Laserfiche WebLink
fhcEvergreen �� C 1N�TRUCiIQ�N �� � � <br />crrv or <br />eVeie�� PE�MIT PERMITNO. ����� <br />259-8810 <br />❑ DEMOLiTION ❑ COMBINATIf1N pr� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OY:NEfl M1�AIL AODRE55 CIiV Z�P PHON[ <br />91st Ave. Assoc IV P.O. B�x 908 Oak Harbor (206) 675-1013 <br />TENf.NT IAAILApOFE55 pliy ZIP PNONE <br />Ank]< & L'oot Clinic <br />FRCHIiECT OR DESIGNER MAIL AOCRFSS CITV bP PHONE <br />Michael Tye Design 1980 112th Ave. NE Bellewe 96004 962-7474 <br />�ENERFLCONTRFCTOP M<ILrI�DRE55 GiY Z�P PHONE LICENSE� <br />WPW Consi. P.O. Box 908 �ak� Oak Harbor 675-1013 WRWCOCI1106C <br />h1ECMFNICALCONTR�CTOH �AAILAOOREfS CITY ZIP PHONE UCENSE• <br />PWMBINGCONTR�GTOfi IAnILA0�PE55 CITV ZIP PHONE IICENSE+ <br />CLA55OF WORN <br />❑ NEW O ADDITION k7 ALTFRATION ❑ REPAIR ❑ DEMOLITION ❑ DUILDING RELOCATION <br />I CONTACT PERSON AND PMONE NO. IF �TMEF THAN FtlOVt <br />CONTRACT PRICE OF WORIC $ 6O � OOO. OO <br />DESCRIBE WORN HND SCUfRE GOOTAGE iNVOLVED <br />TMftXMK Tenant Improvement . _ <br />PROr`OS[D JSE JF OUILOING <br />Medical Office <br />LEGAL C[SC9IPTION OF Pl10PERTY ISHOW PELOW OR AtTALH fOUR GOPIES� <br />lOT— BLOCH— OF <br />�oenooness <br />PLUMBING <br />NO. TYPE OF FIXTUfE O <br />WATER CLOSET (TOILET) <br />BATH�UB <br />LAVATORV(WASHDASIN) <br />SHOWER <br />KITCNEN �iNK 8 CiSP. <br />OIShWASHER <br />IAUNDFVTRAV <br />CLOTHESWASHER _ <br />URINAL <br />ORINKING FOUNTAIV <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />ROOF DflAINS — RAINLEADERS <br />SINI: ISERVICE — BAR. ETG) <br />FRONTSEfBACN <br />USE ZONE <br />B-2 <br />iV1E O�CONSINVCOON Al <br />V-N <br />512[ OF JLDF <br />isoz <br />OGCUPdNC�L09p <br />44 <br />ncnma roa Srnu+K <br />APPLIG�TION ACC <br />S.H. <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />REAfi SETBACN <br />LOTFFEA <br />tYl4 OF CONSIPUCIIaN PCNAL <br />V-N <br />FO OFSTO��ES <br />1 <br />FIRE SPNMNLERS REOO <br />❑ YES [�NO <br />PL4N5 APPROVcO BY <br />J.F7. <br />�S <br />SiDESETpACN <br />CFN1 SITE <br />YE5 C�} NO <br />'�"'d^v ` NO OF J0.EllIYS <br />-2U p <br />'ES C� NO <br />HEiGHT UMITATION <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE I5 <br />3105 <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A/C — NHNOLG UNITS — HP. <br />FORCE� AIR SYSTFMS — B.T.U. M EA. <br />UNIT NEATERS — B'LU. M <br />CLOTHESORYEP.S <br />VENTILATION FAN <br />FlANGEHOOD <br />N/ATER HEATER <br />WOOD STOVE <br />METAL FIHEPLACE 8 CHIA�(f�y. __ .__ , <br />FIRFPIACEINSERT Q�rf-�trrC'; t�c <br />HFAT PUMP <br />GAS PIPING —�uUU�ccu� <br />EXh ��UST FAN ' <br />Sl'3 TOTAL <br />PERMIT <br />PLHNCHECKNUMBER FEE <br />aa/zzzo9 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />CTHER <br />STATE BUILDING SUIiCHARGE <br />STATE[NERGVSURCHARGE <br />PUBLiC wORKS <br />TOTAL <br />WHEN <br />�Z <br />�Y VALIDATED THIS <br />FEE <br />� <br />5 <br />S <br />RECEIPT Nn. <br />Z�9J�J <br />PERMIT <br />PERMITS EXPIRE IF WORK IS NOT (:OMMENCED W':THIN qppR[SS FlLE __ <br />180 DAYS OR CEASES FOR MORE THAN 180 D/�YS. <br />