Laserfiche WebLink
�dr £�•erAreen �� p N ST R U CT l 0� . <br />everett PERMIT PERMIT NO. 16625 <br />CITV HALL 259�87A5 <br />EVERETT. WA 98201 ❑ COMBINATION ❑ BUILDIN� � MECHANICAL ❑ PLUMBING <br />OWNER MAILADDPE55 GITY ZIP PHONE <br />Mental Health Services 2717 Rockefeller Everett, WA 98201 252-1122 <br />ARGMITECT OR OESIGNER MAIL AODNESS CITY ZIP PHONE <br />GENERAL CONTRICTOH M41L ADDRESS CITY ZIP PNONE 4CENSE II <br />MEGHANICA� LONiRAGTOR MAIL ADORE55 CITY 21P PNONE LICENSE / <br />Valley Natural Gas 11323 Aighway 99 Everett, WA 98204 355-7730 VALLENG 153 LI <br />PLUMBING GONTRACTOR MAIL ADORE55 CITY ZIP PMONE LICENSE 1 <br />O NEW C]�ADDITION ❑ ALTcRATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFIFIREPLACE INSER7 <br />s 1,429.36 <br />LOT _ BLOGK <br />�7�t Rockefeller <br />PLUMBING <br />TYPE OF FIXTURE OR <br />WATER CLOSET (701LEn <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 �ISP. <br />IAUNDRVTRAV <br />CLOTHES WASH.!1 <br />WA7ER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKEHS <br />ROOF ORAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />PERMIT <br />TOTAL FEE <br />SIZE OF BLDG. NO. OF STORIES <br />FIRE ZONE BASEMENT <br />APPROVALS <br />1. ENVIRONMENTPL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6.DRAINAGE <br />7.ENVIRONMENTAUMPACTSTATEMENT <br />B. HEAL7H DISTRICT <br />APPLICATION ACC. BY PLANS CHECN <br />FOUR <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLI��ATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVEPNING THIS TYPF 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 VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORrAANCE OF CONSTRUCTION. <br />31GNA10�OF�TRAC.TON OR AUTNO/ D RGENT 5/29/86 <br />X /, �c.� \ 1 _ . . C,f��+.-Qo <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMEN7 <br />AIR COND. UNITS — MP. EA. <br />REFRIGEaATION UNI75 — i1.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAG <br />FORCED AIR SYS7EMS — B.t.U. <br />WALL HEATERS — B.T.U. <br />], UNIT HEATERS — B.T.U. <br />EVAPOPATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — <br />STOVE — WOOD <br />ME7AL FIREPLACE 5 CMIMNEY <br />FIREPL4CEINSERT <br />HEAT PUMP <br />1 water heater <br />S <br />S <br />S <br />REAR YAR� SETBACK PLPN <br />VACANT SITE <br />..YES i�.NO <br />MA%. <br />YES NO <br />BY DATE <br />BY IAPPR. <br />BV <br />SUB 70TAL <br />PERMIT <br />TOTALFEE <br />EA. <br />M EA. <br />M <br />M <br />C.F.M. <br />FEE <br />FEES VALUATION <br />rte <br />4 <br />2 <br />s 12 <br />f 10 <br />S 22 <br />CHECK FC-E <br />RECEIPT NO. <br />FEE <br />BUILDING S <br />PLUMBING <br />MECHANICAL 22 SO <br />OTHER <br />PENALTY U.B.C. <br />SEC. J09 la) <br />TOTAL ZZ �D <br />PEHMiT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT l(� <br />N <br />i.� <br />i.C� <br />i'--3 <br />%rat�.sa�-�,�� D�7D <br />ADDRf55 f-ILE <br />