Laserfiche WebLink
� <br /> `�� '� �'`7NSTRUCTION � '' C <br /> ever ett PERMIT PERMIT NQ; _ � 931 J <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING L$ MECHANICAL � PLUMBING ❑ SI�N <br /> ONNEH MRIL�DDRE55 CITY ZiP P110NE <br /> Alma Halstead 6924 �& Olvmpic I�. Everett, WA 98203 353-4984 <br /> 11RCHITECTORDESIGNER MRILADDRE55 CITY 21i PHONE <br /> GENEMLCONTR�CTOq MRILADDRE55 CITY 21P MONE LICENSE� <br /> Seattle Firenlar.: Shop 5612 �erareen Way Everett, Wa 98203 353-3722 SEATTFS2622�II�1 <br /> MEGXANICAL CONTR�CTOR MAIL ADDRE55 dTY 21P PHONE LICENSE� <br /> PLUMBINGCONTA�CTOR M�II�DORESS CITY ZIP PMONE LICENSE� <br /> � <br /> C1A550F WONN i <br /> ❑ NEW ❑ AOOITION ❑ ALTERATON O REPAfR ❑ DEMOL�^�N ❑ BUILDIN6 RELOCATION <br /> i <br /> VALW�ION OF WORR � <br /> f 619.95 <br /> DESCRIBE M/ORK <br /> Install stainless steel liner in chimney <br /> NEATSOURCE <br /> ❑ ELEC7RICITY ❑ 6A8 ❑ WOODSTOVE ❑ OTHER <br /> vnovoseo use or euaort+c <br /> Sinqle family ��Fsidence I HEREDY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEA11lDESCRIPTIONOFPROPENTY�SNOWBELOWORRTTRCNFOURCOPIcS� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_aiocK — oF GOVERNING TH�S TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> FcRM1T DOES NOT PRESUME TO GIVE AUTHOFITY TO <br /> VIOLATE OR CANCEL THE PFOVISIONS OF ANV OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE F CONSTRUCTION. <br /> JOB�ODRESS ;iGNR RE OF COIQ , THO E�A T.OR OK?!ER � DAT <br /> 6924 Olympic Dr. X � / /J'' (f�'�' <br /> PLUMBING ME MAN AL <br /> N0. T'PE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET� A/C—AMNDLG UNITS—H.P. <br /> BATIiTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVRTORY(WASM BASIN� BOILERS—9 T.U.M.P. <br /> SMOWER GAS FIRED A.C.UNITS—B.T.U. <br /> KITCHEN SINK a DISP. FORCEO AIR SVSTEMS—B.T.U. M EA. <br /> DISMWASHER WALLHEATERS—B.T.U. M <br /> UUNDRVTRAV UNITHEATERS—B.T.U. M <br /> CIOTNES WASHER EVAPORA7IVE COOLERS <br /> URINAL CLOTMES DRVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BRCKFLOW PREVENTERS WATEH HEATER • <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE <br /> SINN(SERVICE—BAR,ETC.) METAL FIREPLACE 8 CHIMNEV 3 O <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUB TOTAL f BUB TOTIIL <br /> PEHMIT f PEIIMIT <br /> TOTALFEE f TOTAIFEE <br /> FRONT SET6�CN RERR SETB/CK SIOE SETBRCN p�qN CMECK NUMBER FEE RECEIPT NO. <br /> USEZONE LOTnREA <br /> vncnNrsire FEES VAWATION FEE <br /> ❑YES ❑NO <br /> TYPEOFGON51. OCCUPqNCYGROUP NOOFDW[LLiNGUNITS BUILDING S <br /> PLUMBING . � - . __ _ . ., � '- ' � <br /> SRF OF BLDG. NO Oi FTOAiES MAR OCC LOAD <br /> MECHANICAL <br /> INVES7IGATIONFEE �.�.Set.3041e) <br /> FIPE SPRINKLERS REOUIRED ❑VES ❑NO <br /> STATE BUILDING SURCHARGE � <br /> STA7EENERGVSURCHARGE <br /> �PPLIC�TION RCC BY 1'L/.NS CMECNED BY pPVR FOR ISSUANCE BY <br /> DRIVEWAY PERMIT <br /> S.H. TOTAL 3U 00 <br /> PEHMIT VALIO�TION <br /> WHEN PROPERLY VALIDATEO(IN THIS SPACE�THIS IS VOUR PERMIT <br /> �7 <br /> !� <br /> �� <br /> Q� <br /> �� <br /> aor,r�ss �i,.e <br />