Laserfiche WebLink
APPLICATIO� FOR CONSTRUCTI�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEtvL fJ GAS ❑ELECTRIC �J __ — � <br /> BUILDING DEPARI'MENT <br /> 259-8810 <br /> I_I DEMOLITION I:l COMBINATION f_I BUILDING I 1 MECHANICAL I l PLUMBING _ I� SIGN <br /> OWNEF MAILADORESS CITY ZIP PHIN�E <br /> SPIEKER PROPERTIES 915 118th Ave. S.E. Ik110 Be�levue, Wa. 98005 (206) 453-1600 _ <br /> TENANT M�ILA�DRESS CITY ZIP PHONE <br /> WOMENS FITNESS CENTER 10121 Evergreen Way 1k15 Ever•att, Wa. 98204 (206) 334-6912 <br /> ARCHITECiORDE5IGNER IdAILA�DRE55 CITV ZIP PHONE <br /> G=NER�L CONTRACTOR lAAIL AUDFESS CITY ZIP PN NE SiATE UCENSE a <br /> AMP-ART SIGN & AWNING 12309 15th Rve. N.E. Seattle, Wa. 98125 (206� 364-2311 AMPARSA 077QD <br /> MECHANIC�L CONTRFCTOR h1AIL AD�RE55 CITY ZIP PMONE ST�TE LICENSE N <br /> PLUh701NGCONTRACTOR IAAILADDREcg CITY ZIP PHONE STATELICENSE• <br /> CONTFACT PRICE OF WORK �3,234.64 <br /> DESCRIBEWORKANOSOURREFOOTAGEINVOLVEO Install & maintain CONTACTPERSONANDPHONENO. B,aSt H$y�IES �2�6� 364-�2311 <br /> three (3) illuminated single face wall signs. _ <br /> (Z3.9S sq.ft. each) I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Pp�HealLfl oCguUI,oING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT.ALL <br /> 1 D PROVISIONS OF LAWS AND ORDINANGES GOVERNING THIS TYPE OF <br /> LEGAlDE9C'nlrTiJNOFPROPERTVISHOWNBELOWORAITACHTWOCOPIES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GR�NTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior o�aN oF qUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> �'SE� ATTACHED OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORM17ANCE OF CONSTflUCTlO .THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY T RFORM THE WORK FOR WHICH <br /> APPLICATION IS MA I COMPLY WITH THE STATE <br /> PARCEI TA%I D NUMfiEF CONTRACTORS L 8 ND 296.200 WAC. <br /> r 4k242804-2-001-0001 <br /> ��' <br /> CONSTflUCiION LOAN LEN�ER.ADDRESS.TGLEPHONE NUMBER <br /> 8-1-94 <br /> S�GNRIOFE OATE <br /> PROJECT ADDRESS ,ra �k027348 . <br /> /!a �' f1P .G��'Y`� L✓/� /� �i.fe+l� L/.�H� cirvnuswessucENsenu <br /> � PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET� � A/�A/HNDLG UNITS—H.P. _�_ <br /> � BATHTUB ' FORCED AIH SYSTEMS—B.T.U. M E.A, ' <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> SHOWER ' CLOTHESDRYERS ' <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN � <br /> DISHWASHER � RANGE HOOD ' <br /> LAUNDRY T,^,;,Y ; WATER HEATER <br /> CLOTHES WASHEr � WOOD STOVE �_ <br /> URINAL ; METAL FIREPLACE(WOOD BURNING) i <br /> DRINKI�lG FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN _ ; <br /> � <br /> SINK(SERVICE—BAR,ETC.) - � <br /> � <br /> � ' <br /> SUR TOTAL 5 ' SUB TOTAL 3 ' <br /> PERMIT $ � PERMIT S � <br /> TOTALFEE 5 ' TOTALFEE S <br /> FOR OFFICE USE ONLY: — <br /> I�E SETBFLN P�AN CHECK NUMBEfi FEE �5 RELEIPi NO. <br /> FRONT SETBACK REAR�SE7�ACK �� / � � //� /_ — <br /> C� t �J �l/ <br /> � VALUATION FEE <br /> USE ZONE iOT AREA V�CANT SRE FEES <br /> G „ G YES ❑ NO BUILDING �a�� O-� 'O� <br /> TYPEOFCONSi. NO.OFSTORIES Oau�R�+tr r,0af�wiun�GW:itS � <br /> i <br /> caauv pLUMOWG ' <br /> i <br /> SIZEOF9LDG. FIPESPRWKLRoREO'D BASEMENT MECHANICAL <br /> ❑ YES � rio <br /> ADDITIONAL PLAN CHECK ' <br /> OCCUPANCY LOAD FIFE 4LARM REO'0 HEItiHT Uh11TATI0N � <br /> i <br /> OTHER <br /> !iEASON �-I ��� <br /> STATE BUILOING SURCHARGE <br /> i <br /> INTAKEBV PLANS;PPROVE�BV CITYOFEVERETT PUBLICWORKS <br /> LOCAL SALES -7 <br /> DATE�y��7 Gfr` TAX CODE IS 3105 T�TA� . �/ '�J <br />