Laserfiche WebLink
CITYOF ("LONSTRUCTION �7c1 <br />everett PERMIT PERMIT NQ:: 17 `I I 1 <br />259-8745 <br />❑ DEMOLITION K COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />oYmERMELLIM & SMITH PO 80J�Atigf", LAKE STEVENS WA 98258 zIP653-2025 PHONE <br />MAIL ADDREM! <br />CITY ZIP {HONE <br />GENEGJIL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Jame <br />MECHANIC- CC ITFIACTOA MAIL ADDRFLS CITY ZIP PHONE LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />ual NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />f 40.500.00 <br />New single family residence <br />❑ ELECTRICITY ❑ OAS O WOODSTOVE ❑ OTHER <br />rROPOSED USE Of BUILDING <br />Single family residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW T4E SAME TO BE TRUE AND <br />CORRECT. ALL PRCVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />FIGNAT E OF CONTRACTOR AUTHORIZED AGENT. OR OWNER VAT p� <br />X ' 0CIO <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOL R COPIFS) <br />LOT 2 BLOCK —OF Cool y Place <br />Basic 1120 <br />JOB ADDRESS <br />PLUMBING <br />MECHANICAL <br />NO <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />2 <br />WATER CLOSET (TOILET) <br />A,C - AMNDLG UNITS - H P <br />2 <br />BATHTUB <br />REFRIGERATION UNITS - H P EA <br />2 <br />LAVATORY (WASH BASIN) <br />i n <br />in <br />BOILERS - B T U /H P <br />SHOWER <br />GAS FIRED A C. UNITS - B T.0 <br />KITCHEN SINK 8 DISP <br />rFORCED <br />AIR SYSTEMS - B T U M EA <br />1 <br />DISHWASHER <br />5 <br />WALL HEATERS - B T U M <br />LAUNDRY TRAY <br />UNIT HEATERS - B T U M <br />1 <br />CLOTHES WASHER <br />EVA; ORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC) <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />LI <br />j <br />SUBTOTAL <br />$1 <br />45 <br />n <br />SUBTOTAL <br />33 <br />00 <br />PERMIT <br />f <br />PER <br />TOTALFEE <br />f <br />TOT <br />FRONT SETBACK <br />20' <br />REAR SETBACK <br />20' <br />SIDE SETBACK <br />6' <br />PLAN CHECK NUMBER <br />86/17511 <br />MEBUsic 13 <br />EIPT NO <br />.00 <br />USR-1LO <br />R 1 <br />7011 sf <br />E1*ES SITE <br />'-•rtes ONO <br />FEES <br />TIO <br />FEE <br />BUILDING <br />D0. $L <br />.00 35C <br />00 <br />TYPE OF CONST <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO OF DWELLING UNITS <br />1 <br />PLUMBING <br />SEWER $XF <br />4 5 <br />00 <br />SIZE OF FILM <br />1120 + 432 <br />NO OF STORIES <br />1 <br />MAX OCC ROAD <br />MECHANICAL <br />$d <br />.DD 3 <br />FIRE SPRINKLER; RCOUIRED DYES NO <br />INVESTIGATION FEE <br />Yy1F17p77t11Yy-T555���� <br />^"neD'TfPT(�I <br />STATE BUILDING SURCHARGE <br />DATER $6 <br />.00 <br />5 <br />STATE ENERGY SURCHARGE <br />SD <br />15 <br />O <br />APPLIGTIONACC By <br />sg <br />PLANSCIIECKF.OBY <br />sg i <br />AMR FOR ISSUANCE <br />lc <br />OY <br />DRIVEWAY PERMIT <br />iL <br />TOTAL <br />470 <br />5 <br />eeeun VALIDATION <br />WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT <br />ADDRESS FILE <br />