8110 FLORIDA DR 2018-01-02 MF Import

HMI, t=i H >qCAI CA H z H �py OHl7 0.V 0 H�% 9 H O y H N A k7 N M zHy H3 O CA APPLICATION rOR CONSTRUCTIO.: PERMIT Byl'FB(1 TO BE COMPLETED IN INK —PLEASE PRINT the Eergre^rI I CITY OF 1 eve rett HEATING SYSTEM: 0 GAS 'J ELECTRIC BUILDING DEPARTMENT 259-8810 DEMOLITION i_ i COMBINATION X BUILDING X MECHANICAL X PLUMBING SIGN Eivi OWNER MAIL ADDRESS CITY ZIP PHONE — Cp&p KLP Partners 18204 Bothell Everett Hwy k2 Bol_tell WA 98012 481-8866 F TENANT MAIL ADDRESS CITY ZIP PHONE ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE _Design Consultants 745-t;569 GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP 'HONE LICENSE Lessley Construction, Inc. 18204 R *H TT T rt Hwy #2 481-8866 LESS&T*210PK MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC[NSEA Horizon Heating 745-3930 PLUMBINGCONTRACTOR MAII. ADDRESS CITY ZIP PHONE LCEG$cA Art's Plumbing 568-4237 A2 SFL _ '.::J CLASS OF WORK c- I ocAlo ncMnl ITION I WOODSTOVE/FRPL INSERT BUILDING RELOCATION A NCYY CONTACT PERSON AND PHONE NO. 55,000 Sue Keniston 481-8866 CONTRACT PRICE OF WORK DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED New Residential Construction 1524 s ft. PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL SFR PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR LEGAL DESCRIPTION OF PROPERTY ISHOWN BELOW OR ATTACH FOUR COPIESI 2-—DLor.K -�--oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE Lot _LOT$3— AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY �-I z S-2-5 Z Cl - Y OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE' CONTRACTORS LAW 18.27 RCW AND 296.200 WAG. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE CZ PROJECT ADDRESS PLICA TS Y SINESS LICENSE fiUSMESS Wy. DOO 8110 Florida Drive, EVerett PLUMBING MECHANICAL NO. TYPE OF FIXT..TE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) Is ' ' A/C-A/HNDLG UNITS-H.P. 1 BATHTUB 1 FORCED AIR SYSTEMS-B.T.U. M E.A. 3 LAVATORY (WASH BASIN) UNIT HEATERS-B.T.U. M I SHOWER 1 CLOTHES DRYERS 1 KITCHEN SINK 8 DISP ih VENTILATION FAN — 1 DISHWASHER RANGE HOOD LAUNDRY TRA'( 1 WATER HEATER 1 CLOTHES WASHER i c, WOOD STOVE URINAL 1 METAL FIREPLACE & CHIMNEY DRINKING FOUNTAIN FIREPLACE INSERT FLOOR DRAIN ATPUMP HE ' BACKFLOW PREVENTERS 1 GAS PIPING ROOF DRAINS—RAINLEADERS 1 SINK (SERVICE —BAR, ETC.) f SUBTOTAL $ I SUBTOTAL ' PERMIT $ I PERMIT S TOTAL FEE $ t I,fj(/ rV TOTAL FEE $ _ FOR OFFICE USE ONLY: FRONT SETBACK REAR SETBACK Z-0 CN USE ZONE LOT AREA R-► TYPE Of CONTS. ALLOWABLE TYPE OF CONEL At �. SIZE OF BLDG. NO. OF STORIE: 14,41 S f 4- OCCUPANCY INTAKE BY .CAD FIRE SPRNKLE.RSI SPRItA ERS Nu PLANSAPPROI J SIDE SETBACK S VACANT SITE occuPANcr No aO WIC dNBS ERWG BASEMENT CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 AN CHECK NUMBER FEE RECEIPTNO. 9//a a 7Yo _J-0 101495 BUILDING f7 50 _ PLUMBING _ ko ,W MECHANICAL lJ ) - ADDITIONAL PLAN CHECK OTHER STATE BUILDING SURCHARGE 1 '50 PUBLIC WORKS TOTAL 69 -7 ;aCJ