Laserfiche WebLink
r <br />(he Eceiareen <br />arv oF <br />everett <br />Cil Y HFLL 259�8745 <br />EVEl7ETT, lNA 90201 <br />❑ COMBINATIO <br />CONSTRUCTIO'°4 <br />PERMIi <br />N �'h BUILDING ❑ MECHANICAL <br />PERMIT N0. 14 �� ll <br />❑ PLUMBING <br />OYINER Idq4ApDRESS CITY ZIP PMONE <br />Me.rle Norman 1902 S.E. Everett Mall Way Everett 982U4 <br />AFCHItEGT OR OESIGNER MAIL AODRE55 GITY ZIP PMONE <br />GENE(iAL CONTRAGTOF MAIL AODRE55 dTY ZIP PHONE LICENSE x <br />Berry Neon Co. Inc, P,O. Box 5269 Lynnwood 98012 776-9635 <br />MELMFmCFL CONTPACTOR MAIL ApORE55 CITY ZIP PHONE LICENSE s <br />PLUMBING CONIRACTOR IdAIL ADDFE55 CITY ZIP PHONE LIGENSE X <br />ClqSS OF VlORK <br />XE NEW ❑ AODITION ❑ ALTEriATICN � HEPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ W0.7D STOVEIFIREPLACE INSERf <br />VALUATION OF WORK <br />S 1ZOOe�� <br />Install illuminated <br />PROPOSED USE OF 9UILDING <br />LOT_BLOCN_OF <br />JO� <br />1402 S.E. Everett Mall A'ay <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TGI LEn <br />9ATHTUB <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />LAUNGRYTRAY <br />CLOTHES WASHEIi <br />WATC-fl HEATER <br />URIt7AL <br />DRINKING FOUNTAIiJ <br />F100R ORAIN <br />VACUUM BR[AKERS <br />ROOF DRAIIJS — RAINLEADERS <br />SINK (SERVICE — BAfl, ETC.) <br />TOTAL <br />L ENVIflONMENiAL CHECK LIST <br />2. BUILDING!`LANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />fi.DRAINAGE <br />7.ENVIRGNMENTALIMPACTSTATEMENT <br />8. HEALTM �ISTRICT <br />I� <br />FEE <br />S <br />S <br />VACANT SITE <br />::YES �. �NO <br />NO. OF �WEL <br />9Y <br />NV/LC <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATIGN AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVIS!ONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMFLIED WITH <br />WHETHER SPECIFItD HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />QR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGUL�TING CONSTRUCTION OR TNE <br />PERFORMANCE OF CONSTRUCT!ON. <br />5'GNATURPAF CONTFACTOR OR AUTMOflIZED AGENT UATE <br />X �'��/<< 1-7-.�.- <br />MECHANICAL <br />Nn. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFFIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT !1EATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES �RYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANOLING UNIT — C.F.M. <br />STOVF — WOOD <br />METAL FIREPLACE 8 CMIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUBTOTAL S <br />PERMIT 5 <br />TOTAL FEE 5 <br />;NUMBER PLAN C <br />FEE <br />FEES VALUATION <br />BUILDING <br />PLUMRING <br />MECHANICAL <br />OTHER <br />PENALTY <br />b <br />U.B.C. <br />SEG.303 <br />FEE <br />ECK FE[ <br />RECEIPT NO. <br />FEE <br />Torn� I I 9 <br />PENMIT VALIDATION <br />WHEN PqOPERLY VALIDATED (IN THIS SPACE) THIS IS YOUP P�RMIT <br />BY <br />,�-.i`G2i:S.c; �ILL <br />� <br />r <br />