Laserfiche WebLink
CONSTRUCTION <br />everett <br />PERMIT <br />PERMIT NO.09728 <br />CITY HALL 259.8745 <br />EVERETT, WA 98201 <br />❑ COMBINAT ION ®XBUILDING 1 1 MECHANICAL <br />❑ PLUMBING <br />OWNER <br />MAIL ADDRESS <br />ZIP <br />PHONE <br />Darrell Huseby 2024 73rd Street Everett <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PONE LICENSE E <br />Hanson Home <br />Building 13924 Manor Way Lynnwood <br />98036 745-8099 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS OITY <br />ZIP <br />PHONE LICENSE F <br />HA NS OH <br />B211BD <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CA Y <br />ZIP <br />PHONE LICENSE E <br />_— ❑NEW []ADDITION ❑ALTERATION &EPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />2500.00 <br />remove existinar ahinoleR and renl.ann <br />PROPOSED USE OF BUILDING <br />single family residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE T. WE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />UCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF NTRACTOR OR AUTHORIZED AGENT DATE <br />1 81 <br />LEGAL DESCRIPTION OF PROPER" (SHOW BELOW OR ATTACH FOUR COPIES) <br />3-14-15 41 Pinshurst Div D <br />LOT BLOCK —OF <br />JOB ADDRESS <br />2024 73rd Street <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET OILET <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY ASH BASIN) <br />I <br />BOILERS — HP EA. <br />SHOWER <br />GAS FIRED AC. UNITS —TONNAGE EA <br />KITCHEN SINK S DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS —8T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_ <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT -- CF.M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERB <br />METAL FIREPLACE L CHIMNEY <br />SINK SERVICE — BAR, ETC.) <br />SUBTOTAL <br />SUB TOTAL f <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />i <br />TOTAL <br />FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />[RYES LINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />BUILDING <br />f x88t <br />38 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX OOC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE. SPRINKLERS <br />REOUIRED <br />(]YES ❑NO <br />MECHANICAL <br />OTHER <br />APPROVALS_ <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC. <br />SEC. 303 (B) <br />2. BUILDING PLANS <br />TOTAL <br />38 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS I$ \OLIO PI uLll <br />(Y] <br />~ <br />CD <br />i <br />5. GRADING <br />S. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STA I FMENT <br />B. HEALTH DISTRICT <br />APPLICATION AOC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />