HomeMy WebLinkAbout902 N BROADWAY CHECK X CHANGE 2018-01-01 MF Import'""""'"" CONSTRUCTION
crtr oF
everf;tt wERMIT
BUILDING DI=PARTMENT
259•8870 TO BE COMPLE7ED IN INK - PLEASE PRINT
O OEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL
_ Diti�A• 1'�iq � �,f�'
i
v
❑ PLUMBING
'd'� �F3 �3c93o
everetl
�
�
PNONE LICENSE •
�'vSywvi?� �STi�. /�/o/C�'. �liy��sa.� �-'-�art� ��L%'% 2B3 iijSlv 0`X/!1/1�i�r��
'nLC���Ni,^.�LCONiR�CTOq M�ILADDRE55 CItY ZIF PIIONE IILENSE• ��
�'LUM9INGCON�NA�ION MM��DOBE55 �IIY j�p
PNONE IICENSE •
�Y�5501 WORY. Ty � -
❑ NEW ❑ ADDITION Y�`ALTERATION ❑ HEPAIR ❑ UEMOLITIQN ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDIN.�', REIOCAIION
/�l W��ON OF WOpN �CO51 O� MAIf RIp�S PWS L�OORI
2B ,vo v
ttl S�Cfi�L UN/��n — I
i OI_ BIOCk_ OF
/�7iR-G /t��
�� Z �/oRr/� �
�'�OJELI�ODRE55 L'�C� /+�r"l�
(i (iY� f�f
a�uMsiNc
NO. TYPE OF FIIfTl1NE OR
WATER CLOSET �TOIIET)
BATHTUB
LAVATORY�WASMBASIN�
NITCNEN SINN { OISP
DISMWASMER
LAUNDRYiRAY
CLOTHES WASMER
URINAL
DHINKING FOUHTAIN
FIOOF DRAIN
BACKFLOW PREVE I
� ei�EtB�tn
T-'-
� ISE 20Ni
�' 2
�r1•E O[ CON51
gN
'�,ve or mDa
//93 '➢�
]qilON �LC B�
6UD TOT�L
PERMIT
TOTAI FE[
Of ARk��
N�i
.Z
V�f.�NT S11E
orEs teao
�.
i L
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS AP-
PLICATIONAND KNOW THE SAMETO BE TRUEANDCORRECT. ALL
PROVISIONS OF IAWSANO ORDINANCES GOVERN�NG THIS TYPE
OF WORK WILL BE COMPLETED WITH WHETHER SPECiFIED NERE•
IN Op NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO
GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF
ANYOTHER STATE OP LOCAL lAW REGULAI'ING CONSTRUCTION
OR THE PERFORMANCE OF CONSTRUCTION.
SIGN�IOREOFCONfRq�TOflORqUTHOBIZEDAGENT pqtE
X ���. ��� ���9,� 7
P{`LICANTS f.Rv Puciuocd/ m� uee .... o
MECHANICAL
FEE NO. TYFE OF EOUIPMENT
A/C — A/HNDL6 UNITS — M.P.
REFRIGERATION UNITS —HP. EA.
BOILERS — B.T.U.M P.
6AS FIRED A.C. UNITS — B.T.U.
FOHCED �Iq SVSTEMS — B.T.U. M EA.
WIILLMEATEFS—B.T.U. M
UNIT MEATERS — B.T.U. IA
EVAPORATIVE COOLEPJ
CLOTHESONVERS
VENTIUTION FAN
HANGEHOOD
WATEN HEA
wOOD51
Ni11T PUMP
GAS PIPING
E%NAUSTFRN
8 CHIMNEV
SU! TOTAL
PLPMIi
TOiALFEE
%.AN ^CHE .N NUMBER FEE
G' / I��� ��
FEES
DUILOING
PLUMBING
MECNANICAL
OTHER
SiATE BUILDING SURCHARG
STATE ENERGV SURC4AIiGE
PUB�IC WORK9
5
� IRECEIPT NO.
�i�\�
� I /� I L• G. TOTAL n�, I I
'
ULIA/�Q� OF �,� ,Q���,V 1.1,�'r PROPERiYOWNERSARERE5PON51BLEFORDETERMININGALI
�� � {,' �y ��,�y J C,��C� PROPEHTY LINE LOCATIONSAND RELATED EASEMENTS.
Y
'm�t R�s l�a. Ae'ti►+ sg� i,.�Wr 6� 1'aa.+�o� .
Date1S_�� %
Application For
PUBLIC WORKS PERMIT
Print or Type Only
Applicant
Mailing
0%��1 C`^. �1.:'
Describe Proposed Work ���1 i��I� 1 I ��"7� f�/��,�'���n /�
Pro�ect Add�ess (il known)
�'upLc Works Petm� r.
eiae.neo�., ��� "
Publ4; WorM f ¢e
To1el Fea S .
Lena AOP� Fee PaiC S
Balance Due S
Attach luur (4) copies ol pfans lor proposed work • Draw to scale anA note the folloWing as applicable:
• Properry Lines �• Cer,terline of street
• Outiine and dimens�ons of all existing and t� Indicale Norlh
proposed structures on the lot • Show any proposed grading changes
• Existing and proposed utilities • Show measurements
PERMIT CONDIT�ONS
1. AI: calls for inspectlon ahell be made 24 hrs. in advance • phone 259�8815.
2. All work shall ba perlormed in accordance with this permit and current Cily ol Everett Design and Construclion
Stendards and Specificationa
3. Call Locetion Untlerground Service 48 hra before you dig. TOLL FREE NUMB[H 1•800•424•5555.
�U/�'L �C CiJc�/�S /��2�ni7' �,,(��U�/��J
Approved for Cnnstruction Uate
FINAL INSPECTION Date
Approvad as Constructed
everett PUBLIC WOHKS DEPARTMENT
� 32U0 Cedar Streel
Everetl, WA �J8207
Phcne:259-8875
ACKNOWLEDGEMENT OF CONDI'fIONS
W
�
�
�
�
O
The undersigned owner/applicant hereby agrees to hold and save harm•
less the Ciry ol Everett from any and all claims for damages, costs,
expenses, or causes of action that may arise because c1 installation
and maintenance of lhe improvement or othei right�ol-way use hereto
applied lor and �urther agrees to remove same upon notice liom the
City and tu replace public property dama;ed thereby.
Signalure of Appl�cant Date
WORK AUTHORI2ED BY THIS PERMIT MUST BE STARTED WITHIN
1B0 DAYS OF DATF PERA1!7 �5 ISSUED AND THEREAFTEP IS TO
BE DILIGEN7LY PURSUEG TO COMPLETION. THIS PFRMIT MAV BE
CANCELLED BY THE CITY UPON ANV STCPPAGE OF JJORK ON THIS
PROJECT OV[R 90 DAYS DURA710N.
t�c� Ij�i�;j`�
PLA;SNIN� DEPARTMENT REVIEW
(..
i'�
Plar. Ch<.r.�r �io.: �-�:Z. l�_� i-l� -- --
SEPA No.
f��1�, -����,t��^ .��� _ .
Urner:. L�1LL�l-l--l-L—� -LLC..�.� __.-L.-_i-1}.�1��.
Address (if knoom) : ` ����! � � �� • ����`� 6����.�.?"�-_„��--- ---- ---- -.
Zoning:
Lot Area:
Height Limitation
�� �
Use of Buildingc���� � � 11��� ����_ --'� ��----.--- - —
Special Consider.ations
COMMENTS:
�Ve �GA�..i�..:G 55u�.>
APPR�VED:
Date of comment
�-,� ��-C�- �� z� e ,
�_
Signature Date
�
check-x-cha�ge�
check cashing center
����o���
tiCT�2 � t987
EVERETf BUILDING D3T.
Octoncr 22, 19^07
City of Hverett
Service Center
Everett, ��iashin,to�7 93201
Attention: IIen Edwares
At no ti:�ie �.vill cve i�avu :,�or� tiian four peoplc iiori:ir,<� in our
stcre at 902 P;orth 3roadway ilur,uer �.
Regards,
.�����
Randall Variek, President
_ _ - --
_ _ _ - - - - _- -- --�
�2 �.ra�c�T �o�
209 E Casino Rd #D • Everett, Washington 98203 • 355-3000
e��
CITV OF �
everett
�� .759-88b
lp-1
�' 7NSTRUCTIOIV .
PERMIT PERMIT NQ: =18979
❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECMANICAL O PLUMBING ❑ SIGN
ONNEH MRh �DDRE55 CITY LIP PHONE
Computerized Capital, inc. 209 E Casino Itoad #D Everett, WA 98208 355-3000
ARCHITECT pii DESIGNEfl MAIL �DDNE55 CITY 21P AiONE
Robert YtukiR Stashey 4039 21st W Seatcle, WA 98199 283-3030
GENER�L CCNTN4GTOR MAIL ADMESS GITV ZIP PMONE 4CENSE �
O'Sullivan Conetr. 1401 W Nickerson Se>ttle, WA 98199 283-838G OSULLI244JK
MECNANIC�LCONTRRCTOR MRILADORE55 QTY ZIP MONE LICENSE�
YLUMBING LONTf1ACTOR M�IL ADDRE55 dTV ZIP PMONF LIGCNSE �
C1A550F WORF
❑ NEW ❑ ADDITION � � ALTERATION ❑ REPAIR ❑ DEMOLITION � BUILDING RELOCATION
V�IWiION GF WDRK
f ZD�Q�Q
DESCRIBE WORN
Tenant impzovement
NE�TSOUNCE
❑ ELECTAICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER
'R(WOSED USE OF BUiLOMG
Convenience store/retail
LOT _ BIOCN _
attached
Tenant: CHECK-X-CHANGE
902 N Broadway
PLUMSING
NO. TYPE OF FIXTURE OR ITEM
WATER CLOSET �TOIIET�
BATHTUB
LAVRTORY (WASH OASIN)
S40N'ER
NITCHEN SINK 8 DISP.
