Laserfiche WebLink
ihe Ll'er¢ree'n <br />�� , �F <br />�V�I"��� <br />GTV MAL!. 259�tl74P <br />__.^�������:�i��'� <br />t� � ��l�I IT <br />PERMIT NO. 1��g� <br />eve�er , v�a ,azo� ❑ COMDI4VATION � BUILDINC L'1 MECHANICAL ❑ PLUMBING <br />OWNE9 MAILADORESS ,— QTY Zi° PMOYE <br />Roel�ling Management 1402 S.E. Everett Mall WAY Everett 982c)4 347-2319 <br />ARCIIITECT OR DESIGNER IAAIL A�DRE55 LITV ZIP PHON[ <br />3EN2flPLGONiRAGTOR MAILA��RESS GITY ZIP PMONE LICENSE� <br />Same <br />MECHFNICALCONTRACTOR MAILADOFESS GITY ZIP PHONE UCENSEM <br />PLUMBING CONiRAGTGP MAIL A�ORESS GIiY ZIP PHONE UCENSE M <br />❑ NEW <br />VALULTION OF WORK <br />= 2��0���� <br />tenant <br />❑ AD�iTION �XALTEH0.TION ❑ REPAIR C� �E�dOLITION ❑ FENCE ❑ SIGN ❑\'!(lOD STOVEIFIREPLACE INSERT <br />LOT _ BLOCN _OF <br />1�102 S,E, Everett Mall <br />PLUMF.I".�u' <br />FIXTURE OR ITEA1 <br />WATER CLOSET (TOILE7� <br />BATHTUB <br />I_AVATORY ;NinSH BASIN) <br />SHOWcR <br />KITCHEN SINK 8 DISF. <br />DISHWASHER <br />LAUNDRYTRAV <br />Cl0"HES WASMER <br />WATER HEATER <br />URINAL <br />DPINKING FOUNTAIN <br />FL90R Df-:AR' <br />VACUUM BHE:>KEHS <br />r700F DRAIN:i - FAINLEADEfiS <br />SINY, (SERVIGE - 6AR, ETGI <br />SUB TOTAL <br />PEPM�T <br />TOTAL FEE <br />NO. OF STORIES <br />FIRE <br />APPROVALS <br />1. ENVIRON�dENTAL CHECK LIST <br />7.. 6UILDING PLANS <br />J. FIRE HY�flANT <br />d. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />� <br />I HEREBY CERTIFY 7HAT I HAVE RFAD AND EXAMINED?H�S <br />APPLICATION AND KNObV THE SAt�SE TO BC TRUE ANO <br />COPIES� CORRECT. NLL PROVISIONS UF L<.'NS AND ORDINANCES <br />GOVERNING THIS TYPE OF V:'CqK WILL BE COMPLIEO WITH <br />WHETHER SPECIFIED HEREIP' 7R NCT. l HE �,RAM'ING OF A <br />PERMIT DOES NOT PRESUME i � GIVE AUTHO�3ITY TO VIOLATE <br />OR CANCEL THE PROVISION3 OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUC'iIGN OR THE <br />1 PEr FOR� E OF C�lvi RUF� <br />SIGNAT'IR TRALTOF�6R Bfi 0 AGENT �6TE <br />X /_ /H � � /A 2/�6/85 <br />FEE N0. TYPE OF EOUIPMENT <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS -- H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNI75 - TONNAGE EA. <br />FORC[D AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS -- B.T.U. M <br />E'IAPORATIVE COOLERS <br />CLOT'HES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT - C.f.M. <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />riEAT PUMP <br />S _ <br />S <br />REAR <br />VACANT SITE <br />�..YES .�.NO <br />�d,�X. OCC. <br />REOUIRED <br />YES NG <br />9Y DATE <br />AFPF.FORISSUPNCE <br />DAB <br />85/14492 <br />FEES <br />BUILDING <br />PWA1BIPiG <br />MECHANICAL <br />OTHER <br />PENALTV <br />FEE <br />SUB TOTAL S <br />PERMIT S <br />TOTALFEE S <br />PLAN :HECK FEE <br />FEEzlo13 �E�I��N�` <br />VALUA710N FEE <br />52�OOOo 32 50 <br />U.B.0 <br />SEC. 903 (a) <br />Torni I I 32 I50 <br />PFNMIT VALIDATION <br />WHEN PROPERLY VALIDATED pN THISSPA�E) THIS IS YQUR PERMIT _ (�,t <br />�') <br />�� <br />ti <br />� Y � <br />ADURE55 FIL'e <br />� <br />z <br />0 <br />� <br />� <br />m <br />=� =n <br />-" -a <br />N 1' <br />m <br />0 <br />c- a <br />r*: o <br />n <br />O 3 <br />� z <br />x -f <br />m <br />A Z <br />C <br />a� <br />rx <br />--I � <br />� <br />T <br />O A <br />-� a <br />3 <br />-t m <br />x <br />m .-� <br />� <br />� <br />or <br />c� m <br />c v+ <br />3 (/i <br />m <br />z c"� <br />�m <br />a <br />A <br />--1 <br />x <br />a <br />z <br />� <br />2 <br />[n <br />z <br />0 <br />� <br />n <br />m <br />