Laserfiche WebLink
theEveween CITY of( C'`NSTRUCTION <br />everett PERMIT PERMIT NO. 19628 <br />259-8745 <br />❑ DEMOLITION ❑COMBINATION ❑ BUILDING ❑MECHANICAL ®PLUMBING G SIGN <br />M/.IL AOOflE55 CITY PHONE <br />ZIP <br />OWNER <br />CITY ZIP <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE# <br />MECHANICALCONTRACTOR <br />MAILAODRESS <br />CITY ZIP <br />PHONE LICENSE# <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE <br />Oliphant Brothers <br />Plumbinq P O Box 772 Suquamish <br />WA 98392 598-4779 <br />OTTPRIBP170J6_ <br />CLASS OF WORK <br />❑ NEW ❑ ADDIT'ION <br />I3CALTERATION ❑REPAIR <br />El DEMOLITION <br />BUILDING RELOCATION <br />DESCRI" F. WORK <br />Plumbing for tenant 14M improvement. <br />1EAI SUVni.c <br />n r_Ae rl WOODSTOVE F] OTHER <br />U ELECTRICITY <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIF`! THAT I HAVE READ AND EXAMINED THIS <br />Retail <br />APPLICATION NND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />Of PROPERTY(SHOW BELOWOR ATTI,I;H FOUP.COPIES) <br />LEGAL DESCRIPTION <br />GOVERNING Th'S TYPE OF WORK WILL BE COMPLIED WITH <br />OF_. <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />LOT —BLOCK _ <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PRJVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGUI ATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUR F CONTRACTOR, AUTHORIZED AGENT, OR OWNER DATE <br />X <br />JOB ADDRESS <br />1203 SA SE Everett Mall Way <br />_. <br />MECHANICAL <br />PLUMBING <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />A/C — A/HNDLG UNITS —H.P. <br />WATER CLOSET ITCILET) <br />REFRIGERATION UNITS — H.P. EA. <br />BATHTUB <br />BOILERS — B.T.U./H P. <br />LAVATORY I'WASH BASIN) <br />GAS FIRED A.C. UNITS— B.T.U. <br />__— <br />SHOWER <br />FORCED AIR SYSTEMS —B.T.U. M EA. <br />, <br />KITCHEN SINK & DISP. <br />WALL HEATERS — B T.U. 'A <br />DISHWASHER <br />DISHWASHER <br />UNIT HEATERS -BI.ULAUNDR_ h"• <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />URINAL <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRP INS - RAINLEADERS <br />WOOD STOVE <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE -- BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />- <br />GAS PIPING <br />- I -- -- <br />EXHAUSTFAN <br />SUBTOTAL <br />SUBTOTAL <br />5 <br />PERMIT <br />f 10 <br />00 <br />PERMIT <br />TOTALFEE <br />$20 <br />00 <br />TOTAL FEE <br />FRONT SETBACK <br />PEAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONC <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />❑ YES ❑ NO <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS, <br />BUILDING <br />S <br />PLUMBING <br />- <br />20 <br />00 _ <br />SIZE OF BLDG. <br />NO. OF'STORIES <br />MAX. OCC. LOAD <br />MECHANICAL <br />_ <br />INVESTIGATION FEE <br />Sec 304(e) <br />STATE BUILDING SURCHh RGE <br />FIRE SPPINKLeRS REQUIRED ❑ YES ❑ NO -- <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />20 <br />00 <br />S.H. <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN IHla JIUM) IniJ 13;GOR <p <br />L� <br />cJ <br />m <br />1- <br />ADURE55 TILL <br />