Laserfiche WebLink
��,� <br />ciTv o� <br />everett <br />259-8745 <br />'`` C'�`1NSTRUCTION <br />PERMIT <br />PERh11TNQ _ �� �`�� <br />❑ DEMOLITION ❑ COM8INATION ❑ BUILDING ❑ MECHANICAL j� PLUMBING ❑ SIGN <br />OWNEfl MAILADDRESS CRY 21P PHONE <br />Arland Rose 13528 Hiqhwav 99 Everett 98204 792-332:: <br />ARCHiTEGTOROESIGNER MAILADOPESS GTV ZIP PHONE <br />GENERALCONTRRGTOR h1AILADORE55 CITY ZIP PHONE LICENSF.x <br />Ken's Refrigeration 19007 - BOth N.E. Bothell 98011 778-3941 <br />MEGHANiCALCONiHACTOR MAILAOORESS CITY ZIP PHONE LILgYSE• <br />KENSRS*158JK <br />PlUM81NGCONTNfGTOR MAILAODFESS CITV ZIP PMONE _CENSEx <br />CLnSS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ �EMOLITION ❑ BUILUING RELOCAl'!ON <br />VRLUATION OF WORK <br />S <br />DESCRI9E WOHN <br />Install rangehood to remove steam <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ Wl�O�STOVE ❑ OTIiER <br />LOT _ pLOCK <br />333 S.W. Everett Mall Way <br />PLUMBING <br />WATEH CLOSET (TOILET) <br />BATHTLIB <br />LAVATORV�WASH BASIN) <br />KITCHEN SINK 8 OISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />PLOOF DRP �N <br />BACKFLOW PflEVFNTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />TYPE OF CONST. <br />■��. s¢eoFoioc. <br />SUBTOTAL <br />PEflM1T <br />TOTALFEE <br />I HEREBY CERTIFY THAT I HAVE REA1 ANG E7CAMir`�ED �'HIS <br />APPLICATION AND K.NOW THE SA�r.' TJ [� T1,JE AND <br />CORRECT. ALL PROVISiONS OF Ldh'S h.':U ��pDINANCES <br />GOVERNIPJG THIS TYPE OP WOR�� W;LL BE C�.l)MPLIED WITH <br />WHETHER SPECIFIS'� HEREIN �`�1 NOT. TF���. upANTING OP A <br />PERMIT DOES NC: f Rr'�I �\11 �I��) UIVE nUTHORITY TO <br />b'IOLATE OR CAN� 1 I I I II 1`��i IVIhION ; CF ANY OTHEN <br />STATE�R L AL LAW HEO;ULAIINii CONSTRUCTION OR <br />THE PE FO A E OF CONSTRUCTION. <br />SIGNATM OF L TPACT R. AUTHONZED AGENT. OR OWNER pATE <br />� <br />A/C — A/HNDLG 11NITS — H.P. <br />REFRI(iEl7ATION UNITS — H.P. I <br />BOILERS — B.T.U./H.P. <br />GAS FIREO A.C. UNITS — B.T.U. <br />FORCED AIR 5r'STEMS — B.T.U. <br />WALL HEATERS — 6.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVECOOLERS <br />CLOTHESORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATEfl HEATER • <br />WOODSTOVE <br />METAL FIREPLl.CE 8 CHIMNEV <br />FIREPLACEINSERT <br />NEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />ANT SITE <br />:5 ❑NO <br />JFOIVEL�INGUNRS BUILDING <br />NOAFSTORIES �MA%OCC.LOAO <br />APPLICATION ACC �V I P�ANS f,HECKED DY � APPR iOR ISSUAIlGE OY <br />SUBTOTAL <br />PEqMIT <br />TOTALFEE <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAV PERMIT <br />FEE <br />M EA. <br />M <br />M <br />7 <br />Sea �04(e) <br />gg I TOTAL ' I I 28 I 00 <br />-- PEfl'N,IT VALIOATION <br />WHEN PROPERLV VALI�ATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />�� <br />'� <br />N <br />� <br />N <br />r,oi��;E: s r�! E <br />