1611 73RD ST SE 2018-01-02 MF Import

the Evergreen caY OI everett CITY HALL 2598T45 CONSTRUCTIO' PERMIT PERMIT NO. I" " EVERETT, WA 98Z01 L] COMBINATION C BUILDING MECHANICAL ❑ PLUMBING OWNER MAIL ADDRESS I I • ZIP PHONE Lyle R. FransFon 5616 Larimer Road t:vcrett _ 98204 337-3641 ARCHITECT OR OFSIGNLV - MAIL ADDRESS CPY IP PHONE MAIL ADDRESS CITY ZIP PHONE LICENSE E GENERAL CONTRACTOR Same MECHANICAL CONTRACTOR MAIL ADDRE63 CITY ZIP PHONE LICENSE PLUMBING CONTRACTOR MAIL, ADDRESS CITY ZIP PHONE LICENSE It 1— V •• ❑ NEW ❑ ADDITION ❑ ALTERATION R (REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT VALUATION OF WORK f 24,000.00 DESCRIBE WORK .4r 04r PROPOSED IISE OF BUILDIIIG single femily 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 REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNA RE OF CO ACTOR Ofl AUTNORRE0 AGENT DATE X 11/30/84 LEGAL DESCRIPTION OF PFOPERTY )SNOW BELOW OR ATTACH FOUR COPIES) -*kn 10 BLOCK —OF Park City addition to Beverly Park 7 28 5 JOB ADDRESS .611 73rd Street PLUMBING MECHANICAL NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) AIR COND. UNITS - H.P. EA. BATHTUB REFRIGERATION UNITS - H.P. EA. LAVATORY (WASH BASIN) BOILERS - M.P. EA. SHOWER OAS FIRED A C. UNITS - TONNAGE EA, KITCHEN SINK A DISP. FORCED AIR SYSTEMS - B,T.U. M EA. DISHWASHER WALL HEATERS - B.T.U. M LAUNDRYTRAY UNIT HEATERS - B.T.U. M CLOTHES WASHER EVAPORATIVE COOLERS WATER HEATER CLOTHES DRYERS URINAL VENTILATION FAN DRINKING FOUNTAIN RANGE HOOD FLOOR DRAIN AIR HANDLING UNIT - C.F.M. VACUUM BREAKERS STOVE - WOOD ROOF DRAINS - RAINLEADERS METAL FIREPLACE f CHIMNEY SINK (SERVICE - BAR, ETC) FIREPLACE INSERT HEAT PUMP SUB TOTAL f SUBTOTAL f PERMIT f PERMIT f TOTAL FEE ! TOTAL FEE f SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN FEE CHECK FEE RECEIPT NO. USE ZONE LOT AREA VACANT S1TE ';YES I1N0 FEES VALUATION FEE TYPE OF CONST, OCCUPANCY GROUP NO. OF DWELLING UNITS BUILDING f 24,000. 164 50 SIZE OF BLDG. NO. OF STORIES MAX, OCC. LOAD PLUMBING FIRE ZONE BASEMENT FIRE SPRINKLERS REQUIRED YES I NO MECHANICAL OTHER APPROVALS BY DATE 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.. SEC.03031e1 Z. BUILDING PLANS TOTAL 164 50 3. FIRE HYDRANT 4. FIRE PROTECTION SYSTEM S. GRADING PERMIT VALIDATION WHEN PROPERLY VALIDATED TIN THIS SPA4E) THIS IS YOUR PERMIT.- (V "Itt I B. DRAINAGE T. ENVIRONMENTAL IMPACT STATEMENT S. HEALTH DISTRICT APPLICATION ACC. BY DAB NS CHECKED BY 7 APPR. FOR ISSUANCE BY DAB Z O -i 0 m -H T N S m v cv rn o 0 _ -z rn AD se yC r ~ S M Iti A'n T D -I f�3T to Vrr+ m C In -I-I r rn A ADDRESS FILE