Laserfiche WebLink
rr <br />I� <br />v <br />L <br />theG�•�elTYr�en �-- CONSTRUCTIO•I <br />everett PERMIT PERMIT N0. 12473 <br />CITY MALL 2598745 <br />EVERETT, WA g8201 ❑ COMBINATION ❑ BUILDING X� MECHANICAL ❑ PLUMBING <br />�WNER MAIL ADDRESS CITV ZIP PHONE <br />i.ARRY � SIfSAN HAii 1pd0 ('randv' � F�PrQrt lUA QA7n¢ S 4Q56 <br />ARCMITECT OR OE'`IGNEN M�IL AD�PE55 CITY � 21P PMONE <br />GENERAL CONTRRGiOR MAIL ADDRE55 GITY 21P PHONE LICENSE � <br />MECH�NICRL CON�RACTOR MAI� ADORESS CITV ZIP PHONE UGENSE � <br />Same <br />PIUMBING CONTRAGTOR MFIL qODRESS CITV 21P PMONE IILENSE R <br />�A NEW ❑ ADDITION ❑ ALTERAiION ❑ qEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSEHT <br />OF WORN <br />f <br />DESCRIBE WURK <br />Install freestanding wood stove <br />sidence <br />LOT�BLOCN _OF <br />Grandview Ave <br />PLUMBINO <br />WATEF CLOSE7 (701LE7) <br />BATHTUB <br />LAVATORY�WASHBASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHEP <br />LAUNDRVTRAY <br />CLO7HES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM B(7EAKERS <br />ROOF DFAINS — RAINLEADE <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />TOTAL <br />si[t Vr tlWG. NO. OF STORIES <br />FIRE ZONE BASEMEN7 <br />APPROVALS <br />t. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br /><. FIqE PFOTECTION SYSTEM <br />L S.GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTAL!MPACTSTATEMENT <br />B. MEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BV <br />S <br />S <br />[:YES _:NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNCW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WiLL BE COMPIIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTFUCTION OH THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNAiUR OF LONTRAGiOR ORyan,9� 12 R,q�N D4T <br />X . , _ .,,, ._ % /��l/� 9/28�83 <br />FEE N0. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVS7EM5 — B.T.U. M EA. <br />WALL HEA7ERS — B.T.U. M <br />UNIT MEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIPEPLACE 8 CMIMNEY <br />FIREPLACEINSER7 <br />DATE <br />BUIIDMG <br />PIUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE f <br />PIAN CI <br />FEE <br />VALUATION <br />5 <br />(a) <br />FEE <br />RECEIPT h0. <br />FEE <br />ror�� � � 17 � 50 <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDATED (IN TMI � 1 5 9) *MIS�y0�1F�PF�iA�IT—(Y'}� <br />U�rSU <br />`� 1' <br />iV <br />;'OUR RECEIPT�'� <br />TH,��e You <br />ADDRESS FlLF. <br />27� 83 <br />� <br />1� <br />�� <br />