Laserfiche WebLink
n <br />� <br />!NP£YC�YPOF �- ^,ONSTRUCTI01� <br />everett PERMIT PERMIi NO. 12308 <br />CITV HALL 259�8745 <br />EVERETT, WA 98201 ❑ COMBINATION I� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILADDRE55 CITY ZIP PHONE <br />Everett Golf and Country Club 5924 Colbv <br />CACMITECT �R OESIGNEN MAIL ADDRE55 CITY 21P PNONE <br />GENERALGONTRACTOR MAILAD�flE55 CITY ZIV PHONE L'CENSEI <br />Grow and Son 11409 Highway 99 South Everett 98204 355-9829 <br />MF.CHANILAL CONTPACTOR MAIL AODRESS CITY ZIP PHONE LICENSE / <br />� GROWSi71D9 <br />PLUMBING CONTRACTOR MAIL AODRESS CITY ZIP PMONE LICENSE II <br />S <br />❑ NEW ❑ ADDITION O ALTERATION ❑ PEPAIR jj,.�DEMOLITION � FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />Demolish stor <br />LOT__BLOCK_OF <br />-`s-�iit--cc'rw y <br />PLUMBING <br />NO. TYPE <br />WATER CLOSE <br />BATHTUB <br />shed <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 i1F 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 C041STRUCTION OR THE <br />,5 O d S� �'—� <br />FIXTURE OR ITEM <br />(WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 01: <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />UPINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />AOOF DRAINS - '4�NLEADERS <br />SINK ISERVICE - 13AFt, ETC.) <br />SUB TOTAL <br />VEHMIT <br />TOTALFEE <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILOING I LANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SVSTEM <br />5. GFADING <br />' B.DRAINAGE <br />7.ENVIRONMENTALIMPAGTSTATE� <br />8. HEALTH DISTRICT <br />aPPLICATION ACC. BY PLANS <br />OR <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />AIR GOND. UNI75 - H.P. EA. <br />REFRIGERATIOP! UNI7S - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS fIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.7.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />i <br />f <br />S <br />VACANT SITE <br />;YES i:NO <br />MA%. OCG. <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />FEE <br />FEES <br />LING UNITS <br />BUILDING $ <br />IAD <br />PLUMBING <br />.ERS MECHANICAL <br />UATE �THER <br />PENALTY � <br />S <br />TOTAL <br />onre <br />FEE <br />� <br />S <br />S <br />:HECK FEE <br />RECEIPT NO. <br />VALUATION � FEE <br />PENMIT VALIUATION <br />WHEN PROPERLY VALIDATED (IN TF�$,$�A�E) THI�I�Y�QI�i ��11T �] <br />Uib UU U `� <br />M <br />N <br />YOUR RECEIPT � <br />THANIC YOU <br />ADDRESS FILE <br />- 9 nt� 83 <br />