DISIIWASHCR
LAUNDRVTRAY
CIOTHES WASNER
URINAL
DRINKING FOUNTAIN
�
�
NA
USEZONE
F,-1
TVVE OF CONSi
V-N
512P OF 13tDG
1194sf
F:iiE SPRINNLI
�PPIICRTION AI
SH
SUBTOTAL
PENMIT
TOTAIFEE
NA
NA
�f
SIOESETBACN
NA
VR6\NT SITE
oves �No
li3a
OCGUP�NCV GROUP NO OF DWELLING UNITS
B�Z �
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND
CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS TYF'E OF WORK WILL BE COMPLIED WITH
WHETHER SPECIFIED IiEREIN OR NOT. THE GRANTING OF A
PeRMIT DOES NOT f'RESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE OR LOCAL LAN' REGULATING CO�JSTRUCTION OR
THE PERFORMANCE OF CONSTRUCTION.
SiG/I.T�; f�COJ�t�flOR,AIK�fiIZEpqGENT.OROWNE%O~ / =/tE/Q�
X �% '/ '`
MECHANICAL
TYPE OF EQUIPMENT
A/C — An1NDLG UNITS — H P.
fiE FNIGERATION UNITS — H.P. rA.
UOILERS — B I .0 MP.
GAS FIRE� A C UNITS — B.T.U.
FORCED AIR SVSTBMS — B.TU. M EA.
WALL HEATERS — BSL. M
UNIT HEATE1i$ — D.TL. M
EVAPORATIVE COOLERS
CLOTHESDRYERS
VENTILATION FAN
RANGEHOOD
WATEFHEATER •
wOODSTOVE
METAL FIREPLACE 6 CNIMNEI'
FIRB'r`IACE INSERT
HEAT PUMP
GAS PIPINIi
E>:1AUST FAN
SUBTO7AL
PEPMII'
IECK NUMBER FEE RECEIPT NO.
87/18979 J34.55 90301
BUILDING
PLUMBING
FEES 4ALUATION
$ 20,000
NO OF STOP.IE� MR% OCG LOAD
1 ZB MECHANICAL
ee
L.C.
iNVESTIGATION FEE
S7ATE BUILDING SUHCHARG
STATEENERGVSURGiARGE
DRIVEWAV PERMIT
TOTAL
iL�. " _
Sec.,304(R4
"`u q,�
SEPAF,ATE PEILMITS REQUIRED FOR PLUMBING, MECHANICAEMHEN PROPERLV �'ALIDATED �IN TMIS SPACE� THIS IS VOUR PERMIT
AND ELECTRICAL. N[R�ffiER OF EMPIAYEES SHALL NOT EXCEED 4. IF MORE THAN FOUR EMPLOYEES,
TOILETjj ROOMS FOR BOTH SEXES MUST HE H�R PROVIDED.
ADDR[SS F:LE
rn
L`
Q7
�
e—
,ME,,,,.»� . •PPLICATION FO�.'
pTM°F CONSTRUCTIORI
everett PERMIT
BUILDING DEPT.
TO BE COMPLETED IN BLACK INK— PIEASE PRINT
259•8745 ❑ COMB!�:ATION ❑ BUILDING ❑ MECHANICAL, ❑ PLUMBINQ ❑ SIGN
OWNEF M�ILADORESS CITY 21P PNONE �
Check F�.change 902 N. Broadway Su�te D Everett
��GNRECTOROESIONER M�IL�DORE54 CIIY 21P MONE
QEM1EMLGOHiR�CTOR MMLAO�RE53 CIIY �IP PNONE LICENSE• I
RNJ Nomes, Inc. P.O. Bor, 340 Kirkland 98083 746-810Q R��JHO**196K7
MEGN�NIGILGONTP�CTOq MAIL�DORESS GiY ZIP PHONE LICENSE•
PWM@INOCONiMCTOF MqIAD�FE59 CITY ilP VHONE L1CkN6E•
Robinson ?lumbing, Inc. 607 S. E. Everett P1a11 Way Everett 98208 3556171 ROBINP*272C2
r{,�ga oF WORIt
❑ NEW ❑ ADDITION � ALTERATION ❑ PEPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPLINSERT ❑ BUILDING RELOCAt10N
V�pW�TION OF WORN (C09T OF M�iENI�LS PlUB UBOiry
5000.00
UESCRI9E WOPN
plumbing
PROJECTIpDRE39
902 �i. Broadway, Suite D
T'�FE OF
TR�Y
I HEREBY CERiIFY THAT I HAVE READ AND EXAMINED THIS AP•
PLICATION AND KNO W TH E SAM E TO BE TRUE AN D CORRECT. ALL
PROVISIONS OF LAWS AND ORD INANCES GOVERNI NG THIS TVPE
OF WORK WILL BE COMPIETED WITH WHETHER SPECIFIED HERE-
IN OR NOT. THE GRANTING OF A PERMIT DOES NOT F7ESUME TO
GIVE AUTHORITY TO VIOLATE OR CANCEL TI1E PROVISIONS OI-'
ANYOTHER STATE OR I.00AL LAW REGULATING CONSiRUCTION
OR THE PERFORMANCE OF CONSTaUCTION.
SICNATURE OF CONTq�CiOR OR AUtHGRIZED ACENi D�TE ///�,y/y7
X.� O�i ea.st.i
CITV
r.r
THIS PORTIOh TO BE COMPLETED BY BUILDING DEP7. PERSONNEL
RE�RBETB�CN 9iDESETBACI( PLANCNEGRNUMBEi
LOi nqEA VACANf SIIE
OYES ONO FEEH
OCCUP�NCYGPOUP NO.OFDWElLIN6UNIT3
BUILDINO
NO. OF STOflIE9 M�A OCC. LO�O
PLUMBIN6
MECHANICAL
iED ❑ YES ❑ NO
OTHER
PENALTY
PL�N9LHECNlDBY APP0.FORISSUANCEBY
TOTAL
PL�N CNEG1( fEE
FEE RECEIPT NO.
VALU�TION FEE
S I
r�eF��e.�r,�,e,�
cin o:
everett
259-8745
�'7NSTRUCTIC�N
PERMIT
PERMIT NO. 19204
❑ DEMOLITION �COMBINA710N ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SICaN
pyyry�q MMLAUUPC55 GTY ZIP VMONE
Check Exchange 902 N. Bzoadway Suite D Everett, WA 98201
�RC1aTECTOqDE51GNER MAiLqDDRESS CITY 21P PHONE
GENEAAL CONTRAGTOF MAIL RDDRE55 C�iY 21P VMONE L�CENSE •
RNJ Homes Inc. P.O. Sox 340 Kirkland 98083 746-8100 RNJHO�*196K7
MECMnNiCALCONTPRCTOH M1�lRDDRE55 GTY 21P MONE IICENSE�
ROBINP"272C2
PL'JMPINGCONTIi�C10N MRILADDRE55 CITV 21F PMONE LILENSE�
Robinson Plumbing Inc. 607 SE Everett Mell Way Everett 98�08 355-6171
GLA55OF Wpq1t
❑ NEW ❑ ADDITIO!! l� ALTERATION ❑ PEPAIR ❑ DEMOLITION O PUILDING RELOCATION
VAI.UAT10NOf WORe
5 8�0.��
DESCRIBE WORN '
Plumbing
HEATSOURCE
❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTMEH
�ommercial
LOT _ Bl OCK �
Sutie
PLUM9INO
NO. TYVE OF FII
1 WATER CLOSET �IOILI
BATMTUB
1 UVATORV (WASH BA'.
SMOWCR
1 KITCMEN SINK d DISP.
�ISHWASHEF
LAUNOHYTHAY
DRINKING FOUNTAIN
FIOOR ORAIN
BACKFLOW PREVENTERS
HOOF DRAINS — RAINLEADERS
SINN (SERVICE — BAR, ETC.)
SUB TOTAL
PERMIT
TOT�LFEE
FPONTSETDACk REARSETBRCK
USE20NE iOTRREA
TYPE OF CONSi. OCLU�ANCY GR
SIZE OF OL�G
FIP.E SPRINNLERS R
11PPI.If�.iION�CC BY
S.H.
CGI�Ji
FEE
5
V�CANI SITE
��rES oNo
PlnNS CH[CKED �Y � RPPP FOR ISSURNCE
�11� I I-v'2�i-S"7 ,�Q
���� � �90�
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME i0 BE TRUE AN�7
CORRECT. ALL FROVISIONS OF LAWS ANp ORDINANCES
GOVERNING THIS IYPE OF WORK WILL BE COMPLIED WITH
WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A
PERMIT UOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE OR LOCAL LAW REGUTATING GONSTRUCTION OR
THE PERFORMANCE OF CONSTRUCTION.
SIGN4TUf� E OF CONTRAGtOR. AU�T�M E� AGENT OR OWN[^ DRTE
X ,� l//) i'�� [ . Y.'�/.'.1��'�i� //���� %
MECMANICAL
Yl'1':�
A; C— A/IiNDLG UNITS — H P.
REFRIGENATION UNITS — M.P. EA.
OOILERS — D.T ll./HP.
GFS FIRED AD. UNITS — B.T.U.
iORCEO AIR SYSTEMS — B.T.U.
WALL HEATERS — B i.U.
UNIT MEATENS — B T.U.
EVAPORATIVE COOLER$
CLOTHES DRVERS
VEIJTILATION FAN
RANGEHOOD
t7ATER MEATEH
WOODSTOVE
METAL FlFEPLACE 6 CMIMNEV
FIREPLACEINSERT
MEATPUMP
GAS PIPING
E%MA�STFAN
M EA
M
M
SUfl TCTAL
OERMIT""`
TOTALFEE
PLAN CHECN NUMBER FEE
FEES VALUAT101
BUILDING S
PLUMBING
MECHANICAL
INVESTIGATION FEE Sec.3oa�e)
STATE BUILDING SURCHARGE
STATGENERGYSUHCHARGE�
DRIVEWAY PERMIT
FEE
TOTAL I I
PEHMIT VALIO�TION
WHEN PROPEHIV VALIDATED (IN THIS SPACE) THIS IS VOUR PERMIT
ADUI;�SS FIIE
�-
0
N
�
a�—
everert
e
INSPEGTION REPORT
.....� �,��..
