Laserfiche WebLink
IN <br />i lli ('rrYYll <br />I11 <br />everett <br />,ONSTRUCTION <br />PERMIT <br />CITY HALL 2594745 <br />EVERETT.WA9e201 ® COMBINA110N x LrUILDING <br />x MECHANICAL <br />PERN T NO. 1??139 <br />IX] PLUMBING <br />OWNER MAIL AOUHL6 , It ZIP PRONE <br />J.C. Sel?n P.O. Box 1051 Everett 98206 337-0660 <br />0CHITEC10R DES$ IER MML ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE a <br />Jay's Building Repair <br />Everett <br />98206 <br />259-7070 <br />MECHANICAL CONTRACTOR MAIL ADDRESS <br />CITY <br />Zip <br />PHONE LICENSE <br />JAYSBR193DA <br />PLUMBING CONTRACTOR MAIL ADDRL59 <br />CITY <br />ZIP <br />PHONE LICENSE a <br />CUSS OF WORE <br />C)JxEw ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />a X8X®88Y®8 45,870.00 _ <br />Construct si—le F-0v Residence <br />PROPOSED USE OF BUILDING' <br />CERTIsY THAT I HAVE READ AND EXAMINED THIS <br />single family residence <br />I HEREBY <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR CORESI <br />14 Valley View <br />82 <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT —BLOCK —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 />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />U <br />8 28 5 <br />PERFORMANCE JQF C STRUCTION. <br />SIGN O NTR O UTHORIZED AGENT DALE <br />3 <br />JOB ADDRESS <br />2412 81st Place <br />PLUMBING <br />MECM ICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />2 <br />WATER CLOSET(TOILET) <br />AIR COND. UNITS — H.P. EA. <br />1 <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />2 <br />LAVATORY (WASH BASIN) <br />BOILERS —H.P. EA. <br />1 <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />1 <br />KITCHEN SINK A DISP. <br />DISHWASHER <br />WALL HEATERS —8T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />1 <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />1 <br />WATER HEATER <br />2 <br />D <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />1 <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE a CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />A <br />SUB TOTAL { <br />15 <br />00 <br />PERMIT <br />{ <br />PERMIT { <br />TOTAL FEE <br />{ <br />18 <br />00 <br />TOTAL FEE { <br />1$ <br />00 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />!LAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />6' <br />20' <br />20' <br />83/12139 <br />FEE169.33 <br />63jTV% 345 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />R-1 <br />I'ES :'NO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />90. OF DWELLING UNITS <br />BUILDING <br />9 45.870. <br />260 <br />50 <br />V-N <br />R-3 <br />A <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAK, OCC. LOAD <br />PLUMBING <br />18 <br />00 <br />390 8 Ft. <br />1 <br />g <br />. <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />OUII PRKLERS <br />_ <br />MECHANICAL <br />1$ <br />00 <br />none <br />YES X)NO <br />APPROVALS <br />BY DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC, 303(al <br />2. BUILDING PLANS <br />TOTAL <br />2 9 3 <br />$ 0 <br />3. FIRE HYDRANT Y� <br />/.FIRE PROTECTION BYST <br />S.GRAOING <br />PERMIT VALIDATION 7 U J a <br />�'YH��PI�ERLV VALIjULTEO pP: T EI THI Y IT <br />uu UU '� <br />Y� <br />CV <br />R RECEIPT YOUR RECEIPT r' <br />URAINA06 - <br />.jAENVIRONME ATEMENT <br />�LIMPA <br />HEAI.T� - <br />APPR. FOR ISSUAN E Y <br />PLICAIION ADO. BY <br />VIILANS CHECKED BY <br />,1,NK YOU THANK YOU <br />00 <br />o xwN <br />m <br />J\ <br />-r,I 8 3 <br />ADDRE S,FILE <br />-1 .nA. 83 <br />