Laserfiche WebLink
r�E��� <br />arv oF <br />everett <br />259-8745 <br />'�`' t'�NSTRUCTION � '�°' pC <br />PERMIT PERMITNQ: � ��`�`� <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL 'O PLUMBING ❑ SIGN <br />OWNER MNLAO�(IESS CITY ZIP PHONE <br />Everett Golf and Country Club 1400 52nd St Everett, WA 98201 <br />ARCHITECT OR pE51GNER MAIL PD�fiESS CITY ZIP PNONE <br />GENERALLONTflACTOR <br />IAAIL AODflESS <br />M/ IL ADORE55 <br />4 <br />CITY ZIP PMONE LICENSEM <br />PLUMBING CONTRACTOR MAIL ADDRESS QTY 21P PMONE LILENSE r. <br />Natv.ral Gas Equpment Co. 1625 E Marine View Dr. Everett, WA NATURGE320N6 <br />CUSS OF WpRK <br />❑ NEW ❑ ADDITION [� ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WOPK <br />�ESCRIBE WORN <br />Install gas pipe and 3 builders <br />❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Golf club and restaurant <br />LOT _ BLOCN _ <br />1500 52nd St. <br />PLUMBING <br />NO. TVPE OF FI%TURE OR ITEM <br />WATEF CLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />BACKFLOW PREVENTEFS <br />ROOF DRAINS — RA W LEAOEFS <br />SINK (SERVICE — BAR, ETQ) <br />oF <br />SIZE OF B�DG <br />pPPLICATIONACC OY <br />:l.M. <br />SUBTOTAL <br />PEHMIT <br />TOTAL FEE <br />OCCUPANLYGROUP <br />NO OF STOIU@S <br />PLPNS CMECKED NY <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 />GOVEANING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SP[CIFIED HEREIN OR NOT.'fHE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL TH[ PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE F'ERFORMANCE OF CONSTRUCTION. <br />SIGNATUAE OF CONTRACTOR, AUTHOP12ED AGENT. OR OWNER DRTE <br />x <br />FEE NO. TYPE OF E�UIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />FEFRIGERATION UNITS — H P. EA. <br />ea�eAs—e.r.u.iH.P. ;,70M BTU ea <br />GAS FIRED A�C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALLHEATERS—BTL. M <br />UNITHEATERS—BS.U. M <br />EVAPORATIVE COOLERS <br />CLOTIIES DRYERS <br />VENTILATION FAN � <br />RANGEHOOD <br />WATER HEATER • <br />WOODSTOVE <br />METAI FIREPLACE 8 CHIMNEY <br />FIFEPLACEINSERT <br />HEAT PUMP <br />X GASPIPING <br />E%HAUSTFAN <br />� <br />S <br />S <br />SI�E SETBnCN <br />VACANT SITE <br />❑YES ❑NO <br />NO OF OWELLING UNITS <br />MA%.00C LOAD <br />nrnn FORISSUANLEDY <br />PLAN <br />9UILDING <br />PLUMBING <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />;NUMBER FEE <br />FEES VALU <br />5 <br />MECHANICAL <br />INVESTIGATION FEE <br />STA7E BUILDING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAY PERMIT <br />Sec.304(c� <br />RECEIPT NO. <br />-r_ <br />FEE <br />T07AL I I <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDATE� (IN THIS SPACE) THIS IS VOUR PERMIT <br />F;;�!i;ESS FILE <br />82�50 <br />in <br />�- <br />N <br />rn <br />� <br />