. . .r. . ,. .l
• .�r .n•.�o► r.
•
�- ��.. �
TYPE OF INSPECTION REGUESTED
❑ 9LDG: Pmt. No.
❑ MECH: Pmt. No.
❑ ELEC: Pmt. No. __� PLBG: Pmt. No. _I �� O4 �
❑ Temp. Elect. ❑ Framing ❑ Gas Piping
❑ Footing C Drywall, Nailing ❑ Consultaticn
❑ Foundatlon ❑ Shear Nailing -�BT;roundwork
❑ Ductwork ❑ Grid O Struct. Slab
❑ Wocd Srove ❑ Rough-In ❑ Final
❑ Masonry ❑ Service ❑
❑ APPROVAL ARTIAL APPROVAL
❑ VIOLATION �CORRECTION REQUIRED
❑ Corrections listed below MUST BE A E be(ore work can be apprcved.
� Please contact inspector and arrange for appointment.
Was not able to perform inspection.
CALL. .2�59•8B1 OR REI�lSPECTION — 24 hour notice required.
A ERTIF� hC TE �FbCCUPANCY SHAIL BE ISSUED AND POSTED ON
THE PREMI�ESPHIORTOOCCUPAMCY.
_ / /'� I
Inspector
�
evere�
�
�1�9�PECTIOM REPORT
Address !�-�=LijE%��%���_�
Contractor � � ����
Owner ���U �� r%�l'�l/ ,i���l
Date _—Lh,�� C�
TYPEt �O,FINSPECTION REQUESTED
�'$LDG: Pmt No. O� _O MECH: Pmt. tJo.
❑ ELEC: PmL No. _❑ PLBG: Pmt. No.
❑ Temp. Elect. ❑ Framing � Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Founda'ion ❑ Shear Nailing ❑ Groundwork
❑ DuctworK ❑ Grid ❑ 3lruct. Slab
❑ Wood Stove ❑ Rough•In ❑ Fi �
❑ Masonry ❑ Service �--
❑ APPROVAL
❑ VIOLATION
❑ PARTIAL APPf�OVAL
L�CCORRECTION REQUIRED
� Corrections listed below MUST BE MADE before work can be approved.
O Please contact inspector and arrange tor appointmenl.
Was not able to peAorm ir.spection.
CALL 259-tiB10 FOR REINSPECTION — 24 hour nolice required,
A CE TIFICATE OF OCCUPANCY SHALL BE ISSUED AND FOSTED ON
THE PREMISES PRIOR� OCCUPANCY. `�CD /�z�
✓1 1,, ��
Inspertor �� ���� _Da�e ���Zs-��
everett
�
INSP�CTIQN REPORT
Address _1L�[� ��,�_ �
Contractor ��,1�'j�t�{ �.�� � —
Owner ��I?�ji�.�,( "�'��, _
Date �� �� _
TYrc OF INSPECTION REQUESTED
9�DG: Pmt. Nc .� Rq?9 � MECH: Pmt. No. _
[ ` [LEC: Pmt. No.
❑ Temp. Elect.
❑ Footing
❑ Foundation
❑ Ductwork
❑ Wood Stove
G Masonry
❑ PLBG: Pm�. Na.
O r'raming ❑ Gas Piping
❑ �rywall, Nailing ❑ Consultation
❑ Shear Naiiing ❑ Groundwork
❑ Grid ❑ Struct. Slab
❑ Rough-In ❑ Fin �
❑ Service -C'� ��
�PPROVAL �5 a(/�J�� ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector and arrange for appointment.
❑ YJas not able to perform inspection.
❑ CALL 259•BB10 FOR RE�NSPECTION — 24 hour noticP reGuired.
A CERTIFICATE O� OCCUPANCY SHALL BE ISSUED AND POSTED ON
THE PREMISES PRIOR TO OCCUPANCY.
Inspec!or__J��/ /sY/!� Date �f���V�
everett
e
INSPECTION R�PORT
Address �( 1l � /v �:r�� Ll �1�
Contractor �,� ���_ _
Owner
,��J /Y s-�--
Date � � � 5 ��_
TYPE OF INSPECTION REQUESTED
❑ RLDG: Fmt. No. _O MECH: Pmt. No. _
_ t a on�
❑ ELEC: Pmi. No.
•, �.r�� -
❑ Temp. Elect. ❑ Framing rJ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shrar Nailing .Il.fdroundwork
❑ Ductwork ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough•In C Final
❑ Masonry ❑ Service ❑
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION �CORREGTiON REQUIRED
❑ Corrections listed below MUST BE MADE before �vork can be approved.
❑ Piease contacl mspector and arrange tor appoinlment.
❑ Was not able to periorm inspection.
CALL 259•8810 FOR R[INSPECTION — 24 hour notice required.
A C RTIF�C7��F OCCUPANCY SHALL BE IS.`.iUED AND POSTED ON
THE PREMISES PRIOR TO OCCUPANCY.
Inspect0l'�"��-- �—��-<-t-(� � Date !(�
everett
�
INSPECTIOPI REPORT
�ur rE �O
Address 7�2 �O,dpCv��
Contracto� ,L%L�',C�-Y>.c! P! �� _
Owner �• �•J- ��r/Ifv G'�,��
Date ��` � g 7
TYPE OF INSPECTION REQUESTED
❑ BLDG: Pmt. No. ❑ MECH: Pmt. No.
❑ ELEC: PmL No. _p-PLBG: Pmt. No. ��_
❑ Temp. Elect. ❑ Fra�ning O Gas Piping
❑ Fooling ❑ Drywall, Nailing ❑ Co� sultatlon
❑ Foundalion O Shear Nailing �BFoundwork
❑ Ductwork ❑ Grid ❑ Struct. Slab
u Wood Stove ❑ Rough•In O Final
�Maso� ❑ Service ❑
APPR VAL ❑ PARTIAL APPROVAL
VIOLP.TION ❑ CORR�CTION REQUIRED
❑ Correclions lisled below MUST BE MADE be(ore work can be approved.
❑ Please contact inspector and arrange for appointment.
❑�Nas not able to perforrri inspectio�.
❑ CPLL 259-8810 FOR REINSPECTION — 24 hour nolice required.
A C[RTIFICATE OF OCCUPANCY SHALL BE ISSUEU AND POSTED ON
THE PREMISES PRIOR TO OCCUPAKGY.
Inspector
Dale � Z�Z�S�%
�-
CITY OF EVERETT
ELECiRICAL WIRING PERMIT APPLICATION
JOB NDDRESS
TENANT
PROPERTY OWNFJ�
G
�
DATE• -��
FEE • �p�
Wu
ELECIRICAL CONiRACTOR L, � ��e (,{-�r (i
LICENSE N0. LF_EL►� �,� ISI� 1 EXPiRAT20N DATE ���/� g�
ADMINISiRATOR l( � fY ►JU Ui (�Sa ✓l PN�NE �. �if]" � �/ �%�
�
VALUE OF WORK ��S �� (do not include taxes)
(for commercia w�r
USE OF BUILJING
�pTE: WAC 296-46-140 requires that plans for electrical work at educational,
institutional or h=alth care facilities be approved by the State of
Washington. Applicants with such jobs must show the State-approved plans
before a City of Everett permit will be issued.
WORK TD BE DONE:
�ni �.7�,/i��
��/
�N��I_ J r 1�I 1r I
c�GIL�_ ��C �er�/l G-e C�'r 'TN� 5 �I � N't �
SIGNED : __ ��� �� DATE /oC ` L(' �7
NOTES ArD COMMENTS:
6/10/87
1928H
everett
e
1:11 r OF EVERETT
ELECTRIC WIRING PERMIT
259•8810
� FEE ! i� I ��
.�
N° A 8051
DATE I���V /
I/.i11ri'rllllrr.' �.�G..�I ���
. . . ..
everett
e
�NSPECTION REPORT
Address cf /7� /V r�f'ro/:[Gr,G ��
Coniractor �-�'@ C�e��Y��C.
Owner Cl���./f�LIQ/ �D,�i%, � 'iv'
Date �a —7—�1
TYPE OF INSPECTION REQUESTED
❑ BLDG: Pmt. No. ❑ MECH: Pmt. No.
O ELEC: Pmt. No. lSf /,S/ ❑ PLBG: PmL No.
❑ Temp. Elect. ❑ Framing ❑ Gas Piping
❑ Footing C Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Ductwork � Grid ❑ Siruct. Slab
O Wood Stove ¢jRough•In ❑ Final
❑ Masonry ❑ Service ❑
PPROVAL G� ❑ PARTIAL APPr�OVAL
VIOLATION ❑ CORNECTION HEQUIRED
O Correclions listed below MUST BE MADE before work can be approved.
❑ Piease r,ontact inspector and arrange for appointment.
❑ Was not able to peAorm inspection.
❑ CALL 259•8870 FOR REINSPECTION — 24 haur notico required.
A CERTIFICATE OF OGCUPANCY SHAI L BE ISSUED AND POSTED ON
THE PREMISES PRIOp TO OCCUPANCY.
Inspectcr
�
everett INSPECTION! REPORT
e -4�A�II
Address d cun-�—
ContraCtor /� «)�aU —�O� DA /
Owner i' �/lPr�c `=•r�'��-,rtC P
.
�. - '' �. . �
TYPE OF INSPECTION REOUESTED
�(BLDG: PmL Na I�97�7 ❑ MECH: Pml. No.
i[LEC: PmL No. ❑ PLBG: Pmt. No.
