Laserfiche WebLink
CITY OF f'ONSTRUCTION <br />everett PERMIT PERMIT NQ = 16 T ` 7 <br />259-8745 - <br />G DEMOLITION <br />❑ COMBINATION D BUILDING <br />E7 MECHANICAL <br />❑ PLUMBING ❑ SIGN <br />OWNER <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />'league's For <br />Men 1402 SE Everett Mall <br />Way Everett, WA <br />98204 348-•0812 <br />ARCHITECT OR DESIGNER <br />MAP. ADDRESS CITY ZIP PHONE <br />GENERAL CONTR ICTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />Yu@xaxYkx <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE# <br />D C 6 L <br />1!i?kkxHxx2fLkk 117 N 36th <br />Seattle <br />98107 <br />362-6293 DCLDIS256B4 <br />PLUMBINGCONTPA.OR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE# <br />❑ NEW ❑ /,DDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />Install boiler (electricl <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS 0 WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Retail <br />I HEREBY CERTIFY THAT] 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 SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLA E OR CANC L, THE PROVISIONS OF ANY OTHER <br />STAT ,OR LOCAL REGULATING CONSTRUCTION OR <br />THFN�RFOR(N GQNS.TRUCTION. <br />SIGRE OFC TRA R. A THONZED AGENT, OR OWNER DATE <br />x 6/25/8f <br />LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT - BLOCK _ OF <br />_ <br />JOB ADDRESS <br />1402 SE Everett Mall Way <br />PLUMBING <br />M96HANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />+".. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—A/HNDLG UNITS— H.P. <br />_ <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />•j <br />�' <br />BOILERS —SIT.0 iH.P. <br />9 <br />0 <br />SHOWER <br />GAS FIREDA.C. UNITS --B.T.U. <br />KITCHEN SINK A DISP. <br />'- <br />T <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS—B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLEPS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKPLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />'MOOD STOVE <br />SINK (SERVICE — BAR, ETC.) <br />•IETAI. FIREPLACE & CHIMNEY <br />FIRE?LACE INSERT' <br />HEAT PUMP <br />GAS PIPING <br />- <br />EXHAUSTFAN,' <br />SUBTOTAL <br />S <br />f <br />n. SUBTOTAL <br />9 <br />0 <br />PERMIT <br />$I <br />PERMIT S <br />) 5 <br />0 <br />TOTAL FEE Imj <br />I- <br />TOTAL FEE S <br />24 <br />O <br />FRONT SETBACK <br />NEAR SETBACK SIDESETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SI TE <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$ <br />TYPE OF CINST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />PLUMBING <br />0( -45/95 11-51M <br />00OW04W <br />SIZE OF BLDG, <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />MECHANICAL <br />--WW14747 <br />24 <br />00 <br />FIRE SPRINKI.ERS REDUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />HEGK.:04(e) '±2 <br />.0U <br />STATE BUILDING SURCHARGE <br />APPLICATION ACC BY PLANSCHECKEDBY <br />M.M. <br />' <br />APPR. FOR ISSUANCE BY <br />CSTATE ENERGY SURCHARGE <br />DRIVEWAY PERMIT <br />TOTAL <br />24 <br />00 <br />PFRMIT VALIDATION <br />WHEN PROPERLY VALIDATED IN THIS SPACE) THIS IS YOUR PERMIT <br />E` <br />to <br />!- <br />ADDRESS FILE <br />