Laserfiche WebLink
rhr Lrere�ern <br />-: �. <br />everett <br />CITV HALL 259�B7a5 <br />EVERETT. WA 98201 <br />� ^.ONSTRUCTION <br />PERMlT <br />❑ COMBINATION � BUILDING l � MECHANICAL <br />PERMIT NO. � �! <br />❑ PLUMBING <br />� <br />OWNEA MAII ADDRE55 GRY Zlv PMONE <br />Wes Howell 6901 Broadway Everett 98206 _ <br />RRLNrtECi OR DESIGNER MAIL ADDAE55 WTY 21P PHONE <br />GENEPnL GONTRAC'OR MRIL APORESS CRY 21P PMONE L�CENSE � <br />Tube Art Signs 2719 Maple Street Everett 98201 252-0086 <br />MECMANICFI GONTRAGTOF MPIL RDDAC55 G�TY ZiP PHONE LIGENSE � <br />TUBE ASI 161 SM <br />PLUM6ING GONTflRGTOR MRIL ADDRE55 CIT '.IP FNONE LICENSE I <br />�>a vr nvnn <br />O NEV! ❑ ADDITION ❑ AL7ERATION O REPAIR O DEMOLITION ❑ FENCE }�j SIGN WOOD STU�E�FIREPIACE INSERT <br />.URTION OF WORK <br />f %50.�� <br />Install illuminated <br />LOT_BLOGK__OF <br />I HEREBY CERTIFY THAT I HAVE 9EAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CAPIES� CORRECT. ALL PROVISIONS OF LAVJS AND ORDINANCES <br />GOVERN�NG T'-IIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />UR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW R[GULATING CONSTRUCTION OR THE <br />PEfiFORMANCE OF CONSTRUCTION. <br />SIGNATUPE OF CONiRNCTOq OF AUt70RX(� RGENi DATE <br />6901 Broadway � X� <br />PLUMBING MECHANICAL <br />MO. TYPE OF FIXTUHE OR <br />W ATER CLOSET (TOI LEn <br />BATMTUB <br />LAVATORVIWASHBASIN� <br />SHOWER <br />KITCHEN SINK & UISP. <br />DISHWASHER <br />LAUNDflYTRAY <br />CLOTHES WASHER <br />WATER MEATER <br />URINA� <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />flOOF ORAINS - RAINI <br />SINK ISERVICE - BAH. <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />APPROVALS <br />i. ENVIRONMENTAL CMEJK LIST <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br />a. FIRE PRO7ECTION SYSTEM <br />5.GRADING <br />6.DRAINAGE <br />7. ENVIRONMENTAL IMPACT STAT <br />8. HEALTH DIST�qICT <br />APPLIGATION ACC. 8Y PLAI <br />BY <br />FEE N0. TYPE OF E�UIPMENT <br />AIR WND. UNITS - H.P. EA. <br />REFRIGENATION UNITS - M.P. EP. <br />BORERS - M.P. EA. <br />GAS FIREO A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U, M <br />UNIT HEATERS - B T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS _ <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLAGE 6 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />f <br />s <br />YES .NO <br />MA%. <br />FOFi ��S <br />NV�I.0 <br />SUB TOTAL f <br />PERMIT f <br />TOTAL FEE S <br />( IJUMBER PIAN CI <br />FEE <br />FEES VALUATION <br />BUILDING <br />PLUM8ING <br />MECMANICAL <br />OTHER <br />PENALTV <br />iOTAL <br />s 750. <br />FEE <br />RECEIPf NO. <br />FEE <br />� 1 1 <br />PEHMIT VALIDATION <br />WHEN PROPERLY VALIDATED pN TMIS SPACE) THIS IS �OUA PEflMIT '-Ti <br />N <br />� <br />b' <br />� •-i <br />BY <br />ADU2C�5 FILE <br />z <br />0 <br />-i <br />ci <br />m <br />�1 � <br />«. � <br />Nm <br />c o <br />mo <br />-i c <br />om <br />s1 <br />m <br />.. <br />.O Z <br />(_ <br />r S <br />-I N <br />< <br />D A <br />�y <br />-i m <br />2 <br />f`1 N <br />o r <br />c� m <br />C N <br />m� <br />2 C7 <br />�r <br />• m <br />a <br />A <br />1 <br />2 <br />D <br />Z <br />--1 <br />S <br />N <br />Z <br />O <br />--1 <br />("� <br />m <br />