❑ Temp. Elect. �raming ❑ Gas Piping
❑ Footing Drywall, Nailing ❑ Consuitation
O Foundation ❑ Shear Nailing ❑ Groundwork
❑ Ductwork ❑ Grid ❑ Struct. Siab
❑ Wood Stove ❑ Rough•In ❑ Final
❑ Masonn; ❑ Service �
� APPROVAL (�> ro e C7 PARTIAL APPROVAL
❑ VIOLATIUR ❑ CORRECTION REQUIRED
Si Co� rr—listed below MUST BE NADE betore work can be approved.
❑ Please contact inspector and arrange for appointmer,t.
❑ Was not eble to perform insFection.
❑ CALL 259-8810 FOR REINSPECTION — 24 hour notice required.
A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON
TUF aaFnniGFG PRIOR TO OCCUPANCY.
� �'� - %
Inspector��� Dete Z �
everett
�
INSPECTiON REPORT
Address
Contract
Owner
�ItiY/y��
TYPE OF INSPECTION REQUESTED
❑ 9LDG: Pmt. No. ❑ MECH: Pmt. Nc.
L1 ELEC: PmL No. -E-PLBG: Pmt No. �
❑ Temp. Elect. ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation G Shear Nailing ❑ Groundwork
❑ Ductwork ❑ Grid ❑ Struct. Slab
❑ Wood Stove •B-Rough-In ❑ Final
❑ Masonry ❑ Service L�
❑ APPROVAL PARTIAL AF`PROVAL
❑ VIOLATION � CORRECTION REQUIRED
❑ Gorrections listed below MUST BE-MADE before work can be approved.
❑ Please contact inspector and arrange tor appointment.
❑ Was not able to perlorm inspectlon.
❑ CALL 259•8810 FOR REINSPECTION — 24 hour notice reyuired.
A CERTIFICATE OF OCCUPANCY SHALL BE ISSU[D AND POSTED ON
THE PREMISES PRIOR TO OI:CUPANCY. I
c,�o n�Dv tZ�
InspecMr�_���2c-t.(� � _Date �� } `� �i
everett
e
INSPI:�TION REPO"�iT
Address '�J � � —
u 1_ �f _( _ ,.
Contractor
Owner � ��� � �-"•-�u•— T 4-�
Date —�Z-' ��-S7
�—TYPE OF INSPECTION REQUESTED
"�BLDG: Pmt No.l�i �_O MECH: Pmt. No.
�. I ELEQ Pml. No.
❑ Temp. Elect.
O Footing
❑ Foundation
❑ Ductwork
� Wood Stove
❑ Masonry
❑ PLBG: Pmt. No.
❑ Framing ❑ Gas Piping
�Orywall, Nailing ❑ Consultalion
Shear Nailing ❑ Groundwork
❑ Grid ❑ Struct. Slab
❑ Rough•In ❑ Final
❑ Service ❑
�( APPROVAL ❑ PARTIAL APPROVAL
VIOLATION ❑ CORRECTION RE(]UIRED
f� Corrections listed below MUST BE MADE belore work can be approved.
❑ Please contacl inspector and arrange for appointmenl.
❑ Was not able to perform inspection.
❑ CALL 259-8810 rOR REINSPECTION — 24 hour notice required.
A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON
7HE PREMISES PRIOR TO OCCUPANC'lY. ]
1M tl _. Q- ivi � N,.'�- f a n rS! � � r'1 '�{ �
/ (
Inspector ��� _Date � �� ��
everett
e
INSPEGTION REPORT
Address �Ql� l' �1CP,/���
Contractor "— {�ph`�NISCj�
Owner �—�i�lC YG}GCE'� /3�JG�
Date __ �o2—/O — %
TYPE OF INSPECTIOIV REQUESTED
f� BLDG: Pmt. Na. ❑ MECH: Pmt No. (�
L7 ELEC: Pmt. No. PLBG: Pmt. No. 7_ l a pL�.
❑ Temp. Elect. ❑ Framin ❑ Gas Piping
❑ Footing O Dr,�wall, Nailing ❑ Consultation
❑ Foundetion ❑ Shear Nailing O Groundwork
❑ Ductwork O Grid G Struct. Slab
�Wood S;ove �[Reng�-In O Final
Mason � �
r+rrrtvVfiL ❑ PARTIAL APPROVAL
�L7 IOLATION ❑ CORRECTION FiEQUIRED
❑ Corrections listed below MUST BE MADE befure work can he approved.
❑ Please contact inspector and arrange forappointment.
❑ Was not able to periorm inspection.
❑ CALL 259-8810 FOR REINSPECTION — 2q hour notice required.
A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON
THE PREMISES PRIOR TO OCCUPANCY.
Inspector
,ME„ro�.� ,-►PPLICATION Fa_.' 3,��'�
��^�F CONSTRUCTION � g��`�
everett PERMIT
BUILDING DEPARTMENT
259•8810 TO BE COMPLETED IN INK- PLEASE PRINT
❑ DEMOLITION ❑ COM8INATION ❑ BUILDING �MECHANICAL ❑ PLUMBiNG
owNcu � v.v� o�.1�ud..P�C'. M�a�uoaEss.�6`i �, C iv�b arv JCtC'1�zm q,$a� onoHe 3>r)r
checK- X-� �^�qe �. 9oa IJ• Y�re�way _,ios*t
nnC1UtECtOROtS�GNER M�4�ODAE55 GIIV IIV pNON[ ^� V�
O SIGN
��
3o3p
GENER�ICOHIHA�IOR / MIIL�O�RE55 CIIY IIP • O�1Q�[[Ey��
JQ.,.11tiv��—Tbvi.es_ ?o.bbK�'�b �2rK�and 9b'o$� • - �,00 ���•
; rr.�u; �r.0 conrn.cmA r.,. � �oonas� 0 5 N• C � d j� cm ar Pr�oNe'`5A' C�• r, '�"�.r3 O�
��.e�_r"�C /t;c Cn ao1 IS^ _ 12e �mn,��. 98'05� 88�-33y8
�IUMPIH.CONiH�LtO� MML�DOPE55 CIfY ZIP PiIONE UCENSE•
�1 � _
f,�A550f WpNM
❑�EW ❑ ADDITION ';� ALTERATION ❑ REPAIq ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERi ❑ BUIIDING RELOCATION
vew+��oH Or wonrc �eoST ov ra� nuis rws ueoni
� a,5ofl.o�
�n scnro[ wonn
� � � � 1 � _ i � 1,. _ r . , � �. 9 _ _ . . —4.
' �`K.v�CK.
GROaENiY�SNOWN BEL
.o�—
�POJECT �DDRE59 ^ 1 �G,� Y Ch .u�p �
t� tl /\ J
�0� 1J• �r�ari�.�Av
xuMeina
NO. TY�E OF FIIITURE OR ITEM F
WIITER CLOSET �iOILET�
BIITNTUB
LAVIITOR� �WASM B�SIN�
SNOwER
KITCHEN S�NK 6 OtSP.
DISNW�SHER
UVNDRY TR�Y
CIOTHES WASMER
URINAL
ORINNING FOUNTAIN
FLOON DRAIN
BACKFLOW P17EVENTERS
ROUF ORAINS — FAINLEADERS
SINK (SERVICE — BAR. ETC �
6UlTOTAL f
PEIIMIT f
TOTl1l FEE f
'��UN� SE�B�CR RE�N SETB�CR SIpE 9Ei0�CK
USE lONE IOf�RE�.
VIIC�NT SITE
OYES ONO
�YnEOICON51 OCCUP�NGYGROUP NO.OFDWELLIN
:i2E Of Pt04 NO.Of SiORIES M1: OCG. LO�p
fIRE SPRINKLERS REOUIRED ❑ VES ❑ NO
�LC BV �PL�HSCNELNEOBY
I HEREBY CERTIFY THAT I HAVE REAU AND EXAM�NED THIS AP•
PLICATION AND KNOW THE SAME TO BE TRUEAND CORRECT. ALL
PHOV�SIONS OF LAWSAND ORDINANCESGOVERNING THISTYPE
OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE-
IN OR NOT. THE GNANTING OF A PERMIT DOES NOT PRESUME TO
GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF
ANY OiHER STATE OR IOCAL LAW REGULATING CONSTRUCTION
OR THE PERFORMANCE OF CONSTRUCTION. /
$IGNRIURE OF GONiRAC10N OR �UIHOR12ED RGENi pATE�a �' � C���
X � � � I l.
�
MECHANICAL
E NO
TYPE OF EOUIPMENi
A/C — �MNOLO UNITS — MP.
REFRIGEH�TION UNITS — M P. EA.
BOILEPS — B.T.U.MP.
6�5 FIPED A.C. UNITS — B.T.U.
FO(iLED AIR SYSTEMS -- B.T.U. M EA.
WALLHEATERS—B.T.U. M
UNIT HEATERS — B.T.U. M
EVAPORATIVE f.00LEF3
CLOTHESDRYERS
VENTIUTION F�N
qANGEMOOD
WATER HEATER
WOOOSTOVE
MEfAL FIREPLACE 8 CNIMNEY
FIREPLACEINSERT
NEAT NMP
GAS PIPINO
E%MRUSTFAN
/IM TOTFL
VEflM1T
TOTAIfEE
PLANc;MECNNUMBER IFEE
BUILDING
PLUMBING
MECHANICA�
OTHFA _
- oTATE BUILDING SURCMnP,G'�
STATEENERGYSURCHARGE
PU9LIC WC9KS
TOTAL
RGCEIPT NO.
