Laserfiche WebLink
thr �.� ..,.rcef� . �� � V e � V V C � � � � <br />� Or <br />�V(?Y��$t PE �. M I�T Pe��nnir No. � 3(�' �i' <br />25�-aslo <br />❑ DEMOLITION �1 COMBINATION ❑'.��4LDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />owner i.+,a� nnone�s cirr zir vNONe <br />Select Homes P.O. Box 708 Mukilteo 56275 827-8196 <br />i[NANT h^�NL AODRE55 GTY ZIP CIIONE <br />AliCHITEGTORDB51GNE5 'dAILADDfiESS C�TY ZiP PIiONE <br />GENERFLCONiR�CTCR MAILADORE55 CITV ZIP PHONE LICENSE� <br />Owner SELECHI110KN <br />11ECNANICI.LCONT:iFCTOR 1.!AI�AOOPE55 CITV 7iP PHONE UCENSEA <br />VLUM�INGCONTNAQOR MAILADDIiE55 CiTY ZIP PHONE IICENSE� <br />CLN$$ OF WO�IH <br />�NEW ❑ ADUITION <br />CONTRACT PRICE OF WORK: $ <br />DESCR16E WORK AND SOUAF[ FOOTAGE INVOLVED <br />New Construction <br />❑ ALTERATION ❑ REPAIR ❑ OEMOLITION ❑ BUILDING RELOCATION <br />PROPOSED USE OF DUILDING <br />Single family residence <br />LFGn� n[Si;FIoTION OF PROPERTY �SHOW �ELOW ON ATTACMI FOUR COPIES� <br />io. 4 �LOCN-OF Glenhaven Heights <br />JO�AD�RESS <br />5024 9tn Pve. W. <br />PLUMBING <br />NO. TYPE OF FIXTURE 0 <br />3 WAl'ER CLOSET (TOILET) <br />2 BATHTU� <br />!} LAVATORV (WASH dASIN) <br />], SHOWEfl <br />1 KITCHEN SINK d DISP. <br />1 DISHWASHER <br />LAUNORYTRAV _ <br />1 CLOTHES WASHER <br />URINAL <br />ORINKINGFOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DHAINS — RAINLEA�ERS <br />SINK (SERVICE — BAR, ETC.) <br />20 <br />USEZONE <br />R-1 <br />iY{'4 OFCONS1NUf,110N <br />OCG�MNCY LOAD <br />�/A <br />r�EnsoN ron svnir�rc�Ens <br />S.H <br />SUBTOTAL <br />FEHMIT <br />TOTALFEE <br />REAR SETFIACK <br />20 <br />�or nnEn <br />ALiUAL <br />NO OFSTORIES <br />i <br />FlRE SPRPIHL[RS R[00 <br />� ves o,�o <br />nPPROVEDBv <br />CONT4CT PERSON ANO PHONE NO IF OTNEB iMAN ABOVE <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />ZS GO A;C—AiHNDLGUNITS—NP. <br />OO 1 FORCED AIR SVSTEMS — B T.0 M EA. <br />Z OO UNIT HEATERS — Ei.T.U. M <br />OO 1 CLOTHES DR'/ERS <br />OO 3 VENTILATION FAN <br />OO ]. f�ANGE HOOD <br />— �-IVATER HEATER <br />OO � 'NOOD SfOVE <br />]. � �dETAL FIREPLACE & Cr11MNEV <br />FIREPLACE IP'<ERT <br />HEAT PUh1P <br />X GAS PIPING <br />E%HAUSTF�N <br />S �5 OQ SUBTOTAL <br />S PERMIT _ <br />S FiS OO TOTALFFE <br />SiOE SETonCrc PLAN CHECK NUMBER FEE <br />6 & 20 90/23797 Basic <br />VACpNT SITE <br />FEES �f���°�jg°� <br />LjtYES ❑ NO � <br />������`� r+ooru::riu.aunns BUILDING _g�gq� <br />ygk}_ _ rs1 <br />R-1 1 PLUMBING ELDJ <br />unser.ieN. PLEG <br />❑ YES Cj�NO M1�ECHANICAL <br />HEIGHTLIIdIiATION OTHER <br />Plan Ck FLM CH <br />za e s�H <br />STATE BUILDING SURCHARGE <br />STATEENERGYSURCHAFGE }�OOOObLuB <br />CITY OF EVERETT <br />LOCAL SALES PU�LIC WORKS <br />� <br />FEE <br />30 <br />5 11� <br />S <br />S 110 <br />RECEIPT I10. <br />00 <br />61i 00 <br />L� <br />I TAX CODE IS TOTAL SEWEF. 4�30 00 <br />s. r�. 3105 <br />WHEN PROPEfiLY VAI�f'}1TBD Ti[I$OS00� <br />1171-5 «�13.00 <br />i;H�CK :1�'L.'5 <br />PFRMITS FXPIRE IF V✓�RK IS NOT COMI!qFN(:ED WITfi1N <br />ign nn'�c nn rcneec rnn nnnnr_ r„nr.i �nn nr,vc <br />f:fii;11F`��.5 I i:_L <br />612 50 <br />65 00 <br />Lln U� <br />J 8S <br />4 50 <br />20 00 <br />81� as <br />PERMIT <br />— I <br />i <br />t <br />