Laserfiche WebLink
dlr6l01YOF <br />CITY CF <br />COp�SrRUCTIO1 , <br />everett <br />i./ V �Y <br />PERMIT PERMIT NO. 13001 <br />CITY H ,LL 2588T45 <br />EVERETT, WA 98201 b COMBINATION <br />® BUILDING LN MECHANICAL PLUMBING <br />OWNER <br />MAIL ADDRESS CITY ZIP PHONE <br />Jay's Builders t.I_I. Box 1051 Everett 98206 259-7070 <br />ARCHITECT OR DESIGNLN <br />MAIL ADDRESS CITY ZIP _ PHONE <br />GENERAL CONTRACTOR <br />MAIL AVORESS CITY ZIP PHONE LICENSE I7 <br />Same <br />JA YS BR 193RA <br />__ <br />MECHANICAL CONTRACT09 - <br />MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />CLASS OF WORK <br />XH NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVF/FIREPLACE INSERT <br />VALUATION OF WORK <br />s 55,000.00 <br />DESCRIBE WORK <br />Construct Single Family Residence <br />PROPOSED USE OF BUILDING <br />Single Family Residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />o <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />.~ <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIESI <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />m <br />16 BLOCK Valley View <br />#1I <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />•• <br />LOT —OF <br />_ <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING 0c 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 />"-4 <br />PERF RMANC OF NSTRUCTION. <br />F^ <br />JOd ADDRESS <br />SIG R CON ACT R A THORIZED A4'NT DATE <br />C O <br />2430 Slst Place S.E. <br />X 210 2/27/84 <br />rT o <br />PLUMBING <br />MECAANICAL <br />c <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYIE OF EQUIPMENT <br />FEE <br />2 <br />WATER CLOSET(TOILEn <br />AIR COND. UNITS — M.P. EA. <br />m �+ <br />1 <br />BATHTUB <br />2 <br />00 <br />REFRIGERATION UNITS — H.P. EA. <br />2 <br />2 <br />LAVATORY (WASH BASIN) <br />4 <br />00 <br />BOILERS — H.P. EA. <br />yCy <br />r x <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA <br />—1 N <br />K <br />1 <br />KITCHEN SINK 8 DISP. <br />2 <br />00 <br />1 <br />FORGED AIR SYSTEMS —B.T.U. M EA. <br />6 <br />00 <br />-n <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />Op <br />�1 D <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />--I m <br />S <br />1 <br />CLOTHE3 WASHER <br />2 <br />00 <br />EVAPORATIVE COOLERS <br />m N <br />1 <br />WATER HEATER <br />2 <br />00 <br />1 <br />CLOTHES DRYERS <br />4 <br />50 <br />C r <br />URINAL <br />VENTILATION FAN <br />c m <br />DRINKING FOUNTAIN <br />_2 <br />IRANGE <br />HOOD <br />4 <br />SOto <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />• T <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE 6 CHIMNEY <br />A <br />SINK (SERVICE - BAR, FTC.) <br />FIREPLACE INSERT <br />S <br />HEAT PUMP <br />i <br />S <br />BUS TOTAL <br />i <br />18 <br />00 <br />SUB TOTAL 8 <br />21 <br />00 <br />= <br />C <br />PERMIT <br />t <br />PERMIT { <br />--1 <br />TOTAL FEE <br />f <br />TOTAL <br />FEE <br />3 21 00 <br />n <br />m <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />SIDE YARD SETBACK <br />CHECK FEE <br />6' <br />20' <br />20' <br />84/13001 <br />FEE 154.70 <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />R-1 <br />ES Il!NO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />V-N <br />R-3 <br />1 <br />BUILDING <br />i SS,000. <br />298 00 <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />S1ZE OF BLDG. <br />PLUMBING <br />1�BS�SQ <br />18 00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />None <br />REQUIRED <br />21 00 <br />LIVE 11NO <br />APPROVALS <br />OTHER <br />BY <br />DATE <br />1, ENVIRONMENTAL CHECK LIST <br />PENALTY U.&C <br />SEC. 303 (A) <br />2. BUILDING PLANS a' <br />3. FIRE HYDRANT <br />TOTAL 337 00 <br />FIRE TECTI0N SV3TSM <br />PERMIW A�� j1p� <br />6.GRADINp4. <br />EATdbdPLkLV VALIDATED TH SSPACEI THI I VR P q�IT <br />774 ��7�U <br />"b'ORAINAOE <br />— <br />.ENVIRONMENTALIMPAOTSTATEMENT <br />I1I•� 0 <br />imill HEALTH DISTRICT ^3 <br />-PLANS <br />r-i <br />C r I P <br />PPLICATION ACC. BY CHECKED BY <br />APPR. FOR ISSUANCE BY I,J Iti C I <br />STG ? BWN <br />u 14 < Y O U <br />A <br />1 iL8 94 <br />ADDRESS IJl[ <br />