VALUATION FEE
S
PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AI.L
PAOPERN LINE LOCATIONS AND RELATED EASEMENTS
u��,�„�
citv oF
everett
259-8746
P 7NSTRUCTION ;
PERMIT
�
PERMIT NO. 19324
❑ DEMOLI710N ❑ COMBINATION ❑ BUILDtNG l� MECHANICAL ❑ PLUMBING � SIGN
UNNER MAILADDRE55 C�TY Z�P PHONE
Check-X-Chanae 902 N Sroadway �erett WA 98201 355-3000
�RCMItCCT OR DE9GN[R MAII ADDRESS dTY ZIP �ONE
GENEHALCANTReCTOR MAILADDPESS QTY Z�P VMONE LICrySE�
MECM�NIC�IGONTRACTOP MAIL�DDRE55 CITY 21P PHONE LICENSE�
Pacific Air Conlltrol 15205 NE 90th Redmond WA 98052 883-3348 PACIFCA230P8
PlUM01NG CONTR�CTOP NAIL RpORE55 GTv ZIP N10NE LICENSE �
❑ NEN� ❑ ADDITION � Al7EHATION
f 2500.00
DE$CRIBE WORN
❑ AEPAIR ❑ DEMOLITIOfI ❑ BUILDING HELOCATION
nddin¢ duct work to eX�� tina e3�ioment -
ME�T 5ounr,E
❑ EIECTRICITY O GAS ❑ WOODSTOVE ❑ OTHER
ior _ o�ocK _
a�ureiNc
TVPE OF FIXTURE OR
WRTER ClOSET �TOIL[T�
B�THTUB
L�VATORY�WASM BASIN)
SHOWEH
KITCHEN SINK 8 DISP.
DISHWASHER
LAUNOFVTRAY
CLOTHES WASNER
URIN�L
DqINKING FOUNTAIN
FLOOR OPAIN
BACKFLGW PPEVENTERS
ROLP ORAINS — RAINLEADERS
SINK ISERVICE — BAR. ETC.)
TVPE
51� OF BIDG
APPIICATION ACC BY
S.H
sueror�� s
PERMIT !
TOTAL FEE f
RERRSETBRCN F�ESETBRCN
tOT4PEA ��qC�NTSRE
(]YES ❑NO
OLCUPRNCYGPOUP NOOFDWELIINGUNITS
ND.OFSTOPIES M4X.00CLOAD
) ❑ vES ❑ NO
PlANS GHFGKEO BY I.PVR FOR ISSURNCE BY
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND
CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH
WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING GF A
PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR
THE PERFORMANCE OF CONSTRUCTION.
SIGNR RE OG CONTRRCTON. AUi i E� AG l�OWNER DRTE
z,.,L. _„ c�. �.,, �a-� b r$ I
TYPE OF EOUIPMEWT
A/C — A/NNDLG UNITS — H P.
REFRIGERATION UNITS — N P. EA.
BOILERS — B T.UIHP.
GAS FIRED A C. UNITS — B T.U.
FOHCEO AIR SYSTEMS — OS.U. M EA.
WALLHE�TEPS—BS.U. M
UNITHEATERS—BS.U. M
EVFPORATIVE COOLERS
CLOTHES OflYEliS
VENTILATION FAN
HANGEHOO�
WATER MEATER
WOODSTOVE
METAL FIREPLACE d CHIMNEV
FIREPLACEINSERT
NEATPUMP
GAS PIPING
E%HAUSTFAN
SUBTOTAL
PEHMIT
TOTALFEE
�LANCHECNNUMOER FEE
FEES VALU
ew�niNc 5
PLUMBING
MECHANICAL �
INVES7IGATION FEE
STATE BUILDING SURCHARGI
STATEENERGYSUPCHARGE
DRIVEWAV PERMIT
TOTAL
Set.304(e)
NO.
WYEN PFOPEPLV VALIOAiED pN TMIS SPACE) THIS IS YOUR PE(7MIT
F��RESSiILE
2L 50
r'
CITY OF EVERETT
0.ECTRICAL WIRING PERMIT APPLICATION
JOB ADDRESS
TENANT
PROPERTY OWN�i
EIECTRICAL CONTRF
DATE: I� I I 1/[ g�
�
FEE: �� �
LICENSE N0. JpuN� I=�� t1+.� EXPIRATION DATE
ADMINISTRATOR �'YRs.� PHONE NO.,�j� ���dP
VALUE OF WORK� � (do not include taxes)
(for commercial wo ,
USE OF BUILDING ��1 ` �!( � n[ Ll���Yi�
NOTE: WAC 296-46-140 requires that plans for electrical work at educational,
tnstitutional or health care facilities be approved by the State of
Washington. Applicants with such jobs must show the State-approved plans
before a City of F:verett permit will be issued.
WORK TD BE DONE:
SIGNED `_✓
NOTES APA COMMENTS:
6/10/87
1928H
DATE 1�// I I /�
� CIl � OF EVERETT �
eELECTRIC WIRING PEliMIT
259•881 O
FEE � I O�-
N° q 9U01
DATE � ��'-' I I � (i �
��r �1A � �� i�j?nV�nlcti�T
uESI.'pIPTION OF WORK:
everetl
�
INSPECTION R�PQRT
Address yl!,��-- ���1G�` ��
� A . n
Contractor
Owrer
Date
TYPE OF' INSPECTION REQUESTED
❑ BLDG: Pmt. No. ❑ MECH: Pmt. No.
� ELEC: Pml. No. Q Q ❑ PLBG: Pmt. No.
❑ Temp. Elecl. ❑ Framing ❑ Gas Piping
❑ Fooling ❑ Drywall, Nailing ❑ Consultalion
❑ Foundation ❑ Shear Nailing O Groundwork
O Dudwork ❑ Grid ❑ Slruct. Siab
❑ Wood Stove ❑ Rough-In ❑ Final
❑ Masonry �Service ❑
PPROVAL ❑ PARTIAL APPROVAL
� VIULATION ❑ CORRECTION REQUIRED
❑ Corredions listed below MU�T BE MADE before work. can be approved.
❑ Please contact inspector and arrange for auPointment.
❑ Was not able lo peAorm inspection.
❑ CALL 259•E910 FOR R[INSPECTION — 24 hour notice required.
A CERIIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON
THE PREMISES PRIOR TO OCCUPANCY.
Inspector � �� O / Date
everett
e
INSPECTION REPdRT
... ''I . �i.ra�.e
. . � ' ,�i. �..i..w� �
. � � . L%/, i /.�
•-- o.■:
TYPE OF INSPECTION REQUESTED
r.G�9tDG: PmL No. ���0 MECH: Pmt. �lo. _
❑ ELEC: Pmt. No. O PLBG: Pmt. No. _
❑ Temp. Eiect.
❑ Footing
❑ Foundation
OD
ood Sto��e
❑ Masonry
APPROVAL �¢�
VIOLATION
❑ Framing
❑ �rywall, Nailing
❑ Shear Nailing
�7
In
❑ Gas Pi
� rouni
❑ Struct.
Lfinal
❑ _ _,
PAIRZIAL,APfJROVAL
CORRECTION REQUIRED
� ections lisled below MUST BE MADE before w�rk can be approved.
❑ Plea;e c inspector and arrange for appointment.
❑ Was not able to pertorm inspection.
❑ CALL 259•8870 FOR REINSPECTION — 24 haur notice required.
A CERTIFICATE OF OCCUPANCY SHALI BE ISSUED AND POST�D ON
THEPREMISE$ PRIQRTOOCCUPdNCY.
5,.�.°���Y �.. G�I. L /h.�A_ (� _i ,ca
7
everett
e
INSPECTIO�N REPORT
.r i .t.o _, �
.- .
. . . � � . it �� _..��
,
. � '�► � �1.��/,�
" � �
� . .. �
TYPE OF INSPECTION REQUESTED
f' 6LDG: Pml No. ❑ MECH: Pmt. No.
--�EiEC: Pmt Na. �__❑ PLBG: PmL No.
❑ Temp. Elect. ❑ Framing ❑ Gas Piping
❑ Fooling O Orywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Ductwork ❑ Grid ❑ Struct. Slab
❑ Wood Slove ❑ Rough•In �-Firtal
❑ Masonry ❑ Service ❑
❑ APPRO\�AL ARTlAL APPROVAL
❑ VIOLATION ❑ CORRCCTION REQUIRED
❑ Corrections listed below MUST BE MADE before v✓ork can be approued.
❑ Please contact inspector and arrange for appointmenl.
�❑ W not able to peAorm inspection. �
L 259•8810 FOR REINSPECTION — 24 hour nctice required.
A CERTIFICATE OF OCGUPANCY SHALL BE ISSUED AND POSTED Ofv
THE PREMISES PRIQli TO OCCUPANCY.
Inspector � � Date /� �GQ_C� /
everett
e
INSPECTION REPORT
Address
Coniractor n1 P� ) �� �J° ��— I
• • ���-- •'�
TYPE OF INSPECTION REQUESTED
'! BLDG: Pmt. No. �iECH: Pmt. No. �
f ELEC: Pmt. No.
❑ Temp. Elect.
❑ Footing
❑ Foundation
❑ Ductwork
❑ Wood Stove
❑ Masonry
❑ PLBG: Pmt. No.
❑ Framing ❑ Gas Piping
❑ Orywall, Nailing ❑ Consultation
❑ Shear Nailing ❑ Groundwork
❑ Grid ❑ Struct. S�ab
❑ Rough•In .8'Final
❑ Service ❑
A RO ❑ PARTIAL APPROVAL
❑ ATION ❑ CORRECTION REQUIRED
� Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact Inspector and arrange for appointmenl.
❑ Was not able to perform inspection.
❑ CALL 259•BB10 FOii REINSPECTION — 24 hour nolice required.
A CERTIFICATE OF OCCUPANCY SHALI BE ISSUED AND POSTED ON
THE PREMISES PRIOR TO OCCUPANCY.
.sea�cG-� /U .fIEC. v� !�%�a. l.USpL�T)Q
Inspectar
,� d"C%�� Date /1-�'� �r
everett
e
INSPECTiON REPORI'
Address ��}Z �), L�lnn�__
Contractor �Q u�-4�( �.� �i —
• . . ,
Date � Z —� —�'7 _
TYPE OF INSPECTION RE�UESTED
i 7 BLDG: Pmt. No.
❑ MECH: Pmt. No.
�ELEC: PmL No. �"DSI ❑ PLBG: PmL No.
