Laserfiche WebLink
_ NK2 <br />APPLICATIOw FOR CONSTRUCTI%JN PERMIT <br />I <br />everett <br />the Erergreen <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK —PLEASE PRINT <br />CI DEMOLITION kk COMBINATION I I BUILDING Il MECHANICAL I I PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Sterling Homes N.W.. Inc. 12407 Mukilteo_3apdiayLynnwnod 98037 742-6544 <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />Design Consultants P.O. Box 1306 Mukilteo 98275 754-6569 <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE( <br />Sterling Homes N.W., Inc. 12407 <br />Mukilteo <br />Speedway <br />Lynnwood 98037 <br />742-6544 <br />STERLH*131R1 <br />MECHANICAL CONTRACTOR <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />Pacific Heating & <br />Air Cond 2800 <br />Thorndyke <br />Seattle <br />98199 <br />889-9345 <br />NORTHWH137KJ <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />Robinson Plumbing <br />607 E. Everett Way Everett <br />98204 <br />743-9858 <br />ROBINP*272C2 <br />CLASS OF WORK <br />kkNEW f I ADDITION <br />I AITERATION <br />I I REPAIR <br />I I DEMOLITION <br />! I WOODSIOVE/FRPL INSERT <br />f_I BUILDING RELOCATION <br />TENANT IMPROVEMENT OR INTERIOR REMODEL ONLY <br />CONTRACT PRICE OF WORK: <br />CONTACT PERSON AND PHONE NO. <br />Matthew Smith 742-6544 <br />DeSCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />PROPOSEDR FBOIL AG <br />Single family res . <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PRGVIt IONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORE( FOR WHICIi <br />APPLICATION IS MADE AND I COMPLY WITH THE CTATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />SIGNATUgE,OFCONTRACTORORAII HORIZEDAGENT PATE <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES( <br />LOT BLOCK OF <br />See attached <br />PROJECT ADDRESS �p�O ,.,Z'Z/Y�✓r <br />T <br />�/651. <br />APPLICANTS CITY BUSINESS LICENSE NO. AND BUSINESS NAM 08 py� <br />/ f/ <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />/ $— I <br />A/C—A/HNDLG UNITS—H.P. <br />BATHTUB <br />D <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />' <br />CLOTHES DRYERS <br />KITCHEN SINK & DISP <br />VENTILATION FAN <br />DISHWASHER <br />f ' <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER r Aq,_ <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />URINAL <br />' <br />METAL FIREPLACE & CHIMNEY <br />DRINKING FOUNTAIN <br />I <br />FIREPLACE INSERT <br />; <br />FLOOR DRAIN <br />HEAT PUMP <br />T <br />I <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />; <br />ROOF DRAINS—RAINLEADERS <br />I <br />EXHAUST FAN <br />SINK (SERVICE —BAR, ETC.) <br />U I ' <br />I <br />I <br />SUB TOTAL $ <br />SUB TOTAL $ <br />PERMIT <br />$ <br />I <br />PERMIT $ <br />TOTAL FEE <br />$ <br />L s ' <br />TOTAL FEE $1 <br />ra ' <br />FRONT SETBACK <br />2_ ' <br />REAR SETBACK <br />2-5' <br />SIDE SETBACK <br />,y2. , <br />PLANC CK NUMBER FEE `/SY-7S_ <br />D 1 Z f 22 <br />RECEIPT NO. <br />USE ZONk SS <br />_ <br />LOTAREA ZS <br />�ECDNST. <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING _ <br />rol8o <br />r <br />G99 ,o <br />TYPE OFC LALLOWABLE <br />,. <br />TYPE ACTUAL <br />_ I <br />x[,!!`YES <br />snouP <br />.3 <br />Na W1[MFW GOUHns <br />I <br />PLUMBING <br />' <br />li p o <br />SIZE OF BI DG. <br />p415 Sf'All i;Arz <br />NO. OF STORIES <br />2 <br />BASEMENT <br />1.1 YES P4 NO <br />MECHANICAL <br />' <br />OTHER /n <br />OCCUPANCY LOAD FIRE SPRINKLERS PEO'D <br />N ❑YES NO <br />REASON FOR SPRINKLERS <br />HEIGHTLIM-17TA ION <br />`� / <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />PLANS APPROVED BY <br />to (T <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLIC WORKS <br />70. ° <br />TOTAL <br />10 35' <br />11 <br />