Laserfiche WebLink
the Ll�ereri�e•rt <br />��,��� � �^��s�Rucr�or► <br />everett PERMIT PERMIT NO. 13�g`� <br />CITY HALL 259�07d5 <br />EVERETT,WA90207 [] COMBINATION 7EX� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OYlNEO hIAIL ApOFE55 LITY ZIP PHONE <br />Tranas for Brides 909 S.E. Everett Mall 47ay Everett 98204 <br />AflCHItEGT OR pE51GNER MAIL ADDRESS CITY ZIP PMONE <br />GENIRAL CONiRAQOR MAIL AODRESS LITY ZIP PMONE LICENSE � <br />image Cunstruction 8113 N.E. 115th Way Kirkland 789-0674 <br />IdECHANICA� CONTFACTOR MAIL ADDFE55 CITY ZIP PHONE LICENSE N <br />PIUMBING CONTFFGTOP MAIL ADORESS CIiY ZIP PMONE LICENSE N <br />� NEW ❑ ADDIiION � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />= iaoo.eo <br />OESCRIBE WORK <br />Alteration - Tenant <br />Retail Sales <br />LOT_BLOCK_OF <br />909 S.E. Everett Mall Way <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />BATHTUB <br />LAVATORYIWASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHEfl <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />POOF DRAINS - RAINLE <br />SINK (SEPVICE - BAR, E <br />N/A <br />C-1 <br />V=1 Hr <br />SUBTOTAL S <br />PEPMIT S <br />70TAL FEE S <br />N/A <br />Y GROUP <br />B-2 <br />flIES <br />1 <br />APPFOVAIS <br />1. ENVIRONMENTAL CMECX LIST <br />2. 6UILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GflADING <br />6. DRAINAGE <br />7.ENVIFONMENTALIMPACTSTATEMENT <br />B.HEALTM DISTRiCT <br />APPLICATION ACC. BY PLANS CHECK'. <br />sTc �naM <br />FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW 'fHE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GO\�ERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SP[CIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />C�R CANCEL THE PROVISIONS OF ANY OTHER STAT[ OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNAiURE NTRALiOR OP UTHORIZEO AGENT DATE <br />x ;�1 G��ti � - z2 ��i <br />v <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFPIGERATION UNITS — N.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIREU A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — 6.T.U. M <br />EVAPORATIVE COOLERS <br />CLO7MES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />S70VE — WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIFEPLACE INSERT <br />HEAT PUMP <br />REAR YARD SETBACK PLAN CHECK NUMBER <br />N/A 84/13499 <br />VACANT SITE <br />�..YES KfhJ FEES <br />SUB TOTAL 5 <br />PEflMIT S <br />TO7AL FEE S <br />FEE <br />FEE RECEIPT N0. <br />15.28 �� <br />VALUA710N FEE <br />� BUII DING 514�0. <br />MA%.00C.LOAD — <br />PLUMBING <br />FIRE SPRINKLERS MECHANICAL <br />REOUIRED <br />YES :'NO <br />BY DATE �THER <br />PENALTY U.B.C. <br />SEC. 903 1a1 <br />TOTAI <br />PEflMIT VALIDATION <br />WHEN PROPERLY VALIDATED QN THIS S�AE� ft115 IS <br />LC <br />BY <br />ADDRESS FILE <br />23 I50 <br />i� <br />�% 5� 1 <br />JF-PERMITfJ C:;� <br />� <br />. � : ,.�r� <br />� I P�'� <br />{,� <br />�� <br />.. � _'i�`� � �� <br />