Laserfiche WebLink
meawvvol <br />CITY 0- <br />�'JNSTRUCTION _.. <br />everett <br />PERMIT <br />NO. 16908 <br />259-8745 <br />PERMIT <br />❑ DEMOLITION❑ COMBINATION ❑ BUILDING MECHANICAL <br />❑ PLUMBING ❑ SIGN <br />O'NNER V/ <br />USX Muffler 1205 <br />MAIL ADDRESS CITY <br />SE Everett Mal]. Way Everett, WA <br />ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />ENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE# <br />Harmon & Associates <br />MECHANICA, CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHCNE LICENSE# <br />Natural Cas E11uip. <br />1625 E. Marine View Dr. Everett, WA 98201 <br />25B-2441 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS -- CITY <br />ZIP <br />PHONE I ICENSE # <br />NATURGE32014 <br />CLASS OF WORK <br />FIE NEW ❑ADDITION <br />❑ ALTERATION ❑REPAIR ❑DEMOLITION <br />El BUILDING RELOCATION <br />VALUATION OF WORK <br />S <br />DESCRIBE WORK <br />Install unit heater and gas piping <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />1205 SE Everett Mall Way <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 />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING 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 REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIG A RE OF CONTRACTOR, AUTHORIZED AGENT. OR OWNER DATE <br />x 6 4L, 7/30/86 <br />LEGAL DESCR.PTION OF PROPERTY (SHOW BELOW OR ATTACH FOUL COPIES) <br />LOT _ BLOCK _ OF <br />_ <br />JOB ADDRESS <br />1205 SE Everett Mall Way <br />PLUMBING <br />MECAANICAIJ <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—A/HNDLG UNITS — H.P. <br />BATHTJB <br />REFRIGERATION UNITS — H.P EA. <br />LAVATORY (WASH BA924) <br />BOILERS — B.T.U./H.P. <br />SHOWER <br />GAS FIRED AD. UNITS — B I.U. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRY TRAY <br />1 <br />UNIT HEATERS —B.T.0 M <br />9 <br />OO <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — R:.INLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR, ETC) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />4H� <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />S <br />SUB TOTAL S <br />9.00 a <br />PERMIT <br />$ <br />1 <br />PERM11 3 <br />15 <br />00 <br />TOTALFEE <br />$ <br />TOTALFEE M <br />24 <br />00 <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT .AREA <br />VACANT SITE <br />❑ YES ❑ No <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$ <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWFLLING UNITS <br />PLUMBING <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />MECHANICAL <br />90B <br />I,,- ! <br />24 <br />00 <br />FIRE SPRINKLERS REQUIRED DYES ❑ NO <br />INVESTIGATION FEE <br />Ckt.p4(e) <br />4.Ikl <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />M.M. <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />24 <br />00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT 00 <br />O <br />M <br />C D <br />r <br />ADDRESS Fill: <br />