Laserfiche WebLink
�_:PP�i�arioN F�� <br /> ��.`�.�,N� cc�N�sTRuc�rioiv �e <br /> �,r of <br /> everett PERNIIT <br /> BUILDING DEPAHTMENT <br /> 259-8�45 TO BE COMPLETED IN INK• PLEASE Pr�INT <br /> ❑ DEMOLITION 01 COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ownen Mniuooness an zir vHoi+e <br /> B99 nssociatee Suite A IIuilding C3 Paine Field, Everett,WA. 98204 743-7601 <br /> •11CMIIECIDODE9�ONEt1 M�IL�O�RES9 GITY ZIP PHON[ <br /> Douqlas MulvannY Bellevue,WA. <br /> OENEMLCONIR�CIOR M�il��OnESS CIiY ZIP PHONE LIGENSE• <br /> Northland Contractors� Inc. Suite 11� Building C3� Paine Field � Everett� WA. <br /> MECruNIC�LCONfn�CtOA MMLROD1iE55 CIIY IIP PIIONE IICENSC• <br /> NORTHCI-GL160 347-9000 <br /> PLUMBIN.COHIA�CIOfl MA1lp00fiE55 CIiY 21P PHONE UCENSE• <br /> C1�550i WOPK <br /> I� NEW ❑ ADDITION ❑ ALTERATION ❑ FEPAIfi ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> V�L W 110N Of W088�f.OST Of M�I[RIRLS PLUS LRBOR� <br /> 20,700.00 See Attached Estimate _ _ __ <br /> oescnieE wo�1K <br /> Tennant Improvements- Restaurant <br /> useor ewimr�c I HEflEBY CERTIFY THAT I HAVE READ AiJD EXAMINED THIS AP- <br /> Retail– Restaurant PLICATIONANDKNOWTHESAMETOBETHUEANDCORRECT.ALL <br /> IEGA�0E5C��PIIONOFPRC^ENiY�5110WN0ElOWORAITALN'OUqCOPIES� PROVISIONSOFLAWSANDORDW�NCESGOVE-RNINGTHISTYPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> io�—oioc�—ov IN OR NOT.Tl1E GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> Buildi(Lg B– SOUth 't'oi P Zd Sh0 in ANYOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTION <br /> OR THE PERF(iRMANCE OF CONSTRUCTION. <br /> Center SIGNAIUREOF;,0�1TR�CTOROR�UTHOBIZEOAGENf DAiE <br /> x �f � -�� 7/21/86 <br /> � �G <br /> POOJCLI ApORESS �PPL�CANTS dIY OUSINESS UCE�SE N0. <br /> Suites 1 &2, �0121 Everegreen Way,Evere t �WA. 98204 <br /> PLUMBING MECH.4NICAL __ <br /> NO. TYPE OF FI%TURE FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEH CLOSET�TOILEI) ��R COND.UNITS–H.P.f:A. <br /> BATHiUB _ REFRIGERATION UNi1_-�F,F.F.A <br /> LAVATOPY�WASH OASIN� DOILERS–H.P.EA. <br /> SHOWER GAS FIRED AG 11NIT5–TONN0.GE EA <br /> KIT�;HEN SINK 6 DISP. FORi,ED AIR SVSTEh15–B_T.U. M EA. <br /> DISfiWASHEfl WALLHEATERS–B.T.U. M <br /> LAUNORY7RAY UNITHEATERS–B.T.U. M _ <br /> CLOTH�' WASHER EVAPORATIVECOOLERS <br /> WATF .1TER CI.O7HES�RYERS _ <br /> IIRW L VENTILATIONFAN <br /> ORINKING FOUNTAIN FIANGE HOOD <br /> FLOOR DRAIN AIR HAN�LING UNIT– QP.M. _ _ <br /> VACUUM B1IEAKEflS STOVE _ <br /> ROOF ORAi4S–RAINLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK SERVICE–BAR.ETC. WOODSTOVE/FIREPLACEINSEFT <br /> SUBTOTAL SUdTOTAL S _ <br /> PEHMIT S PERMIT S _ <br /> TOTALFEE S TOTALFEE S _ <br /> THIS PORTION TO BE COMPLETED BY BUII_DING DEPT. PERSONNEL <br /> FNOHISEfOAGN REROSEl00.CN SIOESEtOAGN P�pNC��ECKNUMOER PLRNGHEGKfEE <br /> N� C� /�_(�C� fEE /� '� �EGEIPiNO � ��� <br /> US�20NE LOI�f1E� �� �l�� <br /> VAC�NiS11E FEES VRLUIITION FEE <br /> C�/ N�� OYE5�1N0 <br /> tYP[OfCONi OCCUPANCYGPOUP NO.OFOWlEIUNGUNlTS __ <br /> 'v�� A-3 V 6UILJING f'ZDi700•� �L.ICa iTU <br /> size ov oo NO.0�SIOPIES � M�IC OCC.LU00 <br /> Z� S/'i / � PLUMBING _ <br /> r-� <br /> MECHANICAL <br /> FIRE SPRINKLERS REOl11RED ❑YES ❑NO <br /> OTHER <br /> PENALTY <br /> PPPLICa110NACC OY PUNSGIIECNEOBY RPP1i.FORI550�NCE6Y -- <br /> TOTAL <br /> yVl �'�) J� � 'G g�'E7yP"L� (�-g4. � FaI�LE�- -l��-Y.w� t�- <br /> � r� <br /> -"_ ' �!/� . <br /> 2 �cS �F l�� n�.p� tz�c�.'�, ��uo� Tu <br /> .. ._ <br />