Laserfiche WebLink
`���`���`�`p�,`�i, � �ONSTRUCTIOI� � <br />crtv cF <br />� -, �,L� <br />e� PERMIT PERMIT N0. 1611� <br />CITV HALL 25987�5 <br />b ���4'`"��J � ���d��NATION ❑ BUILDING ❑ MECNANICAL ❑ PLl1MBIN0 <br />OWNER MAIL AOORESS CITY ZIP PMONE <br />Golden Homa euilders 1233 Olympic View Dr Edmonds 98020 776-2141 <br />•RCHITEGT OR pESiGNER MAIL RDDRE55 CITY 21P PMONE <br />Same <br />GENERALCONTRAGiCR MAllA00RE55 CITY 21P PHONE 4CENSEI <br />$dif1E <br />MECMANICAL CONiRRCTOR MAIL ADORE55 CITY ZIP PHONE LICENSE • <br />S a�� <br />PWMBINGCONTRRGTOR MAIIpODRESS CiTY 21P PHONE LICENSE♦ <br />A& B Plumbing 6112 - 176 SW Lynnwood 98036 . 743-0111 7.23-02AB .�LU 2907 C <br />IS NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVEIFIREPIACE INSER7 <br />= 46,000 <br />DESCRIBE WORN <br />Construct Single Family Residence <br />Sing].eVFamily Residence <br />EGAL DESGRIPTION OF PROPERTY �SMOW BELOW OR RTfACII FOUR COPIES� <br />Zg West Creek, Div 2 <br />LOT _BLOCN_OF _ <br />10802 - 4th R.ve SE <br />PLUMBING <br />NO. TYf F FIXTUI <br />2 WATEF :LO;._T�TOILEn <br />2 BATHTUB <br />2 LAVATORY�WASHdA51N) <br />SHOWER <br />1 DISHWASMER <br />LAUNDRYTRA\ <br />1 CLOTHES WASMEH <br />�. WATER MEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DFlAIN <br />VACUUM BFEAKERS <br />ROO� DRAINS — RAI <br />1 SIIJK ISERVICE — BA <br />SIDE VARD SETBACI <br />6' <br />USF IONE <br />R-1 <br />TYPE OF CONST. <br />V—N <br />sizg�or� e�.oqgoo <br />M = 440 <br />FEE <br />a, ET(:.� 2 00 <br />SUBTOTAL 3 ZZ OO <br />PCRMIT f ' ' <br />TOTAL FEE S 22 �� <br />',EET SETBACK REAR VARD SETBACK <br />20' 20' <br />� AREA VACANT SITE <br />XVES NO <br />R-3 <br />NO. OF STOI <br />1 <br />BASEMENT <br />APPROVALS <br />t ENVIR� `vMY�TAI CHEf.K LIS" <br />1.PU_GNGPLANS �' <br />3.FIREMYDRANT -_— <br />d. FIF F PHOiECTION SYST6M <br />5 GRA�ING <br />—€.DRAINAGE �,� <br />7.ENVIRONMENTALIMPACT� <br />�.B.MEALTHOISTflICT N <br />APPUCATION ACG. BV . <br />c_ _• � <br />V� l = <br />Eg. , <br />` �,� <br />�� <br />1 <br />NO <br />BY IAPPR.FOR <br />STG � LC <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATIUN 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 />WHETNER SPECIFIED HEREIN OR �IUT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOC LAW �EGULATING CONSTRUCTION OR THE <br />PE O MANCE OF C N RUCTION. <br />SIGN 7U GONiR TO F t UFIZED AGENi �ATE <br />x Q� � 3-- / z- P� <br />MECHANICAL <br />10. TYPE UF EOUIPMENT FEE <br />AIR CGNO. UNITS — H.P. EA. <br />REPPIGERATIOh UNITS — H.P. EA. <br />tlOILERS — H P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FGRCFD AIR SYSTEMS — B.T.I:. M GA. <br />_'�v;aV_ HEATERS — B.T.U. M <br />UNIi HEATERS — �.T.U. M <br />EVAPORATIVE COOLCRS <br />1 CLOTHES DRVER> <br />2 VENIILATION FPN <br />1 RANGEMOOD <br />AIR HANOLING UUIT — C.F.M. <br />STOVE — WOO� <br />1 METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />.HEATPUMP <br />SUB TO7AL S <br />PEflM1T 5 <br />TOTAL FEE 5 <br />PLAN CMECK NUMBER r�nrv cnecn ree <br />86/16118 FEE 131. 3O I RECEIPi NO. <br />839Ei1__ <br />FEES VALUATION FEE <br />BUILDING � s46�000 I �65 <br />PLUMBING Z2 OO <br />MECMANICAL ZZ SO <br />OTHER <br />PENALTY SEC 307 �a� <br />TOTAI 309 50 <br />PERMIT VALIOATION <br />WHEN PROPERLY VALIDATED QN TMIS fP � j THIS�SxOLf�PF�iI�IT_ �`4,� <br />p ( <br />Additional Plan Check Fee Requiied�� �'$40.95 � <br />Receipt # 78523 �s� <br />. ' . _ �' 1 � �� ♦ � i <br />, � <br />ADDRE55 FILE <br />� � ��..,i ��u <br />