721 40TH PL 2016-01-01 MF Import

APPLICATIOrI FOR CONS'TRUCT.JN PERMIT CITY OF EVERETT• BUILDING DIVISION 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 I I DEMOLITION f I COMBINATION � BUILDING I 1 MECHANICAL rl PLUMBING f 1 SIGN PROJECT AODR�SS 721 4 th Place, Everett, lJA 98201 ��'��« MNLAODRE55 CIrY Iip r�ro��e Eric L. & Becky V. Nutt, 721 40th Place, Everett, WA 98201 258-2800 IENAIlT MNLAOORESS Cltt 21P PIIONE r1RC111TECTOR�E5IGNEP h1AILADDRE55 CITY ZIP PMONE owner GENEiiAIGONTpRGTOR MAILAD�RE55 GRv )IP PHONE STATELICENSEM owner MECHANICAICONTRACTOR MAI�ADORE55 CITV ZIP PHONE STATELICENSE� n/a PWAIBINGCONTRACTOR MFIL�D�RE55 CITY Z�p p�IONE STATF.LICENSEY n/a coNraact vaice or wonrc — n/a (mv best�uess is about 3 000 HEATING SYSTEM: I l GAS rl ELECTRIC ❑ �ESCPIBE WORK AND S�UARE FOOTAGE INVG�VED COYT�CT PERSON ANO PHONE NO 30 x 9 deck roof cover to cover existing 25 x fi Eric or Beck Nutt 258-2800 deck. Roof to be 7/12 itch and to contain 4 2 x 4 lass sk li h[s. Shake roofin . I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS PROPOSE�USE OF BUILDING APPLICATION AND KNOW THE SAM�TO 8E TRUE AND CORRECT.ALL s/f PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED FIEREIN OR LEGALUtSCR�PTIONOfPROPFRiY�5H0�YNBELOWORATfACHTWOCOPI[5) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME 70 GIVE ior 33 a�ocK—__or SilverHawk at AUTHORITY TO VIOLATE OR �,4NCEL THE PR��VISION OF ANY Forest Park OTHER STATE OR LOCAL LAW REGULATING CONS'�RUCTION OR THE accordine [o the lac theteof recorded in PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE VOlU[�IE 53 Oj p1dtS� pages 9-14. 1t1C1uS1V2. 1R �WNER UF THIS PROPERTY TO PERFORM THE WORK FOR WHICH _�� APPLICATION IS MADE AND I COMPLY WITH THE STATE rnrcE�rnx i.o.Nureaea CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. GON$fRUCTION LOAN LEN�ER.ADDRE55.TELEPHONE NUMBER X��"{ ,1�� II" �I� ( �- �IGNAiURE A OATE CITY f)UqNESS LICENS[N0. PLUMBING MECHANICAL NO. TYPE OF FIXTURE OR ITEM FEE NC. TYPE OF FI%TURE OR ITEM FEE WP.TER CLOSET(TOILET) � A/C—AMNDLG UNITS—H.P. i BATHTUB ' fORCEDAIRSYSTEMS—B.T.U. M E.A. ' � � LAVATORV(WASH BASIN) � HEAT PUMP T— SHOWER � UNITHEATERS—B.T.U. M � KITCHEN SINK&DISP ; CLOTHES DFYERS ; DISHWASHER � VENTILATION FAN LAUNDRY TRAY ; RANGE HOOD ' CLOTHES WASHER � WATER HEATER � URINAL ' WOOD STOVE � DRINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) ; FLOOR DRAIN � FIREPLACE INSFRT(WOOD BURNING) � BACKFLOW PREVENTERS � GAS FIREPLACE ' SINK(ScRVICE—BAR, ETC.) � GAS RANGE i GAS PIPING ' i EXHAUSTFAN ; i � � � � � � SUB TOTAL S ; SUB TOTAL 5 � PERMIT S � PERMIT 5 � TOTAL FEE 3 � TOTAL FEE S ' FOR OFFICE USE ONLY: �Zpy�C (�l'�� , < c_ FRONT ACK � AEAR SE10�CK SI�E SET�ACH PIAN GNECK NU!ADER / � FEP RECEIPT NO. —�� G�� S ' �(l� USE20NE�7 �Oin�Eq � vncnr�t<i�E FEES VALUATION FEE -' '� nv�s ++o euaniHc 'Ly30 ` ; HEIGHTLIMITNTION � NOOFOWELLING SIZEOFBLDG/tl. � � UNITS ' �,7� �f ��f p�UMBING � OGCUFANCY 1!0 CF Si0FIE5 OCCUP�NT LOAD BASEMENT � GF UP n � MEGHANICAL i �-1 I � ^ f1YE5 1�.1'NO i FIPE ALAPM PEOD FEASON ADDITIONAI.PLAN CMECK ?� � � � OTI/ER i FIRE SPRINKLER(iE0'D REASON � � N J STATE OOILDING SURCMARGE � :�) iVPEOFCONST Pll�NSAPP OVEDOV CITYOFEVERETT PUBLICWORNS y_ �ld LOCAL SALES �- onre �Z/G� g TAX COUE IS 3105 TOTAL �JJ;(�� �.�. _.. �. — - - r ...c:•x _�,�,'2..,: _ _��a p�.�.....1'T3.:.�� ~� . ,.,,. . _ -- __ . J ... � . . z.. : .. ',' _ _ _ - . :v. , . , . _. _ _ ._ . _.. ._; .�� _.... � � .. .�� , . '�.. .z �;.1" . _.:: '->:.. """ �.