1415 122ND ST SE 2018-01-02 MF Import

the Everrven CITY Of MNSTRUCTION everett PERMIT PERMIT NO. 18590 259-8745 ❑ DEMOLITION C3 COMBINATION la BUILDING ❑ MECHANICAL D PLUMBING ❑ SIGN OWNER MAIL ADDRESS CITY ZIP PHONE D,W. Baker P.O. Box 2264 Lynnwood, WA 98036 364-4862 ARCRITECT OR DESIGNER MAIL ADDRESS CITY ZIP M40NE GENERAL CONTRACTOR MAR ADDRESS COY ZIP PHONE IICENSE F D.W. Baker & Assoc. PO Box 2264 Lynnwood, WA 98036 364-4862 DWBAKA152MC MECHANICAL CONTRACTOR MAR ADDRESS CITY ZIP PHONE I ICENSE PLUMBING CONTRACTOR MAIL ADDRESS COY ZIP PHONE LICENSE CLASS OF WORK- Q NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR 0 DEMOLITION O BUILDING RELOCATION VALUATION OF WORK •- f 59,000 DESCRIBE WORK Construct a single family residence ❑ ELECTRICITY ❑ OAS ❑ WOODSTOVE ❑ OTHER PROPOSED USE OF BUILDING Single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 REGULAI"ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF CONTRAC R AUTHORIZED AGENT. R OWNER DATE X>^� 7 LEGAL DESCRIPTION OF PROPERTY ISHOW DELOW OR ATTACH FOUR COPIE51 88 Silver Lake Terrace LOT _ BLOCK _ Of JOB ADDRESS 1415 - 122nd St SE PLUMBING MECHANICAL NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE 2 WATER CLOSET (TOILETI 10 00 A/C - A/HNDLG UNITS - H P 1 BATHTUB 5 00 REFRIGERATION UNITS - H P EA 2 LAVATORY I WASH BASIN) 10 00 1 BOILERS - B T U /H P 1 SHOWER 5 00 GAS FIRED A C UNITS - B T U j KITCHEN SINK A DISP 5 00 FORCED AIR SYSTEMS - B T U M EA 1 DISHWASHER 5 00 WALL HEATERS - B T U M LAUNDRY TRAY UNIT HEATERS - B T U M 1 CLOTHES WASHER 5 00 EVAPORATIVE COOLERS URINAL 1 CLOTHES DRYERS 6 50 DRINKING FOUNTAIN 2 VENTILATION FAN 9 00 FLOOR DRAIN } 1 RANGE HOOD 6 50 BACKFLOW PREVENTERS 1 WATER HEATER 6 50 ROOF DRAINS - RAINLEADERS WOOD STOVE SINK (SERVICE - BAR, ETC) METAL FIREPLACE A CHIMNEY FIREPLACE INSERT HEAT PUMP GAS PIPING EXHAUSTFAN SUB TOTAL f 45 00 SUB TOTAL 1 28 50 PERMIT f - - PERMIT - - TOTAL FEE f 45 00 TOTAL FEE 28 RECEIPT NO 90590 50 FRONT SETBACK 201 REARSETBACK 201 SIDE SETBACK 61 PLAN CHECK NUMBER 67/18590 FEE .260.97 USE ZONE R-1 LOT AREA 9775 VACANT SHE DYES ONO FEES VALUATION FEE BUILDING $ 59,000 455 00 TYPE OF CONST V-N OCCUPANCY GROUP R-3 NO OF DWELLING UNITS 1 PLUMBING 45 00 SIZE Of BLDG 1234 + gar 480 NO OF STORIES 1 MAX OCC LOAD NA MECHANICAL 28 50 FIRE SPRINKLERS REOUIRED YES IRNO T "ff n Pliqlw (eh 34 78 STATE BUILDING SURCHARGE 3 SO STATE ENERGY SURCHARGE 15 .. AM ICATION ACC BY M.M. PLANS CHECKED BY Be ATER FOR ISSUANCE BY L.C. DRIVEWAY PERMIT 20 00 TOTAL 601 78 PERMIT VALIDATION WHEN PROPERLY VALIDATED BN THIS SPACE) THIS IS YOUR PERMIT CD L17 i 00 V—