Laserfiche WebLink
r��,��r«,� <br />CIT"�F <br />everett <br />259-8745 <br />- t'"7NSTRUCTION - �- p <br />PERMIT PERMITNO. � 78U� <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING Q MECHANICAL � PLUMBING ❑ SIGN <br />ONNER MBILI.ODPE55 LITV ZIF PMONE <br />Marilyn quincy 4923 Vista P1. Everett <br />ARCMITEGT OR OESiGNER MAIL RDORE55 CITY Z�P PHONE <br />OENER�LGONTR�CTOR M�itnD�RE55 CiTv ZIP PHONE LILENSE• <br />MECH�NIL�� CONTP�CTOR MRIL ADDRE55 CITY ZiP �HONE IICENSE � <br />RUMBING CONTR�CTOR MRIL RpORESS QTY 21P A�ONE LiCENSE � <br />Trakar Plumbing 2923 Silver Erest Dr. Bothell 98012 337-1717 TRAKA**154LP <br />CLr1S50F WORN <br />❑ NEW g7 ADDITION ❑ ALTERATION � REPAIR <br />VAW�TION OF WORN <br />{ <br />DESCN�BE VMJRN <br />Fire repair + hath addition <br />HE�TSOUPCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />Single fmaily residence <br />IIPTION OF VROPERTY ISHOW DELO W ON ATTp <br />LOT _ BLOCN _ OF <br />Vista P1. <br />PLUM81N6 <br />TYPE OF FIXTURE OR <br />WATER CLOSET (TOILET� <br />BATNTUB <br />LAVATORV(WASM BHSIN� <br />SHOYIEF <br />KITCMEN SINN 8 OISP. <br />LAUNDRYTpA`: <br />CLOTHES WA511EH <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />RfJOF ORAINS — RAINLEAOER� <br />SINK �SERVICE — BAR. ETC.� <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />OFCONST � OCCU40NCYGROUP <br />SiZEOF�LDG � No <br />pPPLIGRTIONPCC OY <br />iWi <br />PLANSCNECNEDDY <br />VnCANI SITE <br />❑YES ❑NO <br />MAN OCL LOFD <br />❑ DEMOLITION <br />❑ orHen <br />❑ BUILDIN6 RELOCATION <br />I HEREBY CERTIFY THAT I HAVE HEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO 8E TRUE AND <br />CORRECT. ALL PRQVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT THE GRAhTING OF A <br />PERMIT DOES NOT PRESUME TO I,IVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTqUCTION OR <br />THE PERFORhS,�NCE OF CONSTRUCTION. <br />SIGJATUGf 9f CONTRACTDR. AMIHORRE� RGENT. OR ONMER DATE <br />I.1 <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />!./C — qiHNDLG UNITS — H A. <br />REFRIGERATION UNITS — H P. EA. <br />BOILERS — B T.0 /H P. <br />GAS FIRED A C. UNITS — B TL. <br />FOPCED AIR SYSTEMS — OSL. M EA. <br />WPIL MEATERS — B T.0 M <br />UWTHEATERS—B.T.0 M <br />EVAPORATIVE COOLERS <br />CIOTHESDRVERS <br />VENTILATIOY FAN <br />RANGEMOOD <br />WATERl1EATER <br />WOODSTOVE <br />METAL FIREPLACE d CHIMNEV <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />E%MAUSTFAN <br />PLAN CHECK N <br />FE <br />BUI�DING <br />PLUMBING <br />MECHANICAL <br />SUBTOTAL <br />PERMIT 1 <br />TOTALFEE Z <br />FEE PECEIPTNO. <br />VALUATION FEE <br />� <br />45.00 S <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARii <br />STATEENERGVSURCNARGE <br />ORIVEWAV PERMIT <br />���0�1%80� <br />L'HECk 4.6(�.SU <br />TOTAL I I <br />PERMIT VALIDATION <br />WMEN PFOPERLY VALIDATE� QN THIS SPACE) TMIS IS YOUR PERMIT <br />non,,tss t ,� � <br />66 150 <br />