Laserfiche WebLink
!hr Erercrren <br />everett <br />CITV HALL 259�B7d5 <br />EVERETT, WA gg201 <br />�`�' '"`CONSTRUCTIO� <br />PERMIT <br />❑ COMBINATION ❑ BUILDING C�''XMECHANICAL <br />PERMIT NO. 1�2g,�3 <br />❑ PLUMBING <br />01YNER MNIL ApORE55 GITY 21P PMONE <br />New Life Center 6110 Colby Everett 98203 355-9330 <br />ANCMITEGT OR OESIGNEF MAIL AODPE55 CITY ZIP PHONE <br />GENERAL CONiHRLTOR MAIL AD�RE55 CIiY ZIP PMONE LILENSE � <br />A-1 Construction 711 356th Avenue South Federal Way 98003 <br />MECHFNICRL CONiRA�TOR MPIL ADDRE55 dTY 21P PHONE LICENSE � <br />PLUMBING CONTRqCTOP MAIL AD�RESS CITY ZIP PMONE LI�ENSE � <br />❑ NEVJ ❑ ADDITION ❑ HL7ERAilON ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />s <br />OESCRI9E WORK <br />L07_BLOCK_OF <br />JOdA�DRE55 <br />6830 <br />PLUMBING <br />TYPE OF <br />Drive <br />BATHTUB <br />LAVATORV�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />UISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />\NATER HEA7ER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />POOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR, E7C.) <br />PERMIT <br />TOTAL FEE <br />SIZE OF BLDG. NO. OF STORIES <br />FIRE ZONE BASEMENT <br />APPHOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIPE HYDRPNT <br />a. FIRE PROTECTION SVSTEM <br />5. GRADIN� <br />6. DRA�NAGE <br />/.ENVIFONMENTALIMPACTSTATEMENT <br />e. HEALTH DISTFlIC7 <br />APPUCATION ACC.BY PLANS CHECKED BV <br />FEE <br />� <br />S <br />5 <br />REAR YARD SETE <br />VACANT SITE <br />YES . NO <br />N0. OF DWELIIN <br />MA;(. OCr, LOAD <br />BY <br />APPR.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 PHOVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME70 GIVE AUTHORITYTO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STA'fE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERF05MAl�iCFi OF CONSTRUCTION. <br />AUTMOR12ED AGENi �ATE <br />�jj 12/21/84 <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA, <br />FEFPIGERATION UNIiS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />1 FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALI. HEP.TERS — B.I'.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />3 VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />SiOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREP�ACE INSERT <br />HEA7 PUMh <br />BUILDING <br />PLl1M81NG <br />MECHANICAL <br />OATE OTHER <br />PENALTV <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />f <br />FEE <br />VALUATION <br />S <br />S 21 00 <br />s 10 00 <br />s 31 00 <br />�HECK FEE <br />RECEIPT NO. <br />FEE <br />31 00 <br />TOTAL I I 31 I 00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIOATED (IN TMI6 SPACE) THIS-IS YOUR PERMI i � <br />— Q7 <br />N <br />�' <br />i �"� <br />ADDRESS fIL[ <br />