Laserfiche WebLink
the ELwVwtn <br />aTY OF <br />Or INSTRUCTION <br />everett PERMIT PERMIT NO. 20604 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING R* MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY Z1P PHONE <br />Jenny Craig Inc. 305 SE Everett Mall Way Everett 525-2030 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE. <br />_ TEC Mehcanical 14948 NE 95th RVIXIUlB Redmond WA 98052 881-3247 TFcsfFSC14'+nA <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />❑ NEW ® ADDITION ❑ ALTERATION ❑ REPAIR O DEMOLITIOi4 ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />S 4,500.00 <br />DESCRIBE WORK <br />Install duct 0* system, diffusers, grills, thermastats. <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Retail <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 B= COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIO OR EL THE ROVISIONS OF ANY OTHER <br />ST TE R L L LAW RE LATING CONSTRUCTION OR <br />T E F C OF CON RUCTION. <br />SI AT TO . AUTHORIZED AGENT, OR OWNER DATE <br />X <br />LEGAL DESCRIPTION OF PROPERTY I SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ OF <br />- <br />JOB ADDRESS <br />305 SE Everett Mall Way Sp.23 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIP T <br />FEE <br />WATER CLOSET (TOILET) <br />A,C - AHNDLG UNITS - H.P. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA <br />LAVATORY (WASH BASIN) <br />BO!LEHS - B T.0 H P. <br />SHOWER <br />GAS FIRED ABC. UNITS - B.T.U. <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTEMS - B T.0 M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS-B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHESDRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR, ETC) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />XXLYA=X*X Diffusers <br />6 <br />50 <br />Ductwork <br />6 <br />50 <br />SUB TOTAL <br />$ <br />SUB TOTAL 3 <br />13 <br />OO <br />PERMIT <br />S <br />PERMIT <br />15 <br />UD <br />TOTAL FEE <br />S <br />TOTAL FEE <br />28 <br />OO <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 ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$ <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLINGUNITS <br />PLUMBING <br />4- <br />OM <br />SIZE OF FLOG <br />NO OF STORIES <br />MAX OCC LOAD <br />MECHANICAL <br />604 <br />2 <br />00 <br />_FIRE SPRINKLERS REQUIRED DYES ❑ NO <br />INVESTIGATION FEE <br />,l304(e) <br />00 <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />S.H. <br />PLANS CHECKED BY <br />J.W. <br />APP I FOR ISSUANCE BY <br />J.W. <br />DRIVEWAY PERMIT <br />TOTAL <br />22 <br />On <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PEFMIT <br />CO <br />N <br />ADWILSs HLE <br />