Laserfiche WebLink
> � , <br /> lheE�'CITYeOF C�'NSTR'I�ICTION � . � <br /> everett P�RMIT E�ERMIT N0. OH52H <br /> Gi'1 HACL 25s�8ia5 � <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING i7s,�:MECHANICAL C, RLUMBING <br /> OWNEH IAFILAUUflE55 CII1 ZIP PHONE <br /> Pizza Haven 5201 �vergreen Way 90273 <br /> ARCMITECT Ofi OESIGNER I.IAIL ADOFE55 CITv ZIP PMONE <br /> GENCRALCANiFACTOR � AIAILAODRE55 C'Y ZIP PHONE UCER.E1 <br /> MEGNANICA�CANiRACTOii hIFILADDflESS � pTY ZIP PHORE UCENSEI <br /> Mackenri Mech Inc. 18204 Bothell Way B"otliel 98011 481-8886 <br /> PLUMPINGCANTRACTOB MAILADDPE55 CII� Z�P PHONE �ICF"SEI <br /> CLA55 OF WORK <br /> ❑NEW ❑AD�ITIUN ❑AI.iERATION ❑REPAIR ❑DEMCLCr.•; ❑FEn�G� ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> S <br /> DESGRIBE WORK <br /> PROPGSED USE OF�UIL�i� ' <br /> I HEREBY CERTIFY THAT I HAVE RF �D AND EXAMINED THIS AP• <br /> LEGAl�ESCRIPTIONOPF�JPERiY�SNOW�EIOVlOFATTACHFOURCOPIES) PLIG�TION AND KNOW THE SAMF -0 BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND�'' '4NANCF� GOVERNING THIS <br /> �oT e�oc�_or "` TYFE OF WORK WILL BE CO��P���= '��Tlt ^ 'THER SPECIFIED <br /> HEREIN OR NOT. THE GF'�•ilNi• <�' � :`; :r-nES NOT <br /> PRESUMETOGIVEAUTH'�;! � TOV'�LAIL=Gf-. iEPRO- <br /> VISIO�S OF ANY OT�<' ''„ 'iC C', «GAl � '. �LATING <br /> CONSTRUCTION OR°�� 'ERF JRMAK:;E OF CC,,._.auCTION. <br /> �,`. ... . . SIGS:.-p.tc 'cCONTflACi�' . .'��081ZE��GEM': DAIE <br /> �20: Eve�, 7reen Way x � r�" � '=1/6, :?0 <br /> p�:!MB�MG Mecr+af��cai <br /> N0. TYPE OF FIXTURE OR ITEM FEE NC: � - -TYPF 01' EUUIPMEN7_ _� FErt <br /> Wq'7�GLOSGT(TOILLT) _ .��r,-�rm un . . ��p �p <br /> &4THTU0 _ FEPRIGERATION Ubii . _���, �q -� "- _ — <br /> LAVATORY(WASH BASIN) BOILERS—H.P.EA. -�� � -- <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—A.T.U. M EA. <br /> DISHWASHER WALLHEATERS—B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> CLOTY.ES WASHER EVAPORATIVE COOLERS <br /> WAiER HEATER ClO7HE5 DRVERS <br /> URINAL VENTILATION FAN <br /> ORINKING FOUNTl�IN ], AANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— GF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREFLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR,ETC.) <br /> SU9TOTQL SUBTOTAL S <br /> PEflM1T S PEpMIT S <br /> TOTAL FEE S TOTAL FEE S 15 00 <br /> SIDE YARD SETDACK STREE7 SETBACK REAR YARD SETBACK PLAN CHECK NUh1BEB PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.Of DWELLING UNITS <br /> BUIL�ING 5 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIpE ZONE BASEMENT FIRE SPRINKLERS <br /> RE�UIRED MECHANICAL 15 00 <br /> ❑YES ❑NO <br /> APPROVALS BY OATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST PEMALTY U.B.C. <br /> 2. BUILDING PLANS SEC.303(a) .. <br /> 3. FIREHYDRANT TOTAL , 1S 00 <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION � <br /> WHEN PROPERL�4ALIDATED(IN THIS SPACE)THIu IS YOUR PERMIT <br /> 5. GRADING �A O I J. O O ��(� <br /> 6. �FiAINAGE Q Q � 4 <br /> 7. ENVIRONMENTAL IMPACT STATEMENT � <br /> 8. HEALTH DISTRICT p �+ T� <br /> APPLICATION ACC.BY PLANS CHECKE�BY APPR.fOR ISSUANCE BY `� � ,-' � '`---`'�- I P 1 � <br /> i i i,�'v,4i♦ �''�1 U . <br /> ADDRE:iS FILE � l+ �'�� $0 <br />