Laserfiche WebLink
dir [reri.crn /1 �+ � p/1 9 <br />or�u: � �./�N�7��lU�r�E�r � <br />ever�tt �E����� PERMIT NO. �-Sbi�7 <br />CITY HALL 259�67d5 <br />EVERETT,WA9E1201 � COMBINATION 1{� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEF IAAllAODPESS CITY ZIP PXONE <br />Bon Cuisson 1402 S.E. Everett Mall Way Everett 98204 Suite 22 <br />FFCHR'cCiORDE51Bt�ER MAILADOFE55 CITY ZIP PNONE <br />GENERAL CONTRACiOR MAIL FOOFESS piY ZiP PHONE LICENSE r <br />r Berry Neon Inc. P.O. Box 5269 Lynnwood 98046 776-8835 <br />• MECHANIGAL CONiFA:TOR MqIL ADDRESS CITY ZIP PHONE LICENFE x <br />AERRY N247LD <br />PWMBING CONTPAGTOR IdAIL AODRESS CIiY ZIP PHONE LICENSE / <br />L� <br />❑ NEW ❑ ADDITION ❑ ALTCRATION ❑ REPAIR ❑ DEIAOLITION ❑ FENCE �{SIGN O WOOD STOVE1fIREPLACE INSERT <br />VALUAtION OF WORK <br />s 1760.00 <br />Install illuminated <br />LOT <br />JOB AD�RESS <br />1402 S.E. Everett Mall Way <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />VJATER CLOSET (TOILEn <br />BATHTUB <br />LAVATORY (VJASH BASIN) <br />SHOWER <br />KITCFiEN SINK 8 DISP. <br />DISHWASHEH <br />LAUNDRVTPAV <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAIN^ — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />TOTAL FEE <br />SIDE YARD <br />SIZE OF BLDG. <br />7. ENbIPONMENTAL CHECK LIST <br />2 BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />6.DRAIN4GE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B.HEALTH OISTRICT <br />Suite 22 <br />FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW TNE SAME TO BE TRUE AND <br />CORRECT. ALL PFOVISIONS 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 VIO�ATE <br />OR CANCEL THE PROVISIONS OF ANY OTH�R STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION CR THE <br />PERrORMANCE OF CONSTRUCTION. <br />SIGNATUFE JF�ONiRqCTOR 4L'S4YAi0R12ED AGENT pATE . <br />NO. � TYPE OF EQUIPMENT � FEE <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION U�IITS - H.P. EA. <br />BOILERS - H.P. EA. <br />.iAS FIR:D A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATEflS - B.T.U. M <br />UNIT 11EATEflS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HPNOLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIR[PLACEINSERT <br />HEAT PUMF <br />S <br />5 <br />IEAR YARD SETBACK PLAN CHECK NUh <br />'ACFNT SITE <br />:YES :�NO FEES <br />BY <br />LOAD <br />CHECKED BY I APPR. FOR ISSUANCE BY <br />� <br />NV-LC <br />BUILDI�IG <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />SUB TOTAL 5 <br />PEPMIT 5 <br />TOTALFEE S <br />PLAN C <br />FEE <br />VALUATION <br />s 1760. <br />U.B.C. <br />SEC. 303 �a� <br />RECEIPT NO. <br />FEE <br />TOTAL I I �J IOO <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED �IN THI�S SPAC�� THIS�IS,YQU� PERIYIIT � <br />. _ .' ' � I 1 I �: —' �� <br />� <br />i�'�: <br />' " r" -_ <br />, �� 1 � <br />� . .� <br />;:i)�;r?i:�; i-P_i. � �_ .. , �� <br />9 <br />ev <br />r <br />