Laserfiche WebLink
`�� ��° �"`° � t''�NSTRUCTION � "'"� . n C <br /> everett p�RMIT PERMITNQ' -� JO`�� <br /> .�� cS9-SBIO <br /> ❑ DEMOUTION ❑ COMBINATION [�BUILDING ❑ MECHAMICAt ❑ PL`�.:MB1NG ❑ SIGN <br /> ORTlER MqIL ADDRE55 QTY 21P � -� PMONE � <br /> Dr. T.ee and Dr. Smith 10810 19th Ave. SE Everett, WA 98208 337-4200 <br /> APCMITECTORDESIGNER MAILIDDRE55 LITV ZIP FHONE <br /> Trepanier Engineering 3201 Broe.dway Everett, WA 98201 259-5556 <br /> GEN[NALCONTf1ACTOR MMIADORESS CITV ZIP PHCNE LICENSE• <br /> Cronin Custom $Mdi Homes 713 SE Everett Mall Way Everett, WA 98204 353-6500 <br /> MECMANICALWNTRALTOR MAILADOFE55 CITY ZIP PHONE LICENSEx <br /> CAONI*214DB <br /> PLVMBING CONTPRCTOR MFIL AOORESS CITY ZIP FHONE LICENSE M <br /> CLASS OF WORK <br /> �NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WORK <br /> S ZrJO����.00 <br /> UESCflIBE WORK <br /> Oonstruct new office bldg. ' <br /> HEATSOURCE <br /> ❑ ELECTRICITV ❑ GAS ❑ WOODSTOYE ❑ OTHER <br /> PROPOSE�USE OF BJILUING <br /> Dental Clinic I HEREBY CFRTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGNl0E5CFlf'TIONOFPROPERTY�SMOWBELOWOflATfFCHFOURCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOLK _ OF GOVERNING "fHIS TYFE OF WORK WILL BE COMPLIED WITH <br /> WHETHEH SPECIFIED iiEREIN OR NOT. THE GRAN-ING OF A <br /> See Attached PERtit1T DOES NOT PRESUME TO GIVE HUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVIS!ONS OF ANY OTHER <br /> STATF OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRU TION. <br /> JOBAODRESS SIGNPTU ONTR CTO .A THORIZ QAGENT. ROWNER DATE <br /> 10830 19th Ave. SE X � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE O,R ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C-A/HNDLG UNITS-HP. <br /> BATHTUB HEFRIGERATION UNITS-H.P.EA. <br /> LAVA�ORY(WASH BASIN) 601LERS-B.T.U./H.P. <br /> SHOWER GAS FIRED AC.UNITS-B.T,U <br /> KITCHEN SINK 8 DISP. ' fJRCED AIR SVSTEMS-B.T.U. M EA. <br /> DISHWASHER WALLNEATERS-BT.U. M <br /> LAUNDRY TRAY UNIT H iATERS-B.T.U. N <br /> CLOTHES WASHER EVAPGflATIVE COOLERS <br /> URINAL CLOTHES UHYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATEF HEATEF • <br /> ROOF�RAINS-RAINLEADERS W OOD STOVE <br /> SINK(SERVICE-BAR,ETC.� METAL FIREPLACE 8 CHIMNEV <br /> FIFEPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> PEHMIT S PERMIT� � � <br /> TOTALFEE S TOTAIFEE- ' � <br /> FFONTSETBACN REARSETBACK SIOESETOHCN PLANCHECKNUMBER FEE RECEIPTNO. <br /> USE20NE IOTAREA 8� 19051 529.43 93706 _ � <br /> VAC�NTSITE FEES VALUATION. � FEE <br /> ❑YES LXNO <br /> tYPEOFCONST. OCCUPANCYGROUP NOOFDWELLINGUNRS BUILDING g ].SO�OOO ' HLQ O I <br /> V�N $�Z � .. � <br /> PLUMBING � <br /> SIZE OF BLDG. NO.OF STORIES MR% OCC.LOA� I <br /> 3586 1 35 MECHANICAL _ I <br /> IPIVESTIGATION FEE Ser..304(e) � . I <br /> FIRE SPRINK�ERS REOUIPED ❑VES NO �� <br /> �TATE6WLDINGSURCHARGE 3 p ', <br /> STA7EENERGYSUFiCHARGE S.ri 00 . <br /> APPLIC/TIDN ACC.DY PLANS CHF.LKED UY FPPR iOR ISSU�NCE DV — ' <br /> DRIVEWAY PERMIT '� <br /> S.H. B.E. L.C. TOTAL 833 00 � <br /> PERMIT VALIDATION I <br /> Seperate permits required for plumbing� ��HEN PROPENLY VALIDATED(IN THIS SPACE)THIS IS VOUR PERMIT I <br /> mechanical, and electrical. � <br /> L.C) <br /> O <br /> � <br /> � <br /> l�i�p��;CSS i,;� <br /> �; <br />