Laserfiche WebLink
LI <br />W <br />(he Evergreen CITY CF r0 N ST R U CT 10 N <br />everett PERMIT PERMIT NO.10750 <br />CITY HALL 259.8745 <br />EVERET, WA 98201 ❑ COMBINATION ®t BUILDING ❑ MECHANICAL ❑ PLUM91NG <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />James Klicpera _540'6 27th Avenue West Everett 98203 353-7779 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE F <br />Bill Krueger <br />10109 Kenwanda Drive <br />Snohomish <br />98290 <br />668-2000 <br />MECHANIC^L CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />KF OU RC <br />219DW <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE A <br />CLASS OF WORK <br />❑NEW ❑ADDITION JJILTERATION ❑REPAIR ❑DEMOLITION El FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />25,000.00 <br />Construct second story addition remodel <br />PROPOSED USE OF BUILDING <br />Single Family Residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHET11ER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PEPMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONi A AUTHORIZED AGENT DATE <br />MECHANICAL <br />LEGAL DESCRIFTIONOFPROPERTY ISHOWBELOW ORATTACH FOUR COPIES) <br />LOT BLOCK ---OF <br />PTN SE�a OF SE�a OF 34 29 4 EWM <br />JOB ADDRESS <br />5026 27th Avenue West <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />2 <br />WATER CLOSET (TOILET) <br />4 <br />00 <br />AIR COND. UNITS -- H.P. EA, <br />1 <br />BATHTUB <br />2 <br />REFRIGERATION UNITS - H.P. EA <br />4 <br />LAVATOPh (WASH BASIN) <br />a <br />00 <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK & UISP. <br />2 <br />001 <br />FORCED AIR SYSTEMS B.T.11 M EA. <br />1 <br />DISHWASHER <br />2 <br />WALL HEATERS-B.T.U. L1 <br />LAUNDRY TRAY <br />UNIT HEATERS - B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />2 <br />WATER HEATER <br />4 <br />001 <br />1 CLOTHES DRYERS <br />URINAL <br />1 <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />1 <br />1 RANGE HOOD <br />FLOOR DRAIN <br />I <br />ANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />I <br />STOVE <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE -- BAR, ETC.) <br />SUBTOTAL <br />22 <br />00 <br />SUBTOTAL S <br />7 <br />50 <br />-+ PERMIT <br />$ <br />PERMIT S <br />TOTAL FEE <br />$ <br />22 <br />0 <br />TOTAL <br />FEE S <br />7 <br />5 <br />SIDE YARD SET'BRCK STREET SETBACKT <br />7'i ci 25'251 <br />R YARD SETBACK <br />PLAN CHECK tJUTARER <br />82/10750 <br />MAN CHECK <br />FEE 110.83 <br />FEE <br />RECEIPT NO. <br />�jj�ISE ZONt� T AREAANT <br />R 0 70 <br />SITE <br />S 00 <br />FEES <br />VALUATION <br />FEE <br />YPE OF QMS;O UPANCY GROOF <br />be V, r% ltevat - <br />DWELLING UNITS <br />1 <br />BUILDING <br />$ 25,000. <br />170 <br />50 <br />IZE OF .n1 O OF STORIES. <br />2nd F 533 2 <br />OCC. LOAD <br />PLUMBING <br />22 <br />00 <br />FIRE ZONE ASEMENT <br />None <br />FIRE SPRINKLERS <br />REQUIRED <br />❑YES <br />MECHANICAL. <br />_ <br />7 <br />50 _ <br />-� APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.BC <br />5EC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />200 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />PERMIT VALIDATION <br />WHF EROPE LY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />L — <br />rw <br />' ('�����(((JJJccdjj"' oulldinj sha115 ftrwff <br />feet above the average elevation at <br />Rth dEfftof the building. <br />ICC I` <br />/ O.UR RECEIPT. -I <br />NK YOU, 7hK YQ.0 <br />1 <br />6. DRAI <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />_ <br />, jT <br />B. HEALTH DISTAICT ' <br />^' <br />YLJ <br />APPLICATION AC 1 J LiE J Y <br />L.c.'H,.NK Y U <br />APPR. FOR ISSUANC T_ <br />L.C. <br />2 0 A <br />-- 2 0 JUL a ADDRESS FILE°}:_ <br />