❑ Temp. Elect. ❑ Framing ❑ Gas Piping
C] Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Ductwork ❑ Grid ❑ Struct. Slab
❑ Wood Stove [] Rough•In �Final fP ih�
aJdasonry ❑ Service ❑
C�3'APPROVAL O PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections lisled below MUST BE MADE before work can be approved.
Ll Please contact Inspector anA arrange for appointmenl.
❑ Was not able to periorm icspection.
❑ CALL 259•8810 FOR REINSPECTION — 24 hour notice required.
A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON
THE PREMISES PRIOR TO OCCUPANGY.
1 ` ��� �/.(i�4- � J
Inspedor _�Z � Date/� � ��
everett
e
INSPECTION REPORT
Address � �
Contractor _^������
Owner ���� /'�f/
i
Da t e �!�� _ $ -�
TYPE OF INSPECTION REQUESTED
� J 6LDG: Pmt No. ❑ MECH: Pmt. No.
L7 [LEC: Pmt. No. .�-PLBG: Pmt. No. �
❑ Temp, Elect. ❑ Framing ❑ Gas Piping�
O Footing ❑ Drywall, Nai!ing O Consultation
❑ Foundation � Shear Nailinp ❑ Groundwcrk
O Ductwork ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough•In -B.Fna�
O Masonry O Service p
APPR ❑ PARTIAL APPROV
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector and arrange for appointment.
❑ Was not able to peKorm inspection.
❑ CAIL 259-8810 FOR REINSPECTION — 2q hour notice required.
A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON
THE PREMISES PRIOR TO OCCUPANCY.
Inspeclor �',Y�. �.n�Y�.�_
Date /3-ag.�7
everett
city of everett
DEPARTMENT OF PUBLIC WORKS
CERTIFICATE
OF TEMPORARY OCCUPANCY
Note to ApGlicant:
This certificate applies strictly to those portions of the structure tisted below. A perforrnance bond may be
required in conjunctior� witli the issuance of this permit.
q� 902 N. Broadway Building Permit No. 18979
Unmesn
Check Exchange
H-1
Const. V-N
No. Slories 1
8asemeni -
Floor load and room capacity signs, when required, must be posted at all times. Max. occ. load = 29
THE FOLLOWING PORTIONS OF THE ABOb'E•NAMED STRUCTURE HAVE BEEN INSPECTED AND APPROVED
AS COMPLYING WITH THE PROVISIONS OF 7HE UNIFORM BUILOING CODE:.
Tenant impruvement
Issued Ihis 30th eay oi De
EepiralwnDale: JdtlUdZy 31, 1988
This cerlifiole ahall be pos�ed in a coaspiruou• public piace and shall no� be removrd,
mulilaled p obscured anJ shall be mafnlained in Irgiblr condilfon al all timee Any
change nl ocrupanry rrqnires a new cerlifi�ale.
a�i�eu
everett city of everett
DEPAR?MENT OF PUBLIC N'ORKS
CERTIFICATE UF OCCUPANCY
q� 902 fl Broadway_ __ ______ __ __ _ guilding Permit No.
IRaJ�nsl
Check Excha.nge
Occupancy Type B-1 No. Slones 1
18979
Type Consl_ �-N � 8asement '
Floorloadsigns_— _inplace(per5ec2304�e)�-Capacitysigns 29 _. ___posled
(per Sec. 3302�c�). Floor load and reom capacfty signs, when required, must remain posted at all times.
THE tenant_improyement HAS BEEN INSPECTED AND APPROVED AS COMPLYING
WITH PROVISIONS OF THE EVERETT BUILDING CODE, FIRE CODE, DRAINAGE AND RIGHT-OF-WAY USE
STANDARDS, AND HAS MET CONDITIONS MADE IN THE ENVI ONMENT REVIEW PROCESS.
� —� �� ' -Q - d_C�zC� � � � ` SC
IN OF IA DATE 'IRE MARSHAL D4TE
N/A
N/A
PUBLICYIORKSJFFlCIAL DATE PLANNINODIPECTOF
lssuc0lttls lith tlayol
Thlf reHiliate �MII be pmt�d In a comolcvout public P�+�t and �hall nnl be removed,
mulilalM a ob�cured and shNl br malnuiMd In IeR161e conditinn al all Ilmef. Any chm6e ol
nrvupanq requ6ef a new cerliflale.
DATE
January 88
__—"' _____'_'_— 19___
s n>
evereK
e
CITY �' � EVEi�ETT
ELEC7RIC WIRING P�RMIT
259•8810
� FEE �"5( , '-
��J
N° A 9066
_.._ _.. _ . _ _ DATE �/, V
everen
e
CITI� 7F EVERETT
ELECTRIC WIRING PERMIT
259•8810
� FEE
N� A 9065
DATF. I �liJ iJ J
m. e.•�On.n
Gltt OF
everett
BUILDING DEPARTMENT
2ss•eeio
❑ DEMOLITION
:.PPLICA�{ON FOI�-'
CONSTRUCTION
PERMIT
TO BE COMPLETED IN INK- PLEASE PRIIvT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL
� M�II �DOOESS CITY IIP
.,�, 9�a n- �.o,�.���, ftiu.�,/,�,�, sazui
M�IL�DORESS GIIY 21V
❑ PLUMBING
GQLN[R�/LGONTF�GIOA MMI+DDRE55 C�h' 21n �NONE LICENSE•
/"✓�e�scsAi�:,n �.t9n � , .zS��yol�ciC..4�T"� ?r ,�+v.+,.ac,�.a.LfM 98�-s« 3s�,bsy3 �'S� ;;BN
IAF.CN�NIC CON1N�Lipq� MMI�ODNE55 CIiV ZIP PIIONE IIGENSE•
f'LUMBIN�CONIR�GTOR MNL�ODRE55 GI1Y IIP PIIONE lIClNSE• I
l9 NEW ❑ ADUITION ❑ ALTERATION ❑ REPAIR ❑ GEMOLIiION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILOING RELOCA710N I
v.w�noN o� wonr �cos� or Merenuis rws ueoni
�,2s7nn `�S . -
LP� �
� oi— e�oc�_
�ROJECT��ONE59
so� �� ��
PLUMSINO
No. rrrei
W�TERCLOSET
B�THTUB
NITCHEN SINK 6 DISP.
DISHW�SMER
LAUNDRYTRAY
CLOTHES W�SHER
ONINNING FOUNTAIN
FLOON DR�IN
BACXFLOW PNEVEMERS
ROOF DRA�NS — R111NLEADEFS
S�NK �SERVILE — BRR, ETC )
�1
, Puoja.r—
�wUNiSCiB�Gk RE�ASEiB�CR SIOESEIB�CI
n5E ZONE LOf �RE� y�C�NT SITE
avES ONO
�v�'[OfCON51 C�tCUP�NLYGFOUF NOOiOWEI
I
SRE Of B1�6 NO OF S10RIE5 M��t OCG. LC
FIRE SPRINKLERS REOUIRED ❑ VES ❑ NO
AI+pL�CR110N�CC Bv P��NSCNECREDBY 1PPR.(OHIS
" {�
oe-6�. �o n �l /O V %u-�+i-(�t.t .O�t1-�. "�y �� Slai_
a
1 HEREBY CERTIFY Tk+AT I HAVE READ AND EXAMINED THIS AP•
PI.ICATIONAkD KNOW THE SAMF TO BE TRUE ANDCORRECT. ALL
PROVISIONS OF LAWSAND ORDINANCESGOVERNING THIS TYPE
O� WORK WILL BE COMPLETED WITH WNETHEF SPEC�FIED HERE-
IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PR[SUME TO
G�VE AU7HOHITY TO VIOLATE OR CANC[l THE PROVISIONS OF
ANV OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION
OR THE PERFORMANCE OF CONSTRUCTtON. .
SIGN�TUFE O/ff CONiRnCTOR OB RUiNORIZEO AGENi D47E
XX/'�//.C�ytw� �""i'� // /�,
�PPLIGANTSLITYBUSINESS ENSEHO
o��s�-s�9
MECMANICAL
— MNNDl6 UNITS — HP.
iIGF.R�TION UNITS — H.P. EA.
BOILERS — B.T.LLM P.
6�5 P�RED I1.C. UNITS — B.T.U.
FORCED AIR SYSTEMS — B.T.U,
wAIL MEATEFS — B.T.U.
UNIT NEATERS — B.T.U.
EVAPOR�TIVE COOLERS
CIOiHESDRYER$
VENTIUTION fAN
NANGEHOOD
WATER HEATER
METAL FIREPIAGE 6 Ci�IMNEY
FIREPUL': INSERT
NEATPUMP
GAS PIPING
E%NAUSTFAN
5U! TOTAL
P(p W T
P1.AN CHECN NUMBER I FEE � NECEIPT NO.
BUILDING S
PLUMBING
MECMANICAL
OTHER
STATE B W LDIIJ(i SUPCHARGE
STaTEENENGYSURCHARGE
PUBLIC WORKS
TC�TAL
PROPERN OWNERS ARE RESPONSI�LE FOR DETERMINII.3 ALL
PROPERN LIIJE LOCATIONS AND RELATED EASEMENTS.
_ :. :. ...... . .:. .__ _ , .:- -. . _
_ -. f, - _ . _ .' �
0
SZGN Pc�M:- TRFFaIC E�GiNE=�ING C}=rrv" L'IST � �
, ' :. .
. -, %
S I GNFL V I S I E+ I L I TY ----- --------(„�'_ L�-�---------._ . ... _. .
_r_
• .. � � . . .
SiGVtr�G vI5i5tLITv -----r�-----�y��L�_------ ._. . ... ... .. . . _ ..
Ol'lvP.rov. l'�^�..aeC:_:.n� _".�-.._r._ "•C •151"'.:Y =12C:t�
mace ��r ina from
:�IT'aRS=- 'aOv V:S;PILITY ----------�z! �------------------ ----
DRiV�i:G1V V:SiB:LITY �� /
---------t1�rw------------ --
VcNICL= ":�V_MENT �_r�__-'L:'i.�----------'�---- --
Fc::�=�=:.:Y !':D'J�X�:3T _r��-�---�-�'/--��---�-"--��---�--- --�-
.
