4 76TH ST SW 2016-01-01 MF Import

the!i rrrgn•rn ":ONSTRUCTION everett PERMIT PERMIT NO. 16572 CITY HALL 2584745 EVERETT.WA 98201 ❑ COMBINATIONIXC BUILDING ❑ MECHANICAL 11 PLUMBING OWNER MAIL ADDRESS CITY ZIPPHONE Nathalie Taylor 4 - 76th St SW Everett, WA 98203 355-7714 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F Ayer Construction, Inc. 6525 Beverly Blvd. Everett, WA 98203 353-6727 AYERC314LZ MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 1 Hamilton Electric, Inc. Everett, WA PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE E Ayer Construciton, Inc. CLASS OF WORK ❑NEW ® ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑SIGN ❑ WOOD STOVFJFIREPLACE INSERT VALUATION OF WORK f 25,000 DESCRIBE WORK Addition of new bedroom, living room and bath PROPOSED USE OF BUILDING family home I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIES) AND KNOW THE SAME TO BE TRUE ANDEBI CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES LOT-BLOCK-OF_. GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH 96594-59 Beverly Homesites Div L - Blk 000- WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A _D-01 Beg NE cor tr I th W 75 ft Th S 160.3 ft PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE ***more legal description on file OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. JOB ADDRESS SIGNATURE OF CONTRACTOR OR AUT OR12E/D GENT DATE 4 - 76th St SW X ' C _�! - 0 PLUMBING MECHANICAL NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPME T FEE 1 WATER CLOSET(TOILET) OO AIR COND.UNITS-N.P.EA. 1 BATHTUB 00 REFRIGERATION UNITS- M.P.EA. 1 LAVATORY(WASH BASIN) 00 BOILERS- H P.EA, SHOWER GAS FIRED A .UNITS-TONNAGE EA. KITCHEN SINK&DISP. FORCED AIR SYSTEMS- B.T.U. M EA. DISHWASHER WALL HEATERS- S.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&CHIMNEY SINK(SERVICE- BAR,ETC) FIREPLACE INSERT HEAT PUMP SUB TOTAL f SUB TOTAL f PERMIT S - - PERMIT f - TOTAL FEE & 00 TOTAL FEE f SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE 92 6' 201 20' 86/16572 FEE 110.83 RECEIPT NO. USE ZONE LOT AREA VACANT SITE 79088 R-1 11,960 of YES X NO FEES VALUATION FEE TYPE OF CONSt, 5CCUPANCY GROUP NO.OF DWELLING UNITS Buildingurch Code Br e 1 50 V-N R-3 1 BUILDING $25,000 170 50 SIZE OF BLDG. NO,OF STORIES MAX.OCC.LOAD 786 sf 111 1 PLUMBING 6 00 FIRE ZONE BASEMENT RFIRE EOUSRED KLER,, MECHANICAL /% 91j3 OJT YES NO APPROVALS BY DATE OTHER 1.ENVIRONMENTAL CHECK LIST PENALTYgfi,,,, ,� 2.BUILDING PLANS UE&.gM(a) J.FIRE HYDRANT TOTAL181 00 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION ��(Jy�� i!3 (mp &GRADING WHEN PROPERLY VALIDATED(IN99PACEItA ISyOUR PERMIT (V 5.DRAINAGE ILLI( 111111 NNNBBB11111 WWW 1�_ 7.ENVIRONMENTAL IMPACT STATEMENT Ln B.HEALTH DISTRICT Co APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY M.M. JEP L.C. ADDRESS FILE