Laserfiche WebLink
1 <br /> IhrErrrq�CCn ;� CONSTRUCTIO• , <br /> everett PERMIT PERMIT NO. �.2g37 <br /> CITI'MALL 25987a5 <br /> EVERETT,WA 99201 ❑ COMBINATIOk ❑ BUfLDING Gbc MECHANICAL ❑ PLUMBING <br /> OWNER M41L ADDRES`i GITY liP PMONE <br /> . United Methodist Church 2001 Calby Everett 98201 <br /> RPJHItECT OR OESIGNER MRI�RDDRE55 CITY Z�P PHONE <br /> GENERAL CONTR�GIDN MAIL AD�PESS CITY ZiP PNONE ��CENSE II <br /> MEGM�NIGRL CONTR�CTOR MRIL ADORE55 CITY ZIP PHONE LILENSE• <br /> Natural Gas Fquipment 1625 East Marine View Drive Everett °8201 258-2441 <br /> P�UMBING GONTRACTOF MAIL AUDRE55 GITY 7.IP PMONE LIGENSE� <br /> ~� <br /> CU55 Of WORN <br /> ❑NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOU STOVE/FIREPLACE INSERT <br /> VALUATION Of WORK <br /> f <br /> �ESCRIBE WORN <br /> PROFOSEO USE OF BUIL�INO <br /> I HEflEBY CERTIFY THAT I HAVE READ AND FXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRl0E5GPIPTIONOFPpOPERTVISMOWBELOWORATTALHfOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> L�T_BLOLN_OF GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIEO HEREIN OR NOT.THE GRANTING OF 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 /> PEFFORMANCE OF CONSTRUCTION. <br /> JOB AODRE55 SiGNATURE Of ONT tOR OR P �P12ED AGENT DRTE <br /> 2001 Colby X � 1/31/84 <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILE'� AIR COND.UNITS— H.P.EA. <br /> BATHTUB REFRIGERATIOW UNITS— H.P. EA. <br /> LAVA70RY�WASH BASIN� BOILERS— H.P. EA. <br /> SHOWER GAS FIREO AL. UNIiS—TONNAGE EA. <br /> HI�CMEN SINK 8 DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> �ISMWASHER WALL HEAIERS— B.i.U. _ M <br /> LAl1NDRV TRAV UNIT MEATERS— B,T.U. M <br /> CLOTHES WASHER EVAPORAiIVE COOLERS <br /> WATER MEATER CLOTHES ORYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FI.00R DRAIN AIR IIANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE —WOO� <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE d CNIMNEV <br /> SINK�SENVICE— BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUBTOTAL S SUB TOTRL f 15 00 <br /> PEPMI7 f PEflMIT f 10 00 <br /> TOTRLFEE f TOTALFEE f <br /> SIDE Yl,RD SETBACK STREE7 SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ��.YES . NO FEES VALUATION FEE <br /> NPE OF CONST. OCCUPANGY GROl1P NO.OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> PLUMBING <br /> FIREZONE BASEMENT FIRESPRINKLERS MECNANICAL ZS OO <br /> • REONRED <br /> VES NO <br /> APPPOVALS BV DATE OTHER <br /> L ENVIRONMLNTAL CHECK ll5T PENALTY U.B.C. <br /> SEG�03 Ia) <br /> Z.BUILDING PLANS <br /> TOTRL Z$ �0 <br /> 3.FIRE HYDRANT <br /> 4.FIRE PNOTECTION SYSTEM PERMIT VALIDATION <br /> ' S.GRADING WNEN PROPERLV VALIDATFD(IN TNI��R��THIS4SQ'Lg1g P�ielT— M <br /> v <br /> 6.DRAINAGE � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT 1 <br /> � B.HEALTHDISTRICT ���„�� J \ REC[IPTr.N..R <br /> APPLICATION ACC.BY PLANS CHECI(ED BY APPR.FOR ISSUANCE BY '� 1-' /��f���; YG U <br /> - IrED8ti <br /> ADDRESS FILE <br />