Laserfiche WebLink
`�� C,''1NSYRUCTION ^ - c <br /> everett PERMIT PERMITNQ: - � �`��� <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION I� BUILDING ❑ MECHANICAL 'O PLUMBING ❑ SfGN <br /> OWNEP MAILw00RESS CITY ZIP PHONE <br /> Wallace And2rson 12326 Bothel Wav �erett WA <br /> ARCHITECTONOES:GNEP M�ILAD�HE55 GITY ZiP PHONE <br /> GENEflRLCONTRACTOA MAILFODRE55 CITV 21P PMONE UCENSE� <br /> gi[11lAX14IfYY�K Permabuilt Industries 16521 Hwy 99 Lynnwood, WA 98037 743-1555 <br /> MECHANICRLCONTRACTOR MAILAOOf1E55 CITY 21F PHONE UCENSE� <br /> PERMABIL79JR <br /> VWM9INGGONTRFCTOP � h1AILAD�PE55 CITY ZiP PMONE UCENSE� <br /> CLASS OF WORN <br /> CJCNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WOfK <br /> f L�J �0�.� <br /> OESCRI9E WOflN <br /> 30'x56' P �� Buildina <br /> MEATSOURCE <br /> �] ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> i�iOPO5E0 USE LF BURDING <br /> I HEREBY CERTIFY THAT I HAVE READ AN� EXAMINED THIS I <br /> ` APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGFl:1'cSCHIP'IONJFPROPERTY�SNpWBFLOWOHPTTACHFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES � <br /> LOT�BLOCK _ OF E SE GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH �I <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEI THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW �� �ULATING CONSTRUCTION OR <br /> THE PERFO E OF C 5 CT ON. <br /> JOBrl00PE55 SIGNATURE N �LTO .A HO ZEO T. OWNEP OFTE �j <br /> 1777fi 1Qfh Ava_ RF. X �• �� — _�— ! <br /> PLUMBING MECHANICAL �� <br /> NO. TYPE OF FII(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB REFRIGERATIOPI UNITS—H.P.EA. �I <br /> LAVATORY�WASH BASIN) BOILERS—B.T.0/H.P. <br /> SHOW ER GAS FIRED A�C.UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. FORCED Alfl SVSTEMS—B.T.U. M EA. <br /> DISHWA£HER WALLHEATERS—BS.U. M <br /> LAUNORYTRAV UNITHEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS . <br /> URINAL CLGTHESDRYERS � <br /> DRI`1KING FOUNTAIN VENTIIATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER • ' <br /> ROOF ORAINS—RAINLEADERS W OOD STOVE <br /> SINK�SERVICE—BAR,ETC.) METAL FIREPLACE 8 CHIMNEY <br /> FIREPIACEINSERT I <br /> HEATPUMP I'I <br /> GAS PIPING <br /> E%HAUSTFAN '� <br /> SUBTO7AL S SUBTOTAL �. <br /> PEflMIT S PERMIT i <br /> TOTALFEE 5 TOTALFEE <br /> rRONTSEiBnCn AEnRSETonCK SioE5ElonCK PLANCHECKNUMBER FEE RECEIPTNO. � <br /> 15 15 5 BB/19673 105.30 95331 <br /> USE20NE LOTAREA yq�qNT51TE <br /> R-3A 20�000 ❑rEs &�No FEES VALUATION FEE <br /> TYPEOFCONST OCCUPANCYGROUP NOOFDWELUNGUNITS BUILDING S <br /> V—N M-1 � PLUMBING <br /> 512E OF pLDG NO OF STORIES MA% OLC LOAp <br /> 1680 1 N�A MECHANICAL <br /> INVESTIGA710N FEE Sec.30d�e) <br /> FIF7ESPRINKLERSR'cQUIflED ❑'(ES F9N0 <br /> STATE EIUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> APPLICATION r1CC DY VLAN$CM[CNED[1Y APPR FOP ISSURNCE DY <br /> DRIVEWAY PERM'� <br /> TOTAL � <br /> $ S.H. B•E• B'E� PERMITVAIIDATION <br /> WHEN PROPERLY JALIDATED(IN THIS SPACE�THIS I£YOUR PERMIT <br /> M <br /> N <br /> ln <br /> � � <br /> � <br /> AODRESS fiLE <br />