Laserfiche WebLink
�� <br />cin oF <br />everett <br />259-8745 <br />� �'7NSTRUCTION �� <br />PERMIT <br />._- <br />PERMIT NQ: _ � � � O � <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING L� MECHANICAL 'O PLUMBIN1oNE ❑ SIGN <br />MAI� AOO�E55 CITY 21P <br />OWNEP <br />Keith Decker 2531 Monroe, X Ave. Everett, WA 3�55-9211 ZP pHONE <br />•RCHITECT OR OESIGNER MRIL ADORESS � <br />GENERALCONTRNCTOR <br />MAILADO�ESS CITY Z�P VHONE L�CENSE� <br />MECHANICALGONTRAGTOR <br />MRILAODRE55 CITY Z�P PMONE LILENSE� <br />Natural Gas Equipment 1625 E. Marine View Dr. Everet:, WA 9820ZP 888 258-��441 �ICENSE� <br />PLUMBING CONTR�GTOP A1AIL AUURESS <br />NATURGE321K4 <br />CLA55 OF 4 <br />❑ NEW <br />S <br />❑ ADDITIGN C� ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />Install as furnace and water heater. <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE � �THER <br />�pT � BLOCK _� <br />PLUMBING <br />NO. TYPE OF FIXTU <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNORYTRAY <br />CLOTHES WASHER <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />BACNFIOW PREVENTERE <br />ROOF DRAINS — RAWl6 <br />SINK (SERVICE — BAR. E'� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION 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 AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PEFFORMANCE OF CONSTRUCTION. <br />_._.__..__.............mo n��.unnnFnaGENT.OROWNER DATE <br />X <br />pp ��M FEE NO. TYPE OF EOUIPMEN7 <br />qiC — A/HNDLG UNITS — H P. <br />REFRIGERATION UNITS — HP. EA. <br />BOIlERS — B T.0 MP. <br />GAS FIRED A C. UNITS — B.T.U. <br />1 FORCED AIR SVSTEMS — B T.U. M <br />WALL HEATERS — B T.U. M <br />UNITHEATERS—B.7.U. M <br />EVAPORATIVE COOLERS <br />CLOTHE�ORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />1 Wq7EFHEATER • <br />qs WOODSTOVE <br />METAL FIREPLACE 6 CHIMNEY <br />fIREPLACEINSEFT <br />HEA7 PUA1P <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTRL <br />PERMIT <br />SIZE OF BLOG. NO OF <br />FIRE SPRINKLERS REOUIRED ❑ Y <br />APPLIGTION RCC.OV PlANS <br />S.H. <br />yp�ANT SITE <br />❑VES ❑NO <br />MA% <br />SUD TOTIIL <br />PERMIT <br />aui�oiNc <br />PWMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING Sl1RCHARGi <br />STATEENERGVSURCHARGE <br />DRIVEWAY PERMIT <br />E <br />Set. 9o41e) <br />m <br />TOTAL � I <br />PERMIT VIILID�TION <br />WHEN PfiOPERLV VALIDATED IIN THIS SPACE) THIS IS VOUR PERMIT <br />,,,,� , .i �. <br />��� <br />� <br />