'eammQnts .�nly, caes n:_: reoiac= Dial D3c: ,
STncc. L�uriT I�1:crt�:C1?:\c�- �____-____�.�%` ���_�__�_�___��__�
; ' �; J-
SiG\q� INTER�ONNc:. ------------`=-� --------------------- -•-
_ _ ,� �j
�'.
. . . . _..
�UTUna _.�ti..L --�----___-1 -`----------------------
[.^,!!1!Ei�io/�i:a�==T:C\S _��
"� �=��� /=L'`-'��•-� ------- � : 5� _��
-r�-'?:`/�n�cn�ertnc Ga:e
v
r��
GTV OF
everett
259-8745
� Q'"�NSTRUCTION �
PERAAIT
<
PERMIY NO. 19 3 9 4
❑ DEMOLITION O CtlMBINATION ❑ OU6lDING ❑ MECMANICAL ❑ PLUMSING 0 816N
OVMER MRILAOORE55 pITY IIP PHDN[
Randy t'cinick 902 N. Broadwpa E�erett, Wi1 96201
RRp11TECT OH OESIGNER MRIL ADDRE55 CITY ZIP PHpNE
f.ENERlt f.ONTR�LTOP MAII ADDRE^v5 GITY 21P A�ONE IICENSE �
Bellingham Siqr. Co. 2939 Aldergrove Rd. Ferndale, WA 98248 384-1652 BELLIS"160DR
MECMANICRI GONTRACTON MML ADURE55 GIiY ZIP PHONE LICEN;;E •
BELLIS*178N9
PLUMBINGCONTR�CTOR MRILRDDRESS CiTV ZiP PHpME LIrENSE�
C3CNEYY ❑ ADDITON
S 2800.00
❑ ALTERATION ❑ REPI.IN ❑ DEMOLITION O BUILDING HELOCATION
Inatall D/F ill�uninated sign or. 2 poles 6"x10" tubular steel.
❑ ELECTIIICITY ❑ GAS ❑ WOODSTOYE ❑ OTHEfi
Retai.l
EG�L DESCRiPf�ON OF PPOF
lOT _ BIOCN _
OB�DDRE55
902 N. Sra
PLUMNIN6
USE
WATER CLOSET �TOILET�
B�TMTUB
LAVATORY�WASHBASIN�
SHOWER
NITCHEN SINK 8 OISP.
DISHWASHER
LAUNDRV TRAV
C�OTME$ WASNER
UPINAL
ORINKING fOUNTAIN
FLOOR DP41N
BACKFLOW PREVENTEAS
RDOF ORAINS — RAINLEADENS
SINK �SERVICE — BAR, ETC �
ACC BY
S.H.
8UlTOTAL
PERMIT
TOTALFEE
FEE
I HERr.BY CERTIFY TIiAT I HAVE READ AND EXAMINED THIS
APPLIi:ATION ANC KNOW THE SAME TO 8E TRUE AND
CORRECT. ALL PFOVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS TVPE OF WORK WILL BE COMPiIED WITH
JJHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A
PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL TFiE PROVISIONS OF ANY OiHER
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR
THE PERFORMANCE OF CONSTRUCTION.
SiGNAT� f�CON�iT� yi,^�nCAGENT.OROWNER ///CE/S(X
X ,(,l U�
MECHANICAL
A/C — A/HNDIG UNITS — H P
REFRIGERATION UNITS — H P. EA
BOILERS — B T U1H P
GAS FIRED A C UNITS — B.T.0
FORCED nIP SYSTEMS — BSL.
WAIL HEATERS — B T. U
UNIT HEATERS — BSL
EVAPORATIVE COOLERS
CLOTHESDFVERS
vENTPATION fAN
RANGEHnOD
\VATER HEATEH
wOOGSTOVE
METAL PIREPLACE d CVIIMNEV
FIREPLACEINSERT
NEAT PUAAP
GAS PIPING
E%NAUSTFAN
M EA.
M
M
s sueror��
f PERMIT
f TOTALFEE
SiDE SEiBnGN PLAN CHECK PIUMBER FEE HECEIPT NO.
VAGANT SITi FEES VAII!ATION FEE
❑YES ❑NO
NOOFpWELUNGUNlTS �UILDING E z800.00 12 00
PLUM6ING
Mnz occ �ono �
MECHANICAL � -
INVESTIGATION FEE Sec. �(e)
PLANSCHECKE09Y � qMq
�lec. N.V.
B.E.
STATE BUILDING SURCHARGE
STATEENERGYSURCHARGE
DRIVEWAY PEFlMIT
T07AL
PEpM1T VIILIL�TiON
WHEN PROPERLY VALIDATE� (W THIS SPAGE� THIS IS YOUN PERMIT
l,�i;b[55 i�l! �.
�
Qi
M
�
�
A.�PLICATION FOR _ '
�"r�'""" CONSTRUCTION
everett PERMIT
BUILDING DEPARTMENT
259-8810 TO BE COMPLETED IN INK- PLEASE PRINT
7 DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL
w„� M�II�DORE55 c�rr ziv
/�/n+.el.f l/cLic�e.k. 90� ii F)ue_.F.,.� ' Cd�..,tt, lUct 9�iei
..�.....�..... .��n.,ee ueu�ooaEss Crtr 2iP
r,.. Ce . �V3'f
uea �ooaEss
l:��♦ L��•
/P,Q F�.,e�¢c� lUa 9BZ�F
O PLUMBING
PNGNE
kfSIGN I
'IUMB�N.COH1n�G10R MMI�DDRE55 C�:V 2�P MICNE IICCNSE• I
.USSOf WORN
B�NEW ❑ ADDITION ❑ ALTEf1�TION ❑ PEPAIR ❑ DEMOLIiION ❑ WOODSiOVE/fRPL.INSERT ❑ BLIILDING REIOCAt10N
�+1. W*iON Of WOue ICOSf O� i�iL111M5 M119 LnB0111
�a�6a -
45CPiBf WORR . n
,�.e�,�C. s�.1'. ,�2ti rc�y... e--- J�i,e,.-! !�.!-Ca�. ��xe....�.-.e- 7s` �uaJ dj 8- %'f 3`�syr ffue=.�d. 'ue°atu.4J
� LD-ILLE�' /1J--1'-�4�Q., '�
O� PROPERrvISNO'MN BELOW OR �iT�CN fOUP LOPIE51
9�.i '� •
PLUMl�IN6
No. T—
W�TER ClOSET �TOILET�
B�TNNB
UV�TCRY �WASH B�SIN�
RITCHEN SINR 6 OISP,
DISNW�SMEP.
UUNDRY TRI1Y
CLOTMES WASHER
URINIIL
� ��oNT SE IB�LK
�SE ZONE
rvr[ o� con�ST
•;iP[ oi' e�Do
' Dii�INS — RAINLEAOERS
ISERVICE — BAp, ETC)
ITEM
sus tot�� s
PEIIMIT t
TOTAIFEE f
aE�RSETB�CK 'T 5�
�RE�
OGCUPIINLY
V�CIIHT SITE
ores nNo
erAn. ron ise
'b�
0
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED Tf115 AP•
PLICATION AND KNOW THE SAME TO BE TRUE ANDCORREC7. ALL
PROVISIONS OF IAWSAND ORDINANCESGOVENNING THISTYPE
OF WORK WILL BE COMI�LETED WITH WHETHER SPECIFIED HERE�
IN OR tvOT. THE GRANTING OF A PERMIT DOES NOT PRESUME t0
GIVE AUTHORITY TO VIOLATE OR CANCEL TNE ('ROVi510NS OF
ANY OTHER STATE OR LOCAL LAW RE•:ULATING CONSTRUCTION
OR THE PERFORMANCE OF CONSTR�;:TION. .
SIGN�IURE Of CONiR�CTOR OR �l1THORRE� �GENT DRT[
Y Q � �', .
1PPLIf,1NT5 LITY BUANE55 L�C[NSE NO
V
/� /& s�S'
MECNANICAL
TY�E OF EC
A/C — AIHNDL6 UNITS —
RFFFI6ER�TION 11NITS —
ev��cna — o. �.v.mr.
GAS FlNEU AA. UNITS •-B T.U.
FOHCED A!R SYSTEMS — B T U.
N'ALL HE�TERS — B.T.U.
UNIT MEATERS — B 1.U.
EVRPORATIVE COOLERS
CLOTHESOHYERS
VENTILATIDN F�N
RANGEHOOD
WIITER HE�TER
wOODSTOVE
METIIL FIREPUCE S CHIMNEV
FIREPUCE INSERT
MF.ATPUMP
O�S PIPING
E%MAUSTFAN
SI,'! �OTl1t
P[11M1T
TOT11L FEE
PIAN CHECNNUMBER �FEE
BUILOING S
PLUMBING
MECHANICAL
OTHER
STATE BUILDING SURCMAFGI
STATEENERGYSUPCNARGE
PUBLIC WORKS
TOTAL
M EI1.
M
M
RECEIPT NO.
PR�;�PERTY OWNERS AfiE fiESPONSIBIE FOR DETERMININO ALL
PROPERN LINE LOf:ATIONS AND AELATED EASEMENTS.
. .. . . _.. _ . ... . .: , ..
... - - ._ .... ..
. .. \ ... - . .
- SIG�1 vEanL� TFa�=iC E�GINE=�TNG C�«!:�� L'IS7 '
. � •
SIGNciL VLSIFILI7Y ___� _.�__ � � �����----� ____ ••- • • .
- ,
. • �� , �r .. . . ,
S:G,iIMG VISi&ILITY �- ------- �r-L---- � ----._..... ......... ._ .
