Laserfiche WebLink
the Eve�green <br />CITY OF <br />everett <br />259-8745 <br />�'` �NSTRUCTION ��, '` <br />PERMIT <br />PERMIT NU. � U r• S 4 <br />❑ DEMOLITIUN ❑ COMBINATION ❑ BUILDING Ca] MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILAOORE55 CITY ZIP PHONE <br />Timothy Al1en 5011 27th Ave W. Everett, WA 98203388 348-5171 <br />pRCHITECTORpE51GNER MAILADORE55 CITv ZIP PHONE <br />GENERALCONTRACiOR MAILAODflESS CItV ZIP PHONE LICENSf� <br />MECMANICNLCONTRAGTOR MrlILA0DRE55 CITY 21P PMONE LICENSEM <br />Valley Natural Gas 11323 Hwy 99 Everett, 47A 98204 355-7730 Yaiie�Caga VALLEYNG153LI <br />PLUMBING GONTRACTOii MAIL AODRE55 CITV ZIP PNONE LILENSE • <br />GLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR <br />VA WATION OF WORN <br />S 2,054.99 <br />DESCHIBE WORK <br />Install furnace/water heater <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />Single family residential <br />.EGAL �ESCRIVTION OF PROPENTV (SMOW BELOW OR A <br />�OT _ BLOCK _ OF <br />OB A�DRESS <br />5011 - 27th Ave w. <br />PLUMBING <br />NO. TVPE OF FIXTURE OR ITEM <br />WATEH CLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWEF <br />KITCIIEN SINK & DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEA�E <br />SINK (cERVICE — BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />AREA <br />TYPE OF CONST. I OCCIIPANCY GROIIP <br />SIZE OF BLDG. <br />M.M. <br />VACANT SITE <br />❑ YES ❑ NO <br />NO. Oi OWELLI <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <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 />WHETH[R SPECIFIED HEREIN UR 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 />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUqEOFCONt(iACTOC�AUlHOR12EDAGENT.ORqWMEH OATE <br />�. � <br />X ;��� -r t !'! ''1 �i1 ; ( � . G �-� f 4 <br />FEE NO. TYPE OF EOUIPMENT <br />A/C —.4/HNOLG UNITS — H.P. <br />REFRIGERATION UtJlTS — H.P. EA. <br />901LERS — �.T.0 MP. <br />GAS FIREO A�C. UNITS — 8 T.U. <br />1 FORCED AIR SYSTEMS — B T.U. ZOQ� EA. <br />WALLHEATERS—B.T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVECOOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />1 WATER HEATER <br />WOODS70VE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />OCC LOAD <br />CHECHED BY I APPR F�� ISSUANCE BV <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />FEE <br />SUBTOTAL ],$ 5Q <br />PEHMIT f LS OO <br />TOTALFEE <br />FEE RECEIPT NO. <br />�7tii0�/6i' ' :? i'�I Oi]lGaJ5:3 B:K.k� <br />VALUATION FEE <br />�!CD�18284 <br />yi(� uU�f <br />I�li�l.�� ��'��JU <br />30 50 <br />INVESTIGATION FEE <br />STATE BUIIDING SURCHARG <br />S7ATEENERGVSURCHARGE <br />DRIVEW.IY PERMIT <br />Sec.304�e) <br />TOTAL I I 30 I50 <br />PEHMIT VALIDATION <br />WHEN PflOPERLV VALIDATED (IN TIiIS SPACE) THIS IS VOUR PERMIT <br />�� <br />� <br />N <br />O� <br />� <br />r�i;U:�E_;�_ ,,, <br />