Laserfiche WebLink
the Euergreen <br />aTv oF <br />everett <br />259-8745 <br />t'"7NSTRUC�i'ION - <br />PERMIT <br />PERMIT NQ: _ � � � `� � <br />❑ Dt1iAOLITION O COMBINATIJN � bUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />Qy�ryEq IANIL AOOFE55 CIT� ZiP PNONE <br />City of Everett Public Works 259-8821 <br />ARCNREGTOfl0E51GNER 1.IAILP��FE55 CITY 21P PNGNE <br />Jame� M. Montgomern, Unc. Bellevue, WA 455-5005 <br />G[NERnLGONiqA�TOR MAILADDRE55 LITV ZIV PNONE LICENSE� <br />MCGH/NICAICONTRFCTOR MAILAODRESS CITY ZIP PHONE LICENSE• <br />PlUM81NGLONTRACTOR MIILAppRE55 CITV ZIP GHONE LIL[NSE� <br />CLA55 OF WOPN <br />� NEW O ADDITION ❑ ALTERATION ❑ REPAIR <br />VI LUATION Oi WORK <br />S 51�0�0 <br />DESCRIOE WORN <br />Construct surge control building <br />HEATSOUPCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />LOT __ BLOCN _ <br />�:�00 % <br />JODAD�RES$ <br />y141'Eversreen Wzy <br />PLUMBING <br />TYPE QF FIXTURE <br />WATER CLOSET (TOILET) <br />BATHTl19 <br />LAVATORY�WASN BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASIIER <br />LAUNDRYTflAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORA�N <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAWLEADE <br />SiNK (SERVICE — BAR. ETC) <br />R-1 <br />TYPE OF CONS <br />I-FR <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />�CY GHOUP <br />B-4 <br />512E OF OLDG NO OF STO <br />680 sf add. 1 <br />DY <br />L.C. <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNnW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GO\'ERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMc TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OH LOCAL LAW REGULATING CONSTP.U�TION OR <br />THE P�'�'F}yy'ppp'''��,''' FORMANCE((('''///���'''��I CONSTRUCTION. <br />SiGN�I�E1�inONu Ct . Al1INOfiI�AGENT.O . WNEP � D/.TE�/ , <br />X i� �� <<-�i � � <br />MECHANICAL <br />FEE N0. TYPE OF EOUIPMENT <br />A/C - A/HNDLG UNITS - N P. <br />REFFIGERATION UNITS - H.P. EA. <br />601LERS - B.T.0 /H.P. � <br />GAS FIRED A�C. UNITS - BSL. <br />FORCEDAIRSYSTEMS-BS.U. MEA. <br />'7lALL HEATERS - 8 T.U. b7 <br />UNITHEATERS-B.TL. M <br />EVAPOFATIVE COOLERS <br />CLOTHESDRVERS <br />VENTIL.4TION FAN <br />RANGEHOOD <br />WATER HEATER � <br />WOOD STOVE <br />METAL FIpEPLACE 8 CHIMNEY <br />FIRCPLACEINSERT <br />NEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />VAL/NT S�TE <br />[JYES (]tN0 <br />NO Of ONELIIR( <br />Q <br />MF% OCG LOA� <br />4 <br />PLANS CMECKf� OV �PPii FOR I5SUANCE BY <br />BE L.C. <br />SEPARATE PERMITS WILL BE REQUIRHD FOR <br />PLUMBING AND h1ECIiANICAL <br />SUBTQTAL <br />PEFMIT S <br />TOTALFEE f <br />PLAN CMECK NUMBER FEF. RECEIPT NO. <br />87/17797 <br />FEES VALUATION FEE <br />BUILDING S 51,000. 419 00 <br />PLUMBING <br />MEChIANICAL <br />�gpag�ffipx�xPlan i <br />STATE BUILDING SURCHARG <br />STATEENERGYSURCHARGE <br />�RIVEWAY PEFMIT <br />TOTAL <br />4L�O;.Cu'�� i��L•t: <br />:�.�soa�e) 272 35 <br />1 50 <br />/B7 5s0i r'K G�']��c=:. �Z92 85,-i:' <br />VEflMIT VALIDATION / <br />WHEN PROPERLV VALIDATEb (IN TH�S¢iA�i•Fy,l-THIS IS YOUfl PERMIT <br />L� <br />:== `' �' <br />_ iU L�- <br />- �;;; ; <br />� <br />�i�',: r�,-:� i I! : <br />