55 CITY ZIP PMONE LICENSE N <br />CARLLC2160NH <br />PLUMBING WNTRACTOR MAIL AOOiiESS CIiY ZIP PMONE LICENSE M <br />• <br />ClASS OF WORN <br />KIGJEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />s 39,000.00 <br />OESCRIBE WOPR <br />Construct Single Family Residence <br />PROPOSED USE OF BUILDING <br />Single Family Residence <br />1 <br />LOT _ BLOCN _ <br />#8907250051 <br />Short Plat Addition <br />T 13-28-4 <br />19 West <br />PLUMBING <br />Avenue <br />TYPE OF FIXTURE OR <br />2 WA7ERCLOSeryTOIlE7) <br />Z BATHTUB <br />2 LAVATORY�WASHBASIN) <br />SH0INER <br />1 KI7CHENSINKSDISP. <br />1 DI5MWASHER <br />LHUNDRYTRAV <br />1 CLOrHES WnSHER <br />1 WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM [IREAKERS <br />ROOF �RAINS - RAINLEADERS <br />SINK (SERVICE - BAR, ETC.) <br />SUB TOTAL S <br />PEHMI7 S <br />TOTALFEE S <br />�RD SETBACK STREETSETBACK RE <br />6' 20' <br />�NE LO7AREA VA <br />R-1 <br />V-N <br />SIZE OF BLC <br />109G Sq <br />FIRE ZONE <br />R-3 <br />NO. OF STORIES <br />1. ENVIfiONMENTAL CHECK LIST <br />2. BUILDWG PLANS <br />3.FIREHYDRANT -� <br />4.FIREPROTEGTIONSYSTEM -� <br />5. GRADING <br />6. DRAIVAGE <br />i. ENVI fiONh1ENTAL IAIPACT STATEME <br />8. HEAI�.7H DISTRICT � >-,� <br />EB <br />� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW TI�E 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 STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORM�IJCE OF CONSTRUCTION. <br />SIGNATl1RE.OP (INTRACTOROIIAOTN�RIZEWOENT / �ATE <br />%� �' � . 2 'n% ? �r ��� i✓ �. _!�/ �,� ' <br />MECHANICAL <br />FEE NO. TYPE OF E�UIPMENT FEE <br />_ q C.IR COND. UNITS - H.P. EA. <br />q Q REFRIGERATION UNI75 - H.P. EA. <br />4 O BOILERS - H.P. EA. <br />GAS FIRED A.C. UNI75 - TONNAGE EA. <br />z FORCED AIR SYSTEMS - B.T.U. M EA. <br />2 00 WALL H[ATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVF COOLERS <br />2 00 CLOTHES DRVERS <br />], VENTILATION FAN <br />], RANGL HOOD <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACEINSLRT <br />HEAT PUMP <br />y�s ..No <br />A1A%. <br />20 QO <br />io 00 <br />E78ACK <br />20' <br />LING UNITS <br />1 <br />KED BY APPR. FOR ISSUANCE BV <br />tnar� LC <br />SUB TOTAL S 12 00 <br />PEflMIT S <br />TOTAL FEE 5 �nn <br />L4312 I�EE 140.08 I R7i706 G <br />FEE� VALUA710N FEE <br />eui�oiNc s 39,000. 233 50 <br />PLUM8ING iO OO <br />MECHANIf.AL IZ OO <br />OTHER <br />PENALTY U.B.C. <br />SEC. 30J la) <br />TOTAL 265 50 <br />PERMIT VALIDATION <br />�4HEN PROPEjiLV VALIOATED�pN 7HI5 SPAGE) THIS IS�Y(SUA PERry11L _(� <br />_,. � <br />M <br />. �' <br />� � . � � � <br />\DDi G�S i Il.c <br />� <br />z <br />O <br />� <br />ci <br />m <br />H 1--1 <br />-i T <br />.. --i <br />cn x <br />m <br />0 <br />co <br />m o <br />-� c <br />� 'm <br />-1 2 <br />S -i <br />m <br />�--i <br />.O Z <br />C <br />D � <br />rx <br />�--I vf <br />-G <br />T <br />O A <br />T � <br />--i m <br />2 <br />m � <br />N <br />O <br />o r <br />� m <br />C Vf <br />� N <br />m <br />Z n <br />--I r <br />- m <br />n <br />� <br />� <br />x <br />D <br />Z <br />� <br />._-. <br />N <br />Z <br />0 <br />� <br />C') <br />m <br />