Laserfiche WebLink
r <br />-n <br />0 <br />�he Evrr,�reen <br />��-��F � ��NsrRuc�ior- <br />ever�ett �E�[�IT PERM17 NO. �-1��4� <br />CITV HAI.L 259�8745 <br />EVERETT, WA 98207 � COMBINATION �X BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIt ADDRE55 CITY ZiP PHONE <br />State Lottery Commission (Foster/bfarshall� 909 S. E. Everett Mall Way <br />ARGMITECT OR OESIGNER MAIL ADORESS CITY ZIP PHON[ <br />GENERAL I;ON'RAGTOH MAIL P��RESS GTV ZIP PHONE LICENSE x <br />In;aqe Construction £i113 N.E. 115t_h Way Kirkland 363-1700 <br />MECHl.NICALCONTRAGTOR MFILAO�RE55 CITY 21P PH,INE LICENSEx <br />PLUM6INGGONTqqGTOR ,•dqlLlDORESS �ITY ZIP PHONE LICENSEN <br />: <br />�oT <br />.�CNEW ❑ ADDITICN ❑ ALTEflATION ❑ REPAIR ❑ DEMOUTION ❑ FENCE ❑ SIGN ❑ l"JCOD STOVEIFIREPLACE INSERT <br />OF WOFK <br />z%�000.�o <br />Office and Iaarehouse <br />Tenant Improvement <br />DESCRIPTION OF PROPEflTY �SH01'! 9ELOW OR ATTACM FOIIR COPIES) <br />JOb AO�RE55 <br />909 S.E. Rveret.t Mall Way Bld9. B <br />PLUMBING <br />NO.T TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILE� <br />BATHTUB <br />LFVATORV�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASYER <br />LAUNDRYTRAY <br />CLO7HES WASHER <br />WATER HEATER <br />UflINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUIJld BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK(SERbICE — BAR.ETC.) <br />PEHMIT <br />TOTAL FEE <br />LOT <br />FEE <br />� �� <br />5 12 � <br />5 <br />5 12 C <br />REAR "AaD SETBACK <br />YES .-NO <br />V-1 Hr. Tenancy B-2 I 0 <br />BLDG. NO. OF STORIES +AAX. OCC. LOAD <br />1 � <br />� None <br />APPNOVALB <br />1. ENVIRONIdENTAL CHECN LIST <br />� - �' 2. BUILDING PLHNS � <br />3.FIREHY�PANT ,� <br />4. FIRE PROT:Cj,�ON SYSThiR <br />� S.GRADIRG; (") <br />"7. ENVIRONME�AL IMPA(SFBiATF.ME� <br />�HEALTH04STW�T '—' <br />APPLICATION ACC. B� LANS CF <br />W '� � ) HWM <br />U m <br />c -T, 1 <br />I,YES NJO <br />BY DATE <br />APPR.FORISSUANCE <br />I HEREBY CERTIFY THAT I HA'JE READ AND EXAMINED THIS <br />APPLICATION AND KNOW 'iHE SAME TO BE TRUE ANU <br />CORRECT. ALL PROVISIONS OF LAWS AND OFUINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRA�TING OF A <br />PERMIT DOES NOT PRE5UME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOR ANCE OF CONSTRUCTION. <br />SIGNATUP CONTRACTOR OR UTMOFRED AGENT OAiE <br />x . ���� l,�^�^- %=� =G;-� <br />MECHANICAL <br />NO. 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. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATCHS — B.T.U. M <br />UNIi HEATER3 — B.T.U. M <br />EVAPORA7IVE COOLERS <br />CLOTHES DRYERS <br />3 VENTILATION FAN <br />RANGEHOOD <br />AIR MANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />ME7AL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />�. HEAT PUMP <br />SU8 TOTAL 5 <br />PEqMIT S <br />70TAL FEE S <br />FEE <br />PLAN CHECK NUMBEP. PLAN CHECK FEE <br />83/11945 FEE 116.68 RECEIPTNO. <br />FEES VFLUATION FEE <br />BUILDING 5 179 �� <br />PLUMBING ZZ OO <br />MECHANICAL 12 Qa <br />OTHER <br />PENALTY U.B.(:. <br />SEC. 303 �a) <br />rora� 203 50 <br />".NtlN��Lr&F�I V�VRt�DA� (IN TMb �/�E) THI�I� Y! J.��IT �: <br />� <br />U� RECEIPT�� y(}•UR RECEIPT•�-+ <br />{:^,t.tK YOU 7hlANK YOU <br />_..x; . <br />' - 6 �ar 8 3 <br />� ADDR[SS RLE <br />- b ��r 8 3 <br />� <br />r <br />