Laserfiche WebLink
lhcEvcrgreen -, ^^���p�,���Io� ' <br />CITY OF �,� �-'�J K <br />everett PERMIT PERMITNO. 2�79� <br />259-8`� "` <br />❑ DEMOLITi,.� ❑ COMBINATION ❑ 6UILDING ❑ MECHANICAL ❑ P! UMBING ❑ SIGN <br />OWNER AIAILAO�RE55 qTY TIP PHO'�E <br />Select F[omes P.O. Box 708 Mukilteo, P7A 96275 827-6196 <br />TENANT 6fAlt 4DDq[Sfi CITY ZIP PHONE <br />ARCHITECT Ofi OESIGNER <br />GENE6AL CONTRACTOfi <br />Same <br />MECHANICRLCON'PACTOH <br />PWMBING CONTFACTOR <br />CLA55 OF WOFN <br />[3 NEW ❑ AUDITION <br />lAAIL ADDRESS <br />MAIL ADDA[SS <br />IdAIL AOOR[55 <br />MAIL FODIiE55 <br />❑ ALTERATION ❑ REPAIR <br />CONTRACT PRICE OF WORK: � <br />OESCRIBE WORK ANO SOUARE FOOTAGE INVOLVED <br />Construction of new single family residence <br />CITV �iP PHONE <br />CITV <br />CITY <br />ZIP PHONE <br />SELECHI110KN <br />ZIP PHONE <br />CITY ZIV <br />❑ DEMOLITION <br />PHONE <br />UGENSE x <br />LICENSE n <br />LICENSE � <br />❑ BUILDING RELOCATION <br />CONT/+CT PEPSON FND PHONE N0. IF OTMER iHFN A80VE <br />PROPOSED USE OF pUILD W F <br />Sinqle family residence <br />�EGAL QESCRIPTION OF PROPERTY (SHOV! BELOW OR ARACH FOUR COPIES� <br />1"7 Glenhaven Eleights Div 2 <br />LOT — BLOCK _ OF _— <br />JOBAOORE55 <br />4932 - 9th Ave W <br />PLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />3 WATER CLOSEi ITOILETI <br />SiyJ. LAVATORY �WASH b SIN) <br />1 SHOWER <br />]. KITCHEN SINI; 8 DISP. <br />1 DISHWASHER <br />LAUNDRVTRAV <br />1 CLOTHES WASHER <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS - RAINLEADERS <br />SINK (SERVICE- BAR, ETC.1 <br />FRONTSETBACK <br />20' <br />USEZONE <br />R-1 <br />rvr�aFcorvs'ieucrm�� <br />s�ze oF e�oc <br />1971 sf <br />N/A <br />rensor� Fon;ar <br />APPI ICATION AGC. �Y <br />SUB707AL <br />PERMIT <br />TOTAL FEE <br />REARSETBACH <br />20' <br />�OT pqEA <br />7,110 sf <br />1YPE �F LONSiPUCiION ACiUAL <br />V-N <br />N0. OF STOPIES <br />1 <br />FIRE 5['RINNIERS PEO'O <br />❑ YES 29 NO <br />FEE <br />5 bU U <br />5 <br />s 60 0 <br />SIDESET�ACK L <br />6' ! 14' „ <br />VACqNT SITE <br />� YES ❑ NO <br />°���°^�'' NOOFOYlELLING <br />our <br />R- 3 1 <br />VES E�7 NO <br />NEIGHTL❑ 'TiON <br />28' <br />"rr""""'�' CITY OF EVERETT <br />SMM LOCAL SALES <br />TAX CODF_ IS <br />i 3105 <br />PERMITS EXPIRE IF WURK IS NO7 COMMEN(;ED WITHIN <br />180 DAYS OR CEASES FOR MOHE THAN 180 DAYS. <br />MECHANICAL <br />N0. TYPE OF EQUIPI <br />NC - A/HND:.G UNITS - H.P. <br />�- FOPCEDAIRSVSTEMS-B.T.U. <br />UNIT HEATERS - �.T.U. <br />1 CLOTHESDRYERS <br />3 VENTILATIpN FAN <br />1 RANGEHOOD <br />1. WATER IIEATER <br />WOODSTOVE <br />1 METAL FIAEPLAC" < CHIMNEV <br />FIqEPLACE INSEF.i � F�TS <br />HEAT PUMP <br />X GAS PIPING <br />EXHAUSTFAN e�o <br />SU8 <br />!CK NUMOER <br />90/23795 <br />FEES <br />M <br />M <br />F3 <br />aui�oiNc creait 8. ��V �FIEQ�E 3y�52 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDIIJG SURCHARGE <br />STATEENENGYSURCHARGE <br />PUBLIC WOFKS <br />TOTAL <br />WHEN PROPERLY VALIDATED THIS IS <br />ADDHESS FIL[ <br />FEE <br />RECEIPT NO. <br />nn30156 <br />PERVIIT <br />�,1, ,`'_ <br />C' - - � <br />