Laserfiche WebLink
t_ <br />'.. <br />dieE�rrxreen i�� VONSTRUCTIOR <br />a�voF <br />everett PERMIT PERMIT N0. 11900 <br />CITY HALL 259�8745 <br />EVERETT, WA9B207 � COMBINATION C`�{ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OIYiIER IdAILA00HE55 CITY ZIP PHONE <br />Schnson Robelt 816 Madison Everett 98203 353-7397 <br />APCIUTECT OF OESiGNER h1AIL ADDRESS GTY ZIP PMONE <br />GENEPALGONTRACTOR MAILAOORESS GRY 21P PHONE UCENSE� <br />Energy Production Systems 6901 216th SW #.'� Lynnwood 96036 771-9030 <br />MECHANICAL GONTRACTOR MAIL ADDRE55 GITY ZIP PHONE LICENSE x <br />EN ER GP S180LQ <br />PLUMBING CONTRACTOR MAIL ADORE55 CITV ZIP OHONE LILENSE N <br />❑ NEW O AD�ITION �XALTERATION ❑ REPAIR O DEMOLITION ❑ FENCE O SIGN � WOOD STOVE/FIREPLACE INSEFT <br />E <br />LOT_BLOCN_OF <br />816 Madison <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />VJATER CLOSFT �TOILET) <br />BATHTUB <br />LAVATORY�WASHOASIN) <br />SHOWER <br />KITCHEN SINK 8 �ISP. <br />DISHWASHER <br />LPUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINRING FOUNTAIN <br />FLOOR DRAI�J <br />VACUUM BREAKEPS <br />ROOF DRAINS — RAINLEADERS <br />SW K (SERVICE — BAF. ETC.) <br />PERMIT <br />S7'ORI <br />� .`NVIFONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SVS7EM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTAIIMPACTSTATEMENT <br />8. HEALTM DISTRIGT <br />APPLICATION ACC. BY PLANS CHE <br />S <br />E <br />REAR YARD S <br />VACANT SITE <br />f:YES :_:NO <br />NO.OF DWEL <br />MA%. OCQ LC <br />BY IAPPR.FOR <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 WILI BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTFiORITY TO VIOLATE <br />OA CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />l.00AL LA'�V FEGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNFTUPE OF CONTRFCTOR OR AUTHORIZEO AGENT �ATE <br />X 4/19/83 <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNI7S — H.P. EA. <br />BOILERS — H.�. EA. <br />GAS FIPED A.C. UNITS — TONNAGE EA. <br />FOflCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORA7IVE COOLERS <br />CLOTHES �RYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — QF.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />PLAN CHECK NUMBER <br />SUB TOTAL 5 <br />PERMIT S <br />TOTAL FEE 5 <br />FEE I RECEIPT NO. <br />VALUATION � FEE <br />BUILDING 5 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTV SECV303(a) <br />TOTAL $ 00 <br />PERMIT VALIDATION <br />WHEN PFOPERLY VALIDATED (IN THIS SPACE) THIS IS VOUR PERMIT � <br />sao� $005.00 — � <br />� <br />i��:��� ���E�Pz � <br />��-�.^,r:�r, You <br />no�r.es, ri�e <br />�9r�a85 <br />i <br />� <br />J <br />