Laserfiche WebLink
� <br /> `�� °�'` C'`°�NSTRUCTION � '�'`. n /� c <br /> PER�AIT PERMITNQ: � � J`�U � <br /> 59•8810 <br /> ❑ DEMOLfTION ❑ COM8INATION ❑ BUILDING ❑ MECHANICAL 'C�l PLUMBING ❑ SIGN <br /> OWNER MAILAOORE55 CITY 21P PHONE <br /> Lee and Smith Clinic 10810 19th Ave. SE Everett, WA 98208 <br /> ARCHITE:TORDESIGNER MAILAD�PESS CITY ZIP PNONE <br />� .'. <br />�����' GENERALCONTRACTOR MAILAD�RE55 LITV ZIP PHONE LICENSEM <br /> � MECHANICAL CONTRALTOR MAIL ADDRESS CITY 2tP PMONE LICENSE� <br /> PLUMBING CONTRACTOF MAIL AODRE55 CITY ZIP PMONE LICENSF r <br /> Puget Sound Plumbing 2024 W. Casino Rd. Everett, WA 98204 743-9537 PUGETSP1410Z <br />�k.�'�� CLASSOFWORK <br />`� C� NEW ❑ AUDITION � ALTERATION � RhPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WORN <br />( S <br />{[�� OESCRIBE WORK <br /> Plumb. new bldu. _ _ <br />�.� , HEAT SOURCE <br />', � ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ UTHER <br /> PFOPOSED USE OF BUILDING <br /> I HFR�BY CEHTIFY ThiAT I HP.VE READ AND EXAMINED THIS <br />��;�� Clinic APPLICA;tON A�ID KNOW THE SAME TO BE TRUE AND <br />€_l„ lEGr1L0ESCRIPTIONOFPFOPERTY�SHOWBELOWORAtiACHFOURCOPIES� CORRECT. ALL PHOVISIC��S OF LAWS AND ORDINANCES <br />;�"�"�� GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �or_e�ocK _ oF WHETHER SPECIFIEG HEPEIN OR NOT. THE GRANTING OF A <br /> � PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> � VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> t'�;;,.�..:- STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />�;';� � THE PERFORMANCE OF CONSTRUCTION. <br /> y,�. J00 ADDflESS/Op� S,,IG�NRTURE OF LONTRACTOR.AUTMOBIZE^D FGENT.OR OWNEF P�1 DATE <br />'`' 3954'�19th Ave. SE X ��-���"�G�G. � AOK`c�rri�.�. �-c�L�� <br /> PLUMBING MECHANICAL <br /> NO. TYPE Of FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> . � WATERCLOSET�TOILET) ].O OO A/C—AMNDLGUNITS—H.P. <br />... qATHTUB REFqIGERATIONUNITS—H.P.EA. <br /> i <br /> LAVATOqV(WASH BASIN) IO OO BOILEFiS—B.T.U!HP. <br /> E�'�, � SHOWEH S OO G45FIREDAC.UNITS—BT.U. <br />, � KITCHEN SINK 8 DISP. 3O OO FORCED AIR SYSTEMS—B T.U. A�'EA. <br />� � DISHWASHER H'ALLHEATERS-6T.U. M <br /> LAUNDRVTRAV UNITHEATERS—B.T.0 M <br /> I CLOTHES WASHER EVAPORATIVE COOLEHS <br /> F'�,_._ URINAL CLOTHESDRIERS <br /> I" <br /> DRINNING FOUNTAIN VENTILATION FAN <br />�� FLOORDRAIN 5 Q� RANGEHOOD <br /> BACKFLOW PREVENTE95 z WATER HEATER � S3 OO <br />' - ROOFDRAINS—RAINLEAOERS WOO�STOVE <br /> SINK(SEPVICE—BAH,ETC.� METAL FIREPLACE 8 CHIMNEY <br /> G.� FIREPLACEINSERT <br />� HEATPUMP <br />'�',�, � GAS PIPING <br />�i`,� E%HAUST FAN <br /> L <br /> SUB TOTAL S SUB TOTAL ].3 00 <br />�,,.�. PERMIT S PENMIT 15 00 <br /> TOTALFEE S TOTALFEE <br /> FROr+T SETBncK REAa SETBnCK SiOE SEtaACN P�pN CHECK NUMBER FEE RECEIPT NO. <br /> USE20NE LOTr1REN yqCANT5ITE <br /> ❑ves ❑No FEES VALUATION FEE T <br /> TYPEOFCONST. OCCUPANCYGROUP NOOFOWELLINGUNITS BUILDING S � <br /> PLUMBING 60 00 <br /> 512EOFBLOG. NOOFSTORIES MAX.00CLOnD — <br /> MECHANICAL ' - ZB 1 <br /> INVESTIGATION FEE Sec.304(e) i <br /> FIRE SPRINHLEf75 REOUIRED ❑YES ❑NO � I <br /> STATE BUILDING SURCFIARGE � <br /> STATEENERGYSURCHARGE <br /> PPPLICATION ACC BY PLANS CHECKED 6Y APPR FOR ISSUANCE�Y � <br /> DRIVEWAV PERMIT <br /> S.H. TOTAL 88 00 <br /> PERMIT VALIOATION <br /> WHEN PROPERLV VAIIDATED�I�THIS SPACE)THIS IS VOUR PERMIT <br /> r� <br /> �fl <br /> �' <br /> Q7 <br /> •� <br /> l�C7f'ESS i-i'�..F � <br />