Laserfiche WebLink
'�� C'�NSTRUCTION - <br /> everett PERMIT PERMIT NL. 19116 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION O BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OMMER <br /> MAILADORE55 CITY ZIP PNONE <br /> Gwen Reyer 219 48th St. SW Everett, WA 98203 252-7873 <br /> APq+ITECT ON UESIGNER <br /> MAIL AODFE55 CITY 21P PMONE <br /> OENEML CONTRACTOF <br /> MAILFDDRESS dTY 21P PHONE UCENSE• <br /> COZYH**157KW <br /> MLCH�NICnLCONTRAGTCF <br /> MMLAOOREiS CITY 21P FNONE LICENSEI <br /> Cozy Heating 20221 67th Av'e . NE Arlington� WA 98223 435-440or+e LICENSE� <br /> PLUMBIN6CANTNACTOR MA.�AO�RE`.5 CITV Z�P <br /> CUS.OF WORK <br /> ❑ MEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION � BUIIDING RELOCATION <br /> VRLUATION OF WORN <br /> s <br /> DESCRIBE WORK <br /> Convert furnace to gas, replace elec. water heater with gas one. <br /> MEATSOUNCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOYE ❑ OTMEH <br /> movoseouseoreuaoir+c 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Single family residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCHIPTIONOfRiOVEHTY�SHO�'BE�OWORATfACHFOURCOPIES) CORRECT. ALL PROVISIONS OF LAVYS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT�_BLOCK _� OF WHETHER SPECIFIED HEREIN C%� 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 /> THc PERFORMANCE OF CONSTR CTION. I <br /> JOB�DORE55 SIGNP URE F CEMRACTO[i,AUTHOfl ED NT,OR OWNEH OFTE p, I <br /> 219 48th St. SW X �✓�l. �1�� o I <br /> PLUMBINl3 ' MECHANICAL _ � <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TIPE OF EOUIPMENT FEE 'I <br /> WATER CLOSET(T�ILET) A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORY(WASH BASIN) BOILERS—B.T.U./H.P. <br /> SHOWER GAS FIRED A.C.UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. 1 FOPCED AIR SVSTEMS—B.T.U. M EA. � OO <br /> DISHWASHEP WAILHEATEFS—B.T.U. M <br /> LAUNDfiV TRAY UNIT HEATERS—B.T.U. �� <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> CLOIHESDRVERS <br /> URINAL <br /> ORINKING FOUNTAIN VENTILATION FAN <br /> I�LOOR DRAIN � RANGE HOOD <br /> I IACKFLOW PRcVENTEFS 1 WATER HEATER E� S O <br /> IIOOF DFAINS—RA�NLEADERS WOOD STOVE <br /> SI VK(SERVICE—BAR,ETC.) METAL FIREPLACE 6 CHIMNEV <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL f SUBTOTAL LS SO <br /> PENMIT S PENMIT 15 00 <br /> TOTAL FEE f TUUI FEE 3 Q S O <br /> FRONTSETBAGN <br /> nEAF SEiBnCK Si�E SEiOnCN P�AN CHECK NUMBEA FEE RECEIPT NO. <br /> USE20NE IOTAREA VALANTSITE FEES ..VALUATON'�i �.f��'I !ii�Ui .�pE+���E i.�i ''�:. <br /> ❑YES ❑NO <br /> BUILDING $ 30 50 <br /> TVPEOFWNST. OCCUPANCYGROUP NO.OFOWELLINGUNITS - <br /> PLUMBING - �.=���1 <br /> SREOFBLOG. NO.OFSTORIES MA%.00C�LO/D ����?'�i`�'�. i <br /> MECHANICAL ,.,�, <br /> INVESTIGATION FEE i��s4�;�le) :n�„'vO <br /> FIRESPRINKIERSREOUIRED ❑YES ❑NO STATE BUILDING SURCHAflGE <br /> STATEENERGYSURCHARGE <br /> APPLICATION�CL.BY PLANSCHECKEDBY APPR.FOflISSUNNCElJ'f <br /> DRIVEWAV PERMIT <br /> TOTA�- 30 50 <br /> S .H. <br /> PEHMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE)THIS IS VOUR PERMIT CQ <br /> �� <br /> !� <br /> Q� <br /> �� <br /> n.:,�iEss Fu_� <br />