Laserfiche WebLink
the EYP,A,MR , �. J iv ST R U �T 10 I� <br />leverett R E R M 6 <br />CITY HALL 2590745 <br />EVERETT. WA9B201 [ X COMBINATION X BUILDING MECHANICAL <br />PERMIT NO. 12764 <br />[Xi PLUMBING <br />OWNER <br />MAIL ADDRESS <br />Hillis Homes Inc. <br />816 S.E. Everett Mall Way <br />Everett_ <br />98204 <br />355-4492 <br />ARCHITECT ON DESIGNER <br />MAIL ADDRESS <br />CITY <br />IIF <br />PHONC <br />OENERALO`NIRACTOR <br />MAIL ADOPE95 <br />CITY <br />ZIP <br />PHONE LICENSED <br />Same <br />- <br />MECHANICAL CONTIACTUR <br />MAIL ADDRESB <br />GTY <br />21P <br />PHONE LICENSE F <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE I <br />PLUMBING CONICACTOA <br />CLASS OF WORK <br />Y};NEW O ADDITION O ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE 0 SIGN O WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />1 56,000.00 _ <br />DESCRIBE WORK <br />Construct 04ng10 CWIIa YT [.c <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Single Family Residence <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDII IANCES <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />33 Veralene Estates <br />Lor_aLocK_oF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />L LAW REGULATING CONSTRUCTION OR THE <br />F <br />12 28 4 <br />ERFOR ANCE F CONSTRUCTION. rE <br />SIGNATUR 0 CON R 0 R AUTHORIZED AGENT <br />JOB ADDRESS <br />701 73rd Street S.W. <br />X <br />PLUMBING <br />ME ANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />_ <br />WATER CLOSET (TOIL" <br />6 <br />00 <br />AIR COND. UNITS - H.P. EA, <br />REFRIGERATION UNITS - H.P. EA. <br />2 <br />BATHTUB <br />3 <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />1 <br />SHOWER <br />FORCED AIR SYSTEMS - B.T.U. M iA. <br />1 <br />KITCHEN SINK f DISP. <br />M <br />DISHWASHER <br />WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. M <br />LAUNDRYTRAY <br />1 <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />1 <br />WATER HEATER <br />1 <br />CLOTHES DRYERS <br />URINAL <br />2 <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />1 <br />RANGE HOOD - <br />AIR HANDLING UNIT - C.F.M. <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE - W000 <br />- <br />ROOF DRAINS - RAINLEADERB <br />METAL FIREPLACE S CHIMNEY <br />SINK (SERVICE - BAR. ETCJ <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />f <br />26 <br />00 <br />SUB TOTAL f <br />21 <br />00 <br />PERMIT <br />f <br />PERMIT 1 <br />f <br />_ <br />21 <br />00 <br />TOTAL FEE <br />1 <br />26 <br />1 On <br />TOTAL FEE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PUN CHECK NUMBER <br />PUN <br />CHECK FEE <br />RECEIPT No. <br />B3/12764 <br />FEE 183.95 <br />66165 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />i; YES i'. NO <br />TYPE OF CONS . <br />CUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$56,000. <br />301 <br />00 <br />V-N <br />R-3 <br />1 <br />SIZE OF FLOG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />26 <br />00 <br />L476 Sq. Ft. <br />2 <br />5 <br />PLUMBING <br />FIRE ZONE BASEMENT <br />None <br />FIRE SPRINKLERS <br />REOUIRSD <br />MECHANICAL <br />21 <br />00 <br />YES O <br />APPROVALS <br />BY DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC <br />SEC. 707 lAl <br />2 BUILDING PLANS r <br />TOTAL <br />348 <br />00 <br />3, FIRE HYDRANT .o <br />4. FIRE PROTECTION SYSTEW <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED UN TEYSI6PAGE, THI* Iy YpUR RFTNAIT <br />__ <br />U U <br />S. GRADING <br />$ O Z 6.00 7l 1 1 7 7 J J U I <br />B. RAINAGE ELF <br />C\ <br />- RECEIPT <br />I (\ r� �_ [ F,T; Yli U <br />NVIRONMENTAL IMPACT? ATEMENT <br />MALTH 0147 <br />GC LIGATION ACC) BY <br />'JP,LANS CHECKED BY <br />APPR. FOR 169UANCF BY <br />t.a _) I n <br />(,i 1"il <br />c-a HWM <br />I } <br />li <br />C � <br />i. ADDRI ES75M 83 15 DEC 8 5 <br />