Laserfiche WebLink
Ihr 1_l'rr,�reen <br />CITY O� <br />�verett <br />CITV HnLI 259-87a5 <br />EVERE77, WA 98201 <br />r- <br />-�ONSTRUCTIOP' <br />PERMIT <br />PERMIT NO. 15�86 <br />❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />OWNER h1AILAODRESS CITY ilP PHONE <br />Delores Carlson Commerce Building Everett 98203 252-G213 <br />ARCHITEGT OR OESIGNEN MAIL AO�RE55 GIiY 21P PHONE <br />GENERAL CONTRACTOR MFIL AODRE55 LITY ZIP PNONE LICENSE N <br />MECHRN'dAL CONTflACTOR MFIL ADDRE55 CITY ZIP PHONE LICENSE M <br />Raliable �eating Kirkland 823-6868 <br />PLUMJWGCONTPACTOR MAILADOPESS CITY ZIP PHONE LICENSEM <br />CLASS OF WOpK <br />❑ NEW ❑ P.�DITION ❑ ALTERATION ❑ REPAIR � DEMOLITION ❑ FENCE ❑ SIGN ❑ WO00 STOVEIFIREPLACE INSLRT <br />VALUATION OF WOflK <br />f <br />OESCFlIBE 1YORK <br />LOT_BLOGK_OF <br />6824 Evergreen Way <br />PLUMBING <br />TYPE OF FI%TURE OR ITEM <br />WATER CLOSET (TOILEn <br />BA7HTU8 <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK & OISP-. <br />�ISHWASHER <br />LAUNDHYTRAY <br />CLOTHES WASHEP. <br />WATER HEATER <br />URINhL <br />ORINKING FOl1NTA1N <br />FLOOR �FAIN <br />VACUUM BREAKERS <br />ROOf DRAINS — RAINLE4DERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIi <br />TOTAL FEE <br />1. ENVIRONMENTAL CHECK LIST <br />2. Bl11LDING PLANS <br />3. FIfiE HYDRANT <br />4. FIRE PROTEGTION SYSTEM <br />5. GFADING <br />6. �FAINAGE <br />7.ENVIRONMENTALIMPACTSTA7 <br />8. HEALTH DISTRICT <br />FOUR <br />S <br />S <br />S <br />FEE <br />_YES ❑NO <br />MAX. OCQ LOAD <br />GYES :NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPEC�FIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRFSUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROe';�iOiJS OF ANY OTHeR STPTE OR <br />LOCAL �AW REGULATING CONSTRUCTION OR THE <br />PER60�i�AN�c` QF GONSTRUCTION. <br />SIGNa?Ji+�t� ¢okYR�dr� OR AUTHORIZED AGENT DATE <br />X �jf/ <br />MECHANICAL <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIREO A.C. UNITS — TONNAGE EA. <br />FORCEO AIR SYSTE?AS — B.T.U. M EA. <br />l^/ALL HEATERS — B.T.U. M <br />l�• ilT HEATERS — B.T.U. M <br />EVAPORA7IVE COOLERS <br />CLOTHES DRYEPS <br />RANGEHOOD <br />AIR HANDLING UNIT — <br />STOVE — WOOD <br />METAL FIFiEPLACE & CHIMNEY <br />FIREPLACEINSER7 <br />HEAi PUMP <br />QF.M. <br />1/27/86 <br />SUB TOTAL 5 13 <br />PERMIT S <br />TOTAL FEE S 23 <br />PLAN CHECK FEE <br />FEE I REGEIP7 NO. <br />FEES <br />BUILDING S <br />PLUMdING <br />MECHANICAL <br />OTHER <br />PENALTY c <br />VALUATION I FEE <br />(a) <br />23 I 50 <br />TOTAL 23 50 <br />PERMIT VALIDATION <br />WHEN PROPEFiLY VALIDATED (IN TFa��59A6E) THIg I Y MIT (() <br />� .� � P�' �� - � <br />� <br />l ri <br />�.�.-- - n - -• <br />BY � .., I'. G t.. I' i�7�' a-i <br />� ,.'.�i: i'l) U <br />ADDRESS FILE <br />/.' ] .�i,�� ` � <br />uo <br />