5028 27TH AVE W 2018-01-02 MF Import

the Evergreen CITY OF everett CITY HALL 251) 8745 EVERETT, WA 98201 CONSTRUCTION PERMIT COMBINATION • BUILDING • MECHANICAL • PLUMBING F OWNER MAIL ADDRESS .'u' PIIUNE Dr. David Stewart 5028 27th West 98203 355-1840 m ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO 3 i GENERAL CONTRACTOR MAIL A00 RESS PHONE LICENSE NO. Fred Bryant P.O. Box 9, Edmonds, Wa 776-3367 223-01-NALON**37 OF Z C MECHANICAL CONTRACTOR MAI'_ ADDRESS PHONE L.CENSF. NO. 3 IA .a. m PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. PERMIT ❑COMBINATION WILDING ❑PLUMBING ❑MECHANICAL CLASS OF WORK ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR VALUATION OF WORK S 25,000.00 ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL DESCRIBE WORK Bedroom and bath addition PROPOSED USE MECHANICAL Single family residence LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH TYPE OF ENERGY FOUR COPIES) ❑GAS ❑ELEC. LOT BLOCK —OF— NO. TYPE OF EQUIPMENT FEE AIR COND. UNITS-H.P. EA. S I Sec 39 Twp 39 R e 09 REFRIGERATION UNITS-H.P. EA. BOILERS-H.P. EA. FORCED AIR SYSTEMS-B.T.U. MEA. I _ JOB ADDRESS 5028 27th Avenue West SPACE & WALL HEATERS - B.T.U. _ UNIT HEATERS-B.T.U. I PLUMBING EVAPORATIVE COOLERS CLOTHES DRYERS I VENTILATION FAN RANGE HOOD I NO. TYPE OF FIXTURE OR ITEM FEE AIR HANDLING UNIT- C.F.M. BATH TUBS S CLOTHES WASHER I __ WATER HEATER DISH WASHERS 1 DRINKING FOUNTAINS I _ FAC. BUILT FIREPLACE & CHIMNEY 1 FLOOR DRAINS I GAS. SYSTEM: NO OP OUTLETS KITCHEN SINKS & DISP. SUBTOTAL $ I BAR SINKS I PERMIT S ROOF DRAINS — RAIN LEADERS I TOTAL FEE S I SHOWER BATHS THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC T' IN AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CL:.ST RUCI ION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. X 2/27/78 SERVICE SINKS SUMPS — SEWAGE PUMP URINALS I WATER CLOSETS I WATERHEATERS -ELECTRIC 1 WASH BASINS 100 LAUNDRY TRAYS I SUB TOTAL RIlin PERMIT S TOTAL FEE WATER SERVICE SIZE BLDG. SUPPLY -- —0 SIZE SIGNATURE OF CONT ACTORORAUTIL AGENT DATE SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMB 78/160 PLAN CHECK FEE FEE RECEIPT NO. 56.00 2<S1Z USEZONE LOT AREA VACANTSITE OYES ONO FEES VALUATION FEE TYPE OF CONST. OCCUPANCY GROUP UNITS NO. OF DWELLING I BUILDING $ 25,000.00 112 1 00 SIZE OF BLDG. NO, OF STORIES MAX. OCC. LOAD PLUMBING 11 I 0 FIRE ZONE BASEMENT FIRESPRINKLERS REQUIRED DYES [INC) MECHANICAL I ) SPECIAL CONDITIONS: OTHER I PENALTY SEC. 303(a) 1 TOTAL — PERMIT VALIDATION Will N PHOPE RLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT CD CJ.% APPLICATION ACCEPIEO BY: PLANS CNECKLO BY' APPROVED ION ISSUANCE BY K.C.eb in lc A'�DRESS TILE