Laserfiche WebLink
u1BEYPFglY• CONSTRUCTION <br /> IIverL'It <br /> CITY Of PERMIT <br /> everett <br /> CITY HALL 259 8'.4!r <br /> EVERETT, WA 98201 COMBINATION • BUILDING • MECHANICAL PLUMBING ,ej <br /> OWNER MAIL ADDRESS ZIP POONL V <br /> Dolphin Homes_Inc_18506 52nd Ave. ADt._10, Lynnwood 98036_ -_ 716413 <br /> ARC)/1 I ECT UN ❑ESIIiNEn MAIL ADDRESS F OoN1. LICA 3 <br /> GENERAL CONTRACTOR � MAIL ADDRESS PIIDNC LICLN51 '. Z <br /> XB0 DO LP HI 231NQ C <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE •. <br /> U m <br /> PLUMPING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> PERMIT CLASS OF WORK LL <br /> ®COMBINATION <br /> ®nUILDING ®PLUMBING ®MECHANICAL F� <br /> y1 NEW ❑ADDITION ❑ALTERATION []REPAIR 1 <br /> VALUATION OF WORK <br /> f 551000.00 ❑DEMOLISH []FENCE ❑SION []SWIMMING POOL <br /> DESCRIBE WORK <br /> Construct single family residence <br /> PROPOSED USE MECHANICAL <br /> single family residence — — <br /> LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH/ TYPE OF ENERGY <br /> FOUR COPIES) <br /> LOT 5 ❑OAS ❑ELEC. <br /> BLOCK—OF Begis Plat N3 NO. TYPE OF EQUIPMENT FEE <br /> AIR GOND.UNITS-H.P.EA. IS_ I <br /> REFRIGERATION UNITS-H.P. EA. <br /> BOILERS-H.P,EA. I <br /> FORCED AIR SYSTEMS-B.T.U. MEA. 5 00 <br /> _ I <br /> JOB ADDRESS SPACE A WALL HEATERS - R.T.U. <br /> 317 77th Place S.W. _ UNIT HEATERS n.T.u. I <br /> EVAPORATIVE COOLERS <br /> PLUMBING - 1 CLO_TIIESDRYERS _ I <br /> VENTILATION FAN 2 00 <br /> -1 RANGE HOOD Fl_ ; I <br /> NO. TYPE OF FIXTURE OR ITEM FEE AIR_OANDLING UNIT_ C.F.M. <br /> BATH TUBS 1 <br /> CLOTHES WASHER _ WATER HEATER <br /> DISH WASHERS 21nn <br /> DRINKING FOUNTAINS 1 FAC.—IUILT FIREPLACE A CHIMNEY inn <br /> - - B - -- <br /> FLOOR DRAINS _ - GAS. SYSI'EM� NO UP OUTLETS <br /> KITCHEN SINKS I4 DISP. _— __ SUBTOTAL S <br /> ir inn <br /> BAR SINKS —_ PERMIT $ <br /> ROOF DRAINS - RAIN LEADERS TOTAL FEE $ 16 iOO <br /> SHOWER BATHS _ THIS PERMIT BECOMES NUI L AND VOID IF WORK OR CONSTRUC <br /> SERVICE SINKS TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF <br /> SUMPS- SEWAGE PUMP CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br /> PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM 0. <br /> URINALS I HEREBY CERTIFY TNAT 1 HAVE READ AND EX ED THIS AP <br /> WATER CLOSETS PLICATION AND KNOW THE SAME TO BE TRU D CORRECT. ALL <br /> WATER HEATERS - ELECTHIC___ 1 PROVISIONS OF LAWS AND OROINANC OVERNING THIS TYPE <br /> WASH BASINS 1In OF WORK WI' L BE COMPLIED WITH ETHER SPECIFIED HEREIN <br /> LAUNDRY TRAYS OR NOT, T E GRANT) OE A MIT DOES NOT PRESUME TO <br /> GIVE AUT11 11TY VIDE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER OR AL LAW REGULATING CONSTRUCTION <br /> ! On 4EN <br /> F CONSTRUCTION. <br /> 1 <br /> SUBTOTAL 2Q <br /> PERMIT S <br /> TOTAL FEE X // 3�7� <br /> WATER SERVICE SIZE SLUG. SUPPLY SIZF Rn TOR OP AUT ADEM 1 nn <br /> SIDE YARD SETBACK STREET SETBACK REAR (ARDSET PI.AN CHECK NUMBER PLAN CHECK VEE <br /> 6' 201 201 78/613 -- RECEIPT NO. <br /> USE ZONE LOT AREA VACANT LITE <br /> R-1 ®KES LINO FEEB VALUATION FEE <br /> TYPE OF CI NST. OCCUPANCY GROUP UN e D ELLING <br /> V-N R-3 1 - -SIZE OF BLDG. NO.OF STORIES MAX,OCC.LOAD BUILDING S55VDOO.00 1(97100 <br /> 2 <br /> PLUMBING 2Q I <br /> 261x441 1 1.OO-. _— <br /> IR ONE flASFI ENTE I BINK LEFlP <br /> 3 yea R ❑YESED abo MECHANICAL 16100 <br /> SPECIAL CONDITIONS. CHER <br /> I <br /> Smo. County He Eh District Number 2183-78 i1A( TY PEO 1031•) I <br /> - — 1;THAM_{x { 2337100 <br /> -2 0 4 6; I�IWIC kA�O/1T ION + AIS 7M 1 1.. <br /> V_•IwI It�IrU nRl�lYr. I•nf 1�1`; t 1 IH rl Hnll <br /> Y .UF; RE'�EIPY A IYOUJR RECEIPTrry <br /> —� � - _ — n An)K Y +1 TOOK YOU CD+I II:A\)DRAY) INv 1• SMS I'A111:k111 NY 11P1'M1OVI II I(111'.nl iMl O, , <br /> I.P. 1 •) I i ( <br /> 93 to. <br /> i.. <br />