Laserfiche WebLink
Evaanr� <br />GITV OF <br />'� CONSTRUCTION <br />PERMIT <br />� <br />PERMIT NO. <br />an H�u �sae��s <br />EVERETT' WR 9620� ❑ COMBINATION �} BUILDING ❑ MECHANICAL ❑ PLUMBINO <br />Ml�ll I�VlTLJO <br />Mll �i�r 3221 Horton 71�snt� Shratt 9820t 259-176! <br />ARCHREGT +DESI NER MFIL ADONE55 CITV 21P PMONE <br />GENERAL LONTpAGTOR MAIL A��flE55 CITV 21P PNONE LICENSE M <br />Town & Cauntry Steel Bldqs. 16521 Hiqhway 99 Lynnwood 98036 743-1555 <br />MECHANICAL CONTPACTUR MAIL ADORESS CITY 21P PHONE LICENSE M <br />TOWNLSB261R3 <br />PLUMBINf. CONTRALTOR MAIL ADDRESS .. ZIP PHONE UCENSE � <br />CUSS OF WORN <br />� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE G SIGN ❑ WOOD S70VFJFIREPLACE INSERT <br />f 62r000.00 <br />DESCRIBE WLVN <br />LOT�.LBLOCK_OF <br />s3ia 3� <br />PLUMBING <br />TYPE OF FIXTURE <br />W ATER CLOSET (TOILEn <br />BATHTUB <br />LAVATORY (W.4SH BASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR, ETC.) <br />PERMIT <br />TOTAL FEE <br />FIRE ZONE I 6n5EN <br />APPHOVALS <br />1. ENVIRONMENTAL CM[CK LIST <br />2. 9UIL�ING PLANS <br />3. FIRE HYDRAN7 <br />4. FIRE PROTEC710N SYSTEM <br />5. GRF.DING <br />6. DRAINAGE <br />7. ENVIiiONMENTAI IMPACT STA7 <br />FEE <br />S <br />S <br />S <br />YES <br />MA%. OCC. <br />NO <br />APPR. FOR <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 OF 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 CONSTRUCTION OR THE <br />PERFOR ANCE OF CONSTRUCTION. <br />SIGNAiURE F WNTHACT P AUTHORIZE/D AGENT ATE <br />X �' i 4 �' � <br />MECHANICAL <br />N0. TYPE OF EDUIPMENT FEE <br />AIR COND. UNI7S — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNI7S — TONNAGE c:n.` <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILA710N FAN <br />RANGEHOOD <br />AIR HANOLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE d CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL 5 <br />PEHMIT f <br />TOTAL FEE f <br />:K NUMBER PLAN CHECN FEE <br />85/15892 �EE 40.63 RECEIPT NO. <br />FEES VALUATION FFE <br />BUILDING $ <br />PWMBMG <br />MECHANIGAL <br />OTHER <br />PENALTY � <br />c <br />rorn� I I 6 <br />PERMIT VALIOATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOJR PERMIT <br />APPLICANT'S COPY <br />