OY1vP�.iv. 1n��.•aeC'.�r�� �:►..�r._ .�t •151�:��:y �:12C:<�
maCe •]t anC fr�]m
:u��as�_-.a� v�s:eILI�v -------------�'•�--------------
DRiVcb:Av V:SiH:LITY ________�_y�• � M_
VENICL= i:�VSMENT ____---.----��� � ------ — , . .
' . i � .
��������. M YC` �' ' , �'� •
C�..a= � - �...� ..O'Jc ._.J i ----------�--�- � --�----�� �- _ ,
.�
. , _
eornrnents .�nly. coes n::: reoiace Di�l Die: , ....
aTnc=i L�u:ii i�S�cn�.CJ::Nc�-- _�----��-�-�.��__._�____ � � � . . . .�.. ..
I �"G�:G3L. INTEz�OuNE_- � ��--- ��� .� ` �_�_ :,.. =.-.-: _ _ - -
FUTJ'na S i u V Rl. ---�_---�---- � "------ .' •. .. _ _ _. ...
. . .. ---------- � a:-- -
C.^.�!r�itT'a/Si.:.occ3T:C\5 � --��----------�-r--- - —�- - -. ..__ r- ",-
. . � ' . . . .: : . .. .� ,_,.. . .... ;..:x;:-: ��
. � . . � . . .. .. �.. .. ..:.. . . ... -
.. . ' ������������� �— ��������..��� � � . . - " :'r I
�y.�J� c%�1.�'------- �_ ¢_�'�_. , .
`'rar..f�ang_nzerinc La.a . .. _
��
CITY OF
everett
259-8745
C^NSTRUCTION
PERMIT
. �
PERMIT NQ: . � � � J �
❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL � PLUMBING C� S16N
��p MAiL nDDRE55 GITr 21P ���
Fandy Vanic}L 902 N. Brodaway Everett, WA 98201
�RCMRELT Oi1 DESIGNEH MAIL ADDAE55 CITv ZIP 1'HONE
6ENEN�L CONTRACTOR MRR �DDRE55 CRY 21F RIONE LICENSE �
Bellingham Sign Co. 2434 Aldergrove R.d Ferndale, WA 98248 389-1652 EELWS*1608R _
MECN�NIGRL CONTR�CTOH MRIL AODAE55 CITY ZIP PMIME LICENSE �
BELLIS*178N9
RUMBINGCONTR�9TOR MAILADDRE55 QTY ZIP PHGPIE LILENSE•
;LA550! WOAN
�IEW ❑ ADOITION
��LWTION OF WORN
s 2362.00
❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION
Install S/F elect. sign on frmnt of bldg. �ounted to facia by 8-1/2x3• lags through wall stt
HE�iSpUHCE
❑ ELECT111CITY ❑ 6A5 ❑ WOODSTOVE O OTHER
LOT _ BIOCK �
�Dlt
PLUM/INfi
►W. T�PE OF F17
W�TER CLOSET �TOILI
B�THTUB
UVATORY �WASH BAS
SMOWER
KITCHEN SINK 6 DISf'.
DISHW4SHER
LAUNOflYTRAY
CLOTMES WRSHER
DRINNING FOUNTAIN
FLOOF ORAIN
AqCNFLOW PREVENTEFS
RO(1F DRAINS — RAINLEADERS
SINN �SE�VIC[ - BAR. ETC �
TVPE OF COYST
512E Or BLDG
�cc er
S.li.
ITEM
6UB TOT11L
J �
SIpE SCipACK
V�CAM SITE
❑YES ONO
NO O` OWELUNG UNRS
Mn4 OCC lORO
AfwP fOR iSSURNCE BY
Elec. N.V.
B.E.
I HEREBY CEFTIFY TIiAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND
CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH
WHETffER SPECIFIED HEREIN OF fJOT. THE GRANTING OF A
V'ERMIT DOES NOi PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PHOVISIONS OF ANY OTHER
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR
THE PERFORMANCE OF C STRL'CTION.
SiGNatURE O/ Q�j0. A� Mf1K�0 �G[Nt, OR ONNER �_ I SATF.��
X � U
MECHANICAL
NO.I T�'�
A;C — A�HNULG UNITS — H P
RFFRIGERATION UNITS — H P. EA
ROILERS — � T U/H P.
GASFIREDAC UNITS—BTL.
FORCEDA�RSVSTEMS—BTU MEA.
WALLNEATERS—BTU M
UNIT HEATERS — B T U M
EVAPOFATIVE COOLERS
CLOTHESDRYERS
VENTILATION FAN
RANGEHOOD
WATERHEnTER �
WOODSTOVE
METAI FIREPLACE 8 CNIlANEY
FIREPLACEINSERT
HEAT PUMP
GAS PIPM(i
E%HAUSTFAN
SUB TOTIIL I
PERMIT t
TOTALFEE 1
GHECNNUMBEH FLE RECEIPT
DU!I.DING
PLUMBING
MECHANICAL
INVESTIGATION FEE
STATE BUILDING SURCHARG
�fATEENERGVSURCHARGE
DRIVEWAV PERMIT
TOTAL
VALUATION
S.... �.. .. n
9eC.3041e1
l»�
WHEN PROPERLY VAIIDATED IIN THIS SPACE� THI515 VOUR PERMIT
R JDFlESS FILE
121 00
M
�
M
Q�
�
everett
�
658
INSPECTION REPORT
Address �N r,�,�,��.�PE ��_
Contractor E µ� � i�, �d
Uwner LG�ir�, � v i'�tti-�-�1
Date � — � 5—��
7YPE OF INSPECTION REQUESTED
�BLDG: PmL No. G t4 � � MECH: Pmt. No. _
f 1 ELEC: Pmt. No. ❑ PLBG: Pml. No. _
C Temp. Elect. ❑ Framing ❑ Gas Piping
❑ Fooling ❑ Drywall, Nailing ❑ Consultation
❑ Foundation O Shear Nailing ❑ Groundwork
❑ Duclwork ❑ Grid ❑ Slruct. Slab
❑ Wcod Stove ❑ Rough-In ❑ Final
❑ Masonry ❑ Service � �� %�� 4
n APPROVAL ❑ PARTIAL APPROVAL
f � VIOLATION ��COr�RECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Pleas� contact inspector and arrange for appoinlmeN.
❑ Was not able to peAorm inspection.
O CALL 259•8810 FOR REINSPECTION — 24 hour notice required.
A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON
THE PREMISES PRIOR TO OCCUPANCY.
Inspector � / �W Date �% / ' _
`\fi�Sci'�y Si v�
everett INSPECTION R�POR�
� Address � �J L�1 C�L�/���il-� —
i
Contractor
� �Z�-
Owner � �
Date ������
TYPE G1F INSPECTION REQUESTED
'l BLDG: Pmt. No. �7 � ❑ MECH: Pmt. No. _
J [LEC: Pmt. No.
❑ Temp. Eiecl.
Cl F�oting
❑ Foundation
❑ Ductwork
fl PLBG: Pmt. No.
❑ Framing
rJ Drywall, Nailing
❑ Shear Nailing
❑ Grid
❑ Aough•�n
❑ Service
❑ Gas Piping
❑ Consultation
❑ ndwork
� "O Struc . Slab
i ��{n
L.�-'
�( APPROVAL ❑ PARTIAL APPROVAL
� ��-a� _ ❑ CORRECTION REQUIRED
i-1 Corrections listed below PdUST BE MADE befor.; work can be approved.
❑ P!ease contacl inspector and arrange for appoinlment.
O Was not able to peAorm inspection.
❑ CALL 259-8810 FOR REINSPECTION — 24 hour notice required.
A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON
THE PREMISES PRIOR TO OCCU ANCY. �
� `. ,. '.��-.. 0O��� _ S�,_��Pc,d U
InsPector `�`� —Date �-3—�
c
everett
e
II�ISPECTIONI R�FPORT
asc� o. Syq��
Address �n� � ' J������Y t�jl
Contractor
Owner
G
Date � ��D�
TYPE OF INSPECTION REQUESTED
i BLDG: PmL No. � O MECH: Pmt. No.
�ELEC: Pmt. No. ,11_.fL�(�—n PLBG: Pmt. No. —
❑ Temp. Elect. ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywatl, Nailing ❑ Consultation
C Foundation ❑ She�r Nailing ❑ Groundwork
❑ Ductwork ❑ �rid O$lruct. Slab
p WooA Stove ❑ Fough-In J�Final
❑ Masonry ❑ Service �
�APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION L7 CORRECTION REQUIRED
f-: Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector and srrange (or appointmenl.
❑ Was not able lo peAorm inspection.
❑ CALL 259-BB10 FOR REINSPECTION — 24 hour notice required.
A CERTIFICATE Of OCCUPANCY SHALL BE ISSUED AND POSTED ON
THF PREMISES PRIOR TO OCCUPANCY.
Inspector _ � �' ��� —�ate
everett�
�
INSPECTION REPORT
Addre:
Gontrz
Ownei
Date
TYPE OQF2IfvSP CTION REQUESTED
�L�LOG: Pmt. No. _ I-7✓ i7 MECH: Pmt. No. _
ELEC: Pmt No. __[l PLOG: Pmt. No. _
f7 Temp. Elect O Framing L Gas Piping
: i Footing ❑ Drywall, Nailing ❑ Consuitation
' Foundation ❑ Shear Nailing C Groundwork
'l Ductwork ❑ Grid ❑ Struct. Slab
�:�� Wood Stove ❑ Rough-In �Z.Final
: Masonry ❑ Se;vice C �
'�APPROVAL ❑ PARTIAL APPROVAL
( ; VIOLATION ❑ CORRECTION REQUIRED
i- Corrections listed below MUST BE MADE before work r.an be approved.
f� Please contact inspector and arrange for appointmenl.
'7 Was not able to perlorm inspectien.
;7 CALL 259•8810 FOR REINSPECTION — 24 hour notice required.
A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON
THE PREMISES PRIOR TO OCCUPANCV.
Incpeclor ��'/ '� Date �Z� _ �`�'S