Laserfiche WebLink
�� <br />GTY OF <br />everett <br />259-8745 <br />� (`7NSTRUCTION �- "1 � p/� n <br />PERMIT PERMITNQ:=•� o`��J <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ P�UMBING O SIGN <br />OVMER <br />MAILr10�RES5 CITv ZiP PMONE <br />Renwick Q Congdon 5010 Ocean Ave Everett, WA 98204 <br />ARCHITECT OP DESIGNER MAIL AUORE55 GITY ZIP PMONE <br />GENEMLCONiR�CTOR MAI�AD�PE55 CITV Z�P PNONE LIGENSE� <br />1�k�uct� Natural Gas Equipment 1625 E Marine View Dr. Everett 98201 258-2441 NATURGE321K4 <br />MECHRNIUICONT�AGtOR MAILADDRE55 QTY 21P VHONE LICENSE• <br />PLVMBING CONTRAGTOA MAIL ADDRESS CITY 21P PHONE LICENSE � <br />;LASSOF WORK <br />❑ NEW C� ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATI <br />gas pipinq, gas range, hot water heater <br />❑ ELECTPICITY ❑ GAS <br />�ROPOSEO USE Oi BUILOING <br />Sinale familY residence <br />LEGAL DESCRIPTION OF PROPERTY ISMO W BELOW OR A1 <br />LOT _ BLOCK _ OF <br />JOB ADDi1E55 <br />5010 Ocean Ave <br />PLUMBING <br />wtf TYPE OF FIXTURE OR ITEM <br />WATEH CLOSET (TOILET� <br />BATMTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />NITCHEN SINK 6 DISP. <br />DISHW�SHER <br />LAUNDRYTRAV <br />GLOTHES WASHER <br />FOUNTAIN <br />BRCKFIOW PREVENTERS <br />ROOF DHA�NS — RAINLEP <br />SINK �SERVICE — BAR. E? <br />TOT�L <br />� WOODSTOVE ❑ OTHER <br />TOTAL FEE f <br />TYPE OF CONST. I vwurnn�. u,.vu,- <br />SIZEOFOIDG NOOFSTORtES <br />FIRE SPRINKLERS REOUIRED O YES ❑ NO <br />APPLICRTiONACC DY PLANSCMECN[D�Y <br />M.M. <br />FEE <br />iEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS <br />..PPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS 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 PRESUME TO GIVE AUTHORITV TO <br />VIOLATE OR CANCEI THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTt;UCTION OR <br />THE PERFO MANCE Oq�F CONSTRUCTION. <br />�GNAtUP;0I�q0.� � .d ' RiZEDAGENT.OROWNER ���0 nr { <br />/1 7 % lJ <br />TVPE OF EOUIPME <br />A/C - A/HNDLG UNITS - HP. <br />REFRIGEiiATION UNITS - H.P. EA. <br />BOILERS - B.T.0 /HP. <br />GAS FIRED A.G UNITS - B T.U. <br />FORCED AIP SYSTEMS - BS.U. <br />WAIL HEATERS - B.T.U. <br />UNIT HEATERS - B T.U. <br />EVAPORATIVECOOLERS <br />CLOTHES�RYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER MEATER • <br />WOOD STOVE <br />METAL FIFlEPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />� GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />SEtBncK PLAN CHECN NUMBER FEE <br />S T OTNO FEES �A�� <br />a,; ��, <br />OFDWELLINGUNITS �UILDING <br />MA% OCC <br />ISSU�NCE BV <br />FLUMBING <br />MECNANICAL <br />INVESTIGATION FEE <br />STATE 6UILDIIJG SURCHARG <br />STATEENERGVSURCHARGE <br />DRNEWAYPERMIT <br />M EA <br />M <br />M <br />l+J�l��Yi�1�7 <br />Sec.3o41e) <br />28 <br />TOTAL I I 28 �00 <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDATED (IN THIS SPACE) TMIS IS YOUR PENMIT �' <br />N <br />rJ' <br />� <br />� <br />r.;'��?i �s i'�� E <br />i <br />