Laserfiche WebLink
APPLICATII �.V FOR CONSTRUC i .ON PERMIT everett <br /> fMErorpnsn TO BE COMPLETED IN INK—PLEASE PRINT � <br /> un oF <br /> everett HEATING SYSTEM: D GAS I�ELECTRIC U <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION XX; BUILDING ❑MECHANICAL ❑PLUMBING ❑�SIGN <br /> OWNER M�ILMDRE54 CITY ZIP P110NE <br /> The Boeing Comp�. P 0 Box 37n7 MS nH-94� SPBY}'�P� aRt�a-��m aa�_0fl1� <br /> TENANT MAR�ODRESS GITY 21P PHONE <br /> Owner <br /> ARGNITECTORDESIONER MAIIMDRE55 CITY DP PMONE <br /> CDA, 4230 - 198th St. , SW, Lynnwood, 98036 212-2300 <br /> OENEIULCONTPIICTOR MARADDRE54 CITV 21P PHd1E IICEN5E1 <br /> MECNANIC�LCONiR�CTOR MAllA0DRE55 CITY 21P PMONE LICENSEI � <br /> PLUMBINOCONTP�CT011 MIIR/�UURE54 UTV ZIP PIIONE IICENSE� <br /> CUSS OF WOR11 <br /> XJ�I NEW C ADDITION i7 ALTERATION ❑ REPAIR �-� DEMOLITION Ll WOOUSTOVE/FRPL INSERT u BUILDING RELOCATION <br /> CONUCT PERSpN N!D PNONE NO. <br /> CONTRACTPRICEOFVA711NE�I r Est � oo Leonard Astemborski 266-3563 <br /> DESCNIBE WORK AND 60W1RE f00T�0E INVOLVED <br /> MovE 'r2Rfl.E2 B�� '�,�—`7�f0 <br /> iNOPOSEDUSEOFBUROtNO 1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> Test Equi pment for Ai rcraf t engi ne work APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> lE(UI.DESCXIPTIONOiPROPERIY�SHOWNBEIOWORAT7�CNFWRGOPIES) PROVISIONSOFLAWSANDORDINANCESaOVERNINdTHISTVPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �oT &a" � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL lAW REQULATINO CONSTFUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTFACTORS LAW 1827 RCW AND 296200 WAC. <br /> SqNAiUREOFCONTX�GTOqOR�UTMOR2ED�0ENT O�TE <br /> PROJELT ADORE59 ��✓`� ����i� • I'2/I�U <br /> 3003 W. Casino Rd. , Everett �POLIC/U/T6CITYBUS�NESSLILENSENOANOBUSME65NAME <br /> PLUMBINO MECHANICAL . <br /> NO. TYPE OF FU(TURE OR ITEM FEE N0. TVPE OF EOUIPMENT fEE �' <br /> W.>TEfi CLOSET(TOILET) � AI�NHNDLO UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SYSTEME�B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> ' SHOWER ' CLOTHES DRVERS � <br /> KITCHEN SINK 6 D�SP ; VENTILATION FAN ; <br /> DiSHWASHER � RANGE HOOD � <br /> LAUNDHY TRAY � WATER HEATEH ' <br /> CLOTHES WASHER � WOODSTOVE � <br /> URINAL ' METAL FIREPUCE 6 CHIMNEV ' <br /> DRINKINO FOUNTAIN i FIREPIACE IN�=�T � <br /> FLOOR DRAIN HEAT PUMP � <br /> BACKFLOW PREVENTERS ; GAS PIPINO ' <br /> ROOF DRAIN rRAINLEADERS � EXHAUSTFAN � <br /> SINK(SERVI�.E—BAR,ETC.) ; ' <br /> � i <br /> T <br /> � I <br /> � 1 1 <br /> 1 1 <br /> SUB TOTAL E ; S�IB TOTAL S ' <br /> PERMIT S PEAMIT S � <br /> TOTAL FEE S ' TO"AL FFE S ' <br /> FOR OFFICE USE ONLY: � ,�� � 7 <br /> FRdITSETB�CN RE�RSETB�CK S�DESETB�CN PLANC CNNUMBER FEE RECEIPTNO. <br /> USETONE LOiAFE� V�CANTSI7E EE9 '/ALUATION FEE <br /> euaou+o 7o-D ' �06 <br /> lY�'FO�LONiSAIIOWnAIF n'PFOfCONSTI�CIWd a.CUMirtr rqaow�uacux�A -- i— <br /> c�ar PLUMBIN4 ; <br /> SI:i O"B1�0. NO OF StORIES BASEMENT ��ECHANIf,AL ' <br /> i <br /> OCCIP�NGY LO.•D FIRE SPRNNIERS REOD NEIGMT L�M?�710N ADOITICNAL PLAN CHECK i <br /> � <br /> OTHER ' <br /> REASON FOR 51 RINItLERS , <br /> STATE BUILDING SURCHARGE y i ,�L <br /> i <br /> INTANEOY PlANS�PPROVEOBY CITYOFEVERETT PUBLICWORKS � <br /> LOCAL SALES <br /> TAX COOE IS 3105 TOTAL Y 3 ;� <br />