Laserfiche WebLink
ehe Ebe�raa� <br />GTYOF ���� �'1NSiRUCTION � � C <br />everett� PERMIT PERMOTNQ:! � �`��� <br />259-$745 <br />O DEMULITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL "� PLUMBING ❑ SIGN <br />ON?!Efl MAILAODflE55 CITY .IP PHONE <br />Roebling Management 1402 S� Everett Mall Way Everett, WA 96204 <br />ARCMITECT Ofl DESIGNEfl MFIL ADDRE55 CITY ZIP PMONE <br />GENEFAICGNTPACTOR MAILAD�FE55 CITY ZIP PHONE LICENSE� <br />MECHANIULLWNTRRCTOR MAILPODFE55 CITY ZIP PHONE 4CENSE� <br />Shoreline Nech. 11735 15th Ave. NE SMff1S Seattle, WA 98125 364-3600 SHOREM2160BF <br />PIUMBING CONTflACTOR MPIL FDDRESS CITY ZIP PHONE LICENSE � <br />fU550F WOIiN <br />�I R'EW ❑ ADDITION <br />VAWATIONOF WONN <br />S <br />❑ ALTEHATION ❑ REPAIR ❑ DEMOlITION ❑ BUILDING RELOCATION <br />UESCRIBE WORK <br />S Plumbing for Everett Mall Expansion for new BBQ Chicken Sp. 11 <br />MEr1T SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOOUSTOVE ❑ OTHER <br />Restat�rant <br />LOT _ OLOCN _. <br />JOBAOCflE55 <br />PLUMBING <br />OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />UHINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEF <br />SINK (SERVICE — BAR, E'f <br />SUB T0TI1L <br />TOTALFEE <br />USEZONE � LOTAHEp <br />srzeoreioc. <br />S.H. <br />�Y <br />�i <br />FEE <br />1� 00 <br />35 00 <br />I HEREBY CERTIFY THAT I fiAVE RcAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF IAWS AND ORDINANCES <br />GOVERNING THIu TYPE OF WOf;K WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PRO'VISIONS QF ANY OTHER <br />STATE O LOCAL LAW EGULATING CONSTRUCTIOI•J OR <br />THE PE�RMANCE OF�NST1RUCT�ON. <br />SIGNNTU A6NTHqfiTOR, AU➢���IZED Ay�:NT, OR OIYNEH OATE <br />X <br />TYPE OF EOUIPMENT <br />A/C - A/HNULG UNITS - H.P. <br />REFRIGERATIUN UNITS - H.P. EA. <br />BOILERS - B T.U./H.A. <br />GAS FIRED A.C. UNITS - B.T.U. <br />FORCED AIR SYST'cM5 - B.T.II. <br />WALL HEAiERS - B.T.0 <br />UNIT HEATERS - B.T.U. <br />EVAPORATNECOOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATEFi HEA7ER • <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />VACFN� SITE <br />❑YES ❑NO <br />NO.OFOWELLINGUNITS BUILDING <br />qPOP. FOH ISSUANCE UY <br />PLUMBING <br />MECHANICAL <br />M EA. <br />M <br />M <br />SUBTOTAL <br />PERMIT. , <br />TO7ALFEE� � " � ' <br />FEE. _ RECI <br />VALl1AYlON ::,_ . . i_� <br />INVESTIGATION FEE <br />STA7E BUILDING SU.9CHARG <br />STATEENERG�SURCHARGE <br />DRIVEWAY V'ERMIT <br />TOTAI <br />g'. . � i I." :�i' . _.I" '1"` _ � <br />3 00 <br />Sec. 304�c) <br />WHEN PliOPERLY VALIDATED (IDl THIS SPACE) THIS IS VOUR PERMIT <br />ADDGESS FP_F <br />35 <br />