Laserfiche WebLink
rin• Ll�rrerecn <br />everett <br />G1Y HALL 259-d7d5 <br />EVEFETT.IYA 99201 <br />';�NS`► . �CTI�I`� <br />PEF�MIT <br />❑ COMBINATION ❑ BUILDING � �AECHANICAL <br />PERMIT NO. <br />:�_��Ib <br />❑ PLUMBING <br />OWNEV <br />I1.PIL AODRE55 CITY ZIP PNONE <br />Mary Aiorgan 3407 Y.ovt Everett 98201 <br />AFChITECT OR DESIGNEF MAIL l+D�RE55 CITY ZIP PMONE <br />GENERAL CONTFACT08 <br />MAIL AODPESS CITY ZIP PMONE LiCENSE � <br />MEGNANICAL C0��1 RALTOR <br />A1AIL ADOPE55 GTY ZIP PMONE UCENSE � <br />Natural Gas Equipment Co. Znc. 1611 East Marine View Drive �verett 98201 258-2441 <br />.... __. ____ una A�ORE55 GITY ZIP PHONE LICEFSE M <br />CLA55 OF WORN <br />❑ NEW ❑ ADDI'iION O ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O YJOOD STOVFJFIREPLACE INSE <br />S <br />DESGRIpE WORK <br />LOi __BLOCK _OF <br />3907 Hoyt <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />OPFTfACHFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTI�G OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />�OCAL LAW REGU�AITINGSCONSTRUOCTHON SOR THE <br />PERFORMF.NCE OF CONS flUCTION. <br />_ __ _"'__....n..w,,....., .�.,nm encur DATE <br />PLUMBING <br />NO. TYPE OF FI%TURE Ofl ITEM <br />WATER CLOSET �TOILEn <br />BATHTUB <br />LAVATORY (WASH BASIIJ� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />OISHWASHER <br />LAUNDRYTflAY <br />CLOTHE$ WASHEF <br />WATER HEATER <br />11RINAL <br />DRINKING FOUNTAIN <br />FL005 OHFIN <br />VACUUM BREAKERS <br />ROOF DRAINS — fiA1NLEA0EflS <br />, 31NK (SERVICE — BAR. ETC.) _ <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />APPPOVALS <br />1. ENVIRONMENTAL CHECK LISi <br />2. BUILDING PLANS <br />7. FIPE MYORANT <br />4. FIFE PROTECTION SYSTEM <br />5. GRADING <br />s. or+aiNncE <br />8. <br />ACC.BV I P�ANS <br />� <br />5 <br />f <br />9EAR YARD S <br />VACANT SITE <br />VES NO <br />NO. OF OWEL <br />MAX. OCC. LC <br />FIRE SPRINKI <br />REOUIRED <br />YES ". NO <br />� <br />MECHANICAL <br />Alq COND. UNITS — H.P. EA. <br />REFRIGERATIOIJ UNITS — M.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FOFCED AIR S1'STEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS _ <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — G.F.M. <br />STCVE — WOOD <br />METAL FIREFLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />1 <br />FEE <br />SUBTOTAL S 4 <br />PERMIT S <br />TOTALFEE 5 14 <br />; NU1dBER PLAN CHECK FEE <br />FEE REGEIPT N0. <br />FEES � VALUATION � FEE <br />BUILDING <br />PLUMBING <br />MEGHANICAI <br />OTHER <br />PENALTV <br />TOTAL <br />S <br />14 I 50 <br />14 � 50 <br />PERMIT VALIDATION � ��� ��J ` �� � <br />WHEN PROPERLY VALIOATED QN 1HI � THI yU�� ir— <br />�.(�i <br />;: ��R RE-CEIPT� <br />ISSUANCE BY ��'-�,D�NK YO U <br />.,___��:;�� <br />� 9 ��r 83 <br />