Laserfiche WebLink
theEvergreen <br />cin oF <br />everett <br />259-8745 <br />"`` C°�NSTRUCTION <br />P�RMIT <br />i' <br />PERMIT NO. 2 O� � O <br />❑ DEMOLITIOK ❑ COMBINATION ❑ BUILDiNG � MECHANICAL 0 pLUMBING ❑ SIGN <br />OWNEP MAIIApORF.55 CITY ZIP PH�NE <br />Diicnael HudspPth 1809 Madison St. Everett, WA 98201 353-2823 <br />ARCMRECTCFOESIGNER MAILPDDFE53 CITY 21P PHONE <br />GENENALWNTRAGTOR MN�ADDPESS CITY 21P PHONE LICENSE� <br />MECMANICALCONT(iRCTOR MRILAOOPESS CITV 21P PHONE LICENSE• <br />Valley Natural Gas 2605 McDougal Everett, WA 96201 259-5492 VALLENG153Li <br />PWMBINGCONTRACTOq MAI�AOORESS CITY ZIP � PNONE UCENSE• <br />CLASS OF W ORH <br />❑ NEW ❑ ADDITION � F,LTERATION ❑ REPAIR <br />VA1.U/TIONOF WOPN <br />$ <br />OE! :RiBE WORN <br />Znstall furnace/water heater <br />NEATSOORCE <br />❑ ELECTRICITY C GAS ❑ WOODSTOVE <br />SF'R <br />LEG/L DESCRiPT10N OF PROFERTV �SNOW BELOW OR ATTpGM FOUR COPIES� <br />lOT _ BLOCN <br />J�BAD�RE55 <br />i9 18Q9 Madison St. <br />PLUMBING <br />HO. � TVPE OF FI%TUAE OR ITEM <br />WATER CLOSET (TOILET� <br />BATHfU9 <br />LAVATOkY�WASH BASIN) <br />SHOWER <br />KITCNEN SINK 8 OISP. <br />DISHWASHER <br />LAUNORYTRAY <br />(:LOTHES WASHER <br />UPINAL <br />ORINKING FOUN7A.IN <br />FLOOR DRAIN <br />lACKFLO'N PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />Sl1B TOTAL <br />PEHMIT <br />TOTALFEE <br />USE ZONE <br />TYPE OF CONST. <br />SIZE OF OLD� <br />FIflE SPRINKLERS R <br />APPLICATIONl�:,C �Y <br />M.M. <br />L7 DEMOLITION <br />❑ OTHER <br />[� BUILDIMG RELOCATION <br />I HEREBY CERTIFY THAT I HnVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THF_ SAME TO BE TRUE AND <br />CURRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GGVERNING THIS TYPE OF �'JORK W�LL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NQT. THE GRANTING OF A <br />P-RMIT DOES NOT PRES'JME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THl� PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGN4TURE OF COMTR(,CTOR, ruITHORIZEU AGENT. OF OWNER OATE <br />X <br />61ECHANICAL <br />TYPE OF EOUIF <br />A/C — A/HNOLG UNITS — HP. <br />PEFRIGERATION UNITS — H.P. <br />BOILEAS — B.T.U./H.P. <br />GAS FIRED A.C. UNITS — B.T.0 <br />FORCED AIR SYSTEMS — E.T.0 <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVECOOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />PIf7EPLACE INSEPT <br />HEATPUMP <br />GAS f 'PING <br />EXHAUSTFAN <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />PLAN CHECK NUMBER FEE <br />sitE FEES <br />❑ NO <br />�WELLINGUNITS BUILDING <br />PLUMBING <br />G LOAD <br />MECHANICAL <br />INVESTIGATION FEE <br />M EA. <br />M <br />M <br />� <br />Sec.304(e) <br />RECEIPT NO. <br />FEE <br />STATE BUILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />DRIVEWAV PERMIT <br />TCTAL <br />PEqMIT VALIUATION <br />WHEN PROPERLV VALIDATED �IN THIS SPACE� THIS IS YOUR PEF.MIT <br />_:t;ES� R-`- <br />�� <br />�i� <br />50 <br />� <br />� <br />�� <br />Q <br />N <br />