Laserfiche WebLink
`�� C7NSTRUCTION qpA <br /> everett PERMIT PERMITNQ;=- I O4S� <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COM8INATION ❑ BUILDING � MECHANICAL ❑ PLU�iBIHG ❑ SIGN <br /> ONNER MAR RDDRES$ CITY ZIP �ONE <br /> Ethel M. Mount 2119 Grand #3 Everett, WA 98201 252-1942 <br /> ARGHITECT OR DESiGNER MAIL ApDRESS C�TY 21P PMONE <br /> GENEA�LCONTR�GTOR MqLADOAESS CITY ZiP PMONE LICENSE� <br /> Owner <br /> MECHANIC�LCONTRAGtOA M�IL�UOAE55 CIiY 21P �MONE UCENSE� <br /> PLUMBING CONTH�CTOP MRIL RUDRESS CITV ZiP FMONE LIGENSE� <br /> CUSS Oi WORK <br /> ❑ NEW C�ADDITION ❑ ALTERATION ❑ REPAIR O DEMOLITION ❑ BUILDING REIOCATION <br /> VALU�TION OF WORK <br /> { <br /> pESGRIBE WOi:K <br /> �[KK Inspect woodstove <br /> HE�T 50UPLE <br /> O ELECTRICITY ❑ GAS ❑WOODSTOVE ❑ OTHER <br /> VROVOSEO USE OF BUILDING <br /> Wplex I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�LCESCRIPTIONOFPROPEPTY�SMOWBEIOWONRTTACHiOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WURK WILL BE COMPLIED WITH <br /> LOT_BLOLN � OF WHETHEa SPECIFIED HEFE�N OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESI'ME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS Of ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTIQN. <br /> JOB AO^RE55 GtGNATURE Of CONTBRLiOR.AUi110RIZED FGENT.OR OWNER DATE <br /> 2108 Grand hve. X � ��-" `� ' � -� i - �•S 2� 7 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT �E <br /> WATER CLOSET�TOII'_TI A/C—A/HNOLG UNITS—HP <br /> PATHTUB NEFRIGERATION UNITS—H P.EA. <br /> LAVATORV�WASM OASIN) BOILEFS—B TL MP. <br /> SMOWER GAS FIRED A�C.UNITS—D T.U. <br /> KITCNEN SINK 8 DISP. FORCED AIR SVSTEMS—0 i U. M EA. <br /> DISMWASMER WALLHEATERS—BT.U. M <br /> LAUNDNV TRAV UNIT MEATERS—B iL. M <br /> CLOTHES WASHER E\'AP0�7AT��E COOLER$ <br /> URINAL CLOTHESORYERS <br /> ORINKING FCUNTAIN VENTIIATION FAN <br /> FLOOR DRAIN RA7JGE HOOD <br /> BACKFLOW PREVENTERS WATER MEATER • <br /> ROOF ORAINS—RAINLEADERS 1 �'dOOD STOVE 3O OO <br /> SINK�SERVICE—BAR.ETC.) METAL FIREPLACE 8 CHIMNEV <br /> PIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUB TOTAI f SUB TOTAL 3O OU <br /> PERMIT f 7EflMIT <br /> TOTAL FEE f TOTIIL FEE .1O OO <br /> vRor+i SETBnCK eEnA 5E*BncK SOE SETBncK PLAN CHECN NUMBER FEE RECEIPT NO. <br /> USE 20NE LOT AREA yp�qNT SITE - <br /> ❑res ❑No FEES -,YALUATION . �- E�,� , . <br /> tYPEOFCO'15T OLCUPANCYGROUP NOOFDWEILINGUNIT$ �UILDING S , <br /> �I I!.iJi 1;�.L. <br /> PLUMBING ,_�,i .. � �,-, <br /> SIZE OF BLDG NO OF STORIES 61R% OCC LORD — -�-- <br /> MECHANICAL (_;{�(}; i�' 1.;;�7 30 0 <br /> INVESTIGATION FEE Sec.304(e) <br /> FIRE SPRINKLERS REOUIREU ❑�ES ❑NO .�_ STATE BUILDING SURCMARGE <br /> STATEENERGI'SURCHARGE <br /> RPPLICRTION ACC �Y PLANS CM[CKED OY APPR FOR ISSl1ANCE DV <br /> DFIVEWAV PERMIT <br /> TOTAL 30 00 <br /> S.H. <br /> PERMIT VALIDIITION <br /> WNEN PROPERLV VALIDATEO(IN THIS SPACE)THIS IS VOUR PERMIT �, <br /> � <br /> �' <br /> � <br /> r� <br /> i•.C'DIIL>$ (iLE <br />