Laserfiche WebLink
' <br />(IhrE�;crgri'rn . �-- <br />e�verP�t� ^on�sr�Uc�ri�r� <br />PERI�IIT PER1AIT IdO. 1jGO3 <br />QT / HqLL 259- 745 <br />✓�nEv.ivqp qi ;❑ COMB'INATI6N � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OVUIER lAqiL qpDRE55 '-• CITI' • ZIP PHONE <br />JOHN R. & LYI_ENE JOH��UN 1402 SE EVERETT MA�L 4JAY #22 353-S434 <br />ARCHrtEGT OP �ELIGN.:�1 MAIL ADORc55 GtY ZIP PMONE <br />GENERALCONT94CTOR MAILAODREES CITY 2'P PHONE LICENSEM <br />MfCNiNICAL CONTPRGTOR NAILl�DOPESS GITY ZIP PMONE LIGENSE N <br />PLI"ABING GOkTRAGiOR td44 AODflE55 C' ZIP PMONE LICENSE Y <br />' CLASS OF WORF <br />❑ NEW ❑ ADDITION XIXI ALTEflATiON ❑ REPAIR ❑ DEMOLI?:ON � FENC� ❑ SIGN C WOGD STOVEIFIREPLACE INSERT <br />VALUATION OF NGnlK <br />y 5000.�'J <br />L <br />vnoaoseouse <br />existina aartitions <br />oF <br />LOT_9.OGN_OF <br />1402 SE Eve� ett t4a11 Wa; <br />PLUMBING <br />NO. TYPE OF FIXTURE OA <br />WATEfl CLOSET (TOILEn <br />BATNTUB <br />LAVATORV (VJASH BASIN) <br />SHOWEP <br />KIiCHEN SINK & DISP <br />DISIiWASHER <br />LAUNORYTRAV <br />CLOTHES WASHER <br />WATER HEATER <br />UflINFL <br />DRINKING FOUNTAIN <br />z FLOOR DRAIN <br />VACWM BREAhFRS <br />�ROOF DRAINS — 9Al1:LEA0ERS <br />� SINK (SEFVICE — BAR, ETQ) <br />SUBTOTAL <br />PEFMI7 <br />TOTAL FEE <br />ilter B-2 <br />N0. OF STORIES <br />� <br />FIRE ZONE <br />APPPOVALS <br />L Ef1VIRJNMENTAL C4fC% VST <br />2. BUILDING �LAI:3 <br />3. FIRE HYORANT <br />4. �IRE PROTECTION SYST[k4 <br />S.GRACING _ _ <br />6, DRAIIJAG[ <br />-7;ENVIHONMFNTAIIMPACf S-NEMENT <br />A.MEALTH OIiTRICT — <br />ceiling; replace with tenant improvements <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAh11NED THIS <br />APPLICATIOU AND KNOW THE SAME TO BE TRUE AND <br />COftRECT. ALL PROVISIONS OF LAWS AND ORDIVANCES <br />GOVERNING THIS TYPE OF WGRK WILL BE COMPLIED WITH <br />WHEThER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMC TO GIVE AUTHORITY TO V!OLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CO �TRUCTION. <br />SIGNAT'1F� OF CGNiRACTOR T ORIZED AGENT OATE <br />X �l/ yS�.�t,c/ `�� �t7 '�Ci"i,i_ 7/U/84 <br />FEE NO. TYPE OF EQUIPMENT FEE <br />AIR CON�. UNITS — H.P. EA. <br />� REFRIGERATION UNITS — H.P. EA. _ () <br />BOILER3 — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGt EA. <br />FORCED AIR SYSTEMS — B.T.U. M FA. <br />WA! L HEATERS — B.T.U. M <br />UNIT HEATEF±S — B.T.U. M <br />EVAPORATNE COOLERS <br />CLOTHES DHYERS <br />VENTILAT�ON FAN <br />� RANGEHCOD over oven 4 <br />4 OO FIR HANDLING UNIT — C.F.M. <br />S10VE — WOOD <br />IdETAL FIREPLACE 8 CHIMNEV <br />4 OO FIREPLACE INSEfiT <br />HEAT PUMP <br />� <br />�S <br />qEAR VARD <br />I:�.YES .:NO <br />SUB TOTAL S <br />PERMIT 4 <br />TOTALFEE 5 <br />3603 I FEE 3Z.83 �Q���EIPT NO. <br />FEES 1 V4LUATION FEE <br />BUILDING 55000.00 50 50 <br />MA%.00Q LOAD <br />1 O PLUMBING � O l�O <br />FIRE SPflINKIEPS �,�ECHANICAL � <br />REOUIREp � �� <br />�.:YES .XNO <br />BV OATE OTHER <br />U.B.C. <br />PENALTY SEC. 303 (a) <br />rora� 75 50 <br />iAPPLICATION ACC. BY �.ALAf1S CHECKEG BY APPR. FOri <br />, eb �'-� hvm 1 r,c <br />c_, <br />� <br />� <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATE� (IN THIS SPACE� THIS �$ �O,t1�PF�iM�T <br />�.) .�.')DR[.t5 Fllf= . . � .. � . <br />� <br />