Laserfiche WebLink
the Euergreen <br />arv oF <br />everett <br />259-8745 <br />`� �'�NSTRUCTION `� � - c <br />PERMIT PERMITNQ : �� �O`� <br />❑ OEMOLITION ❑ COMBINATION LR BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OYMEN MPIlFU0BE55 CITY ZIP PHONE <br />Edward H. Park 6030 Evergreen Way Everett, WA 98203 355-3007 <br />ARLN17ECTORDESIGNEq MAILADfIRESS CITY ZIP �HONE <br />Impression Design 2229 Jackson Everett, WA 98203 355-3200 <br />GENERPLCONTRACTOfl MAILApDflE55 CITY 21P VNONE LICENSE� <br />G'L�?l'�Y" <br />MECHRNICALCONTRICTOR MAlLA00RE55 CITY 21P PNONE LICENSEM <br />PLUMBINGCONTRACTOR MAi:.AD�flESS ��n' ZIP PHOI'E LICENSE� <br />;LISSOF WORK <br />❑ NEW <br />�qLUATION OF WOFK <br />s 204,650 <br />)ESGRIBE WOi:K <br />Addition <br />1EATSOUPCE <br />D ELECTRICITY <br />� ADDITION <br />Motelu& residential <br />19,20,21 d <br />LOT _ BLOLN _ <br />❑ GAS <br />[� ALTERATION ❑ REPAIR <br />FARWEST MOTEL <br />6030�Evergreen Way <br />PLUMBING <br />NT- <br />WATEIi CLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />D154WASHER <br />LAUNDRYTRAV <br />�.�: <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW FFEVENTERS <br />ROOF DRAINS— RAINLEADERS <br />SINK �SERVICE — BAR. ETC.) <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />dAGN BEARSET�ACN <br />B-2 <br />TYPE OF CONST. <br />V - 1 HR <br />OCCUPANCY GfiOIIP <br />R-2 <br />SIZE OF BLOG. NO.OF <br />5690 3 <br />PIANS <br />M.M. <br />J.W. <br />❑ WOODSTOVE <br />1R COPIES� <br />. No. 4 <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED T'iIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRFCT. ALL PROVISIONS OF LAlVS AND ORDINANCES <br />GOVERNING THIS TYHE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFI[D HEREIN OR PJOT. THE GflANTING OF A <br />PERMIT DOES NOT PRESUME TO GI'JE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OFCONSTRUCTION. <br />��run.��ocncrnuraenrMeiiiHOR�JF�AGENT.OfiOWNER DA1E <br />11MECHANICAL <br />FEE NO. TYPE OF EOUIPMEN7 <br />A/C - N/HNDLG UNITS - H.P. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - B.T.0 /H.P. <br />GAS FIRED A�C. UNITS - B.T.U. <br />FORCED AIR SYSTEMS -- B.T.U. M EA. <br />WFLL HEATERS - B.T.U. M <br />UNITHEATERS-B.T.U. �� <br />EVAPORATIVE COOLEFS <br />CLOTHESORYERS <br />VEM1TILATION FAN <br />RANGEHOOD OSI17�B% <br />WATER HEATER � / <br />w000 srove 44000�096! <br />METAL FIREPLACE 8 CHIMNE�1'f i—S � <br />� FIREPLACEINSERT IIOOOGI:O: <br />HEAT Pl1MP BLDG � <br />GASPIPING FLhI CH <br />i E%HAUSTFAN E .CiRCH <br />YES �tP9 NO <br />! OF DWELLING UNITS <br />8 <br />APPR FOR <br />SEPARATG PERMITS REQUIRED FOR PLUMBING, <br />,1ECHANICAL AND ELECTRICAL <br />PLAN CHEGK NUMk <br />89/21305 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />ree <br />sue tp{��EF. S'l5 UU <br />PEHMQ}IECI: �.3'J4 SS <br />TOTALFEE <br />FEE RECEIPT NO. <br />6� 638.63 147.35 <br />VALUATION FEE <br />5 204,650 l, <br />C ecl6�c.3o4(c) <br />STATE BUILUING SURCHARGE T' <br />�L <br />STATE ENERGY SUFiCHARGE <br />DRIVEWAYPERMIT <br />TOTAL � � <br />PEflM17 VALIDATION <br />WHEN PflOPERLV VALIDATED (IN THIS SPACE) TNIS IS VOUR PERMIT <br />� <br />11) <br />O <br />Cr'a <br />� <br />N <br />ncon�-ss ru_E � <br />