Laserfiche WebLink
the Awsgreen <br />l l V OF <br />everett <br />259-8745 <br />C INSTRUCTION <br />PERMIT <br />PERW NO. 16800 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING RJ SIGN <br />OWNER MAIL ADDRESS CITE ZIP PHONE <br />Sparks Tune Up 1205 Everett Mall Way Bldc) 1 _ <br />ARCHITECT OR DELIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS UlTv ZIP PHONE LICENSE. <br />N.W. Neon & Plastic Inc. 815 - 8th St Kirkland, W,, 9^.33 822-1209 NORTHNP25402 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE II <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br />CLASS OF WORK <br />[4 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATIOA! <br />VALUATION OF WORK <br />f 3,000.00 <br />DESCRIPE WORK <br />Install electric sign_ <br />HEAT SOURCE <br />❑ ELECTRICITY 7 GAS 0 WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I 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 />WHETHC-R SPECIFIED HEREIN OR NOT. THE �,RANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW R GULATING CONSTRUCTION OR <br />THE PERFORMA CE OF NSTRUUTION. <br />SIGNATUR�F,��/�CONT ITTOR.A RIZED AGENT, OR OWNER DATE <br />'— //— <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPER" (SHOW BELOW OR ATTACH FOUR COPIES) <br />'_OT _ BLOCK OF <br />, _ <br />JOB ADDRESS <br />I205 SE Everett Mall Wayr—: <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATEP CLOSET (TOILET) <br />A/C - A/HNDLG UNITS - H.P. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />_ <br />LAVATORY (WASH BASIN) <br />BOILERS - B.T.U./H.P. <br />SHOWER <br />GAS FIRED A.C. UNITS - S. T.U. <br />_ <br />KITCHEN SINK 3 DISP. <br />FORCED AIR SYSTEMS -BT. U. MEA. <br />DISHWASHER <br />WALL HEATERS-B.T.U. M <br />_ <br />LAUNDRY TRAY <br />UNIT HEATERS - B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINA. <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />_ <br />ROOF DRAINS -- RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR, ETC.) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />_ <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />$1 <br />SU4TOTAL <br />PERMIT <br />f <br />PE_ <br />TOTALFEE <br />f <br />TO <br />FRONT SETBACK <br />HEAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />O. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$ <br />12 <br />00 <br />TYPE OF CONST <br />_ <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />D7%fif6GIB12:. <br />1PM OO�iHC?� <br />STATE BUILDING SURCHARGE <br />STAT E ENERGY SURCHARGE <br />OLDS $j <br />2.00 <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />Elec NV <br />LN Callahan 2/ <br />DRIVEWAY PERMIT <br />�TAL <br />CFTC}: $ <br />7.00 1?. <br />OQ <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />00 <br />t� <br />t� <br />ADDRESS FILE <br />