Laserfiche WebLink
��_� <br /> i , ,<'";, <br /> 1� �n�Fr�ryrNn A�'PLI�ATION F�R� ereretl <br /> ��TM�F COIVSTRl1CT10N � <br /> ever�tt PEt�MIT <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK - PLEASE PRINT <br /> ❑ DEMOLITION Ci COM9INATION K]{BUILDING ❑ MCCHANICAL ❑ PLUMBING ❑ SIGN ; <br /> OWNER MAILPOORESS CIlY IIP PNONE I <br /> Paragon ConsCruc[ion, Inc. 17371 NE 67th Ct 11B212 Redmond, Wa. 980s7. 885-3900 <br /> ApGHRCGTOROESIGNER MAILADDRE55 C�1Y 21P PNONE I <br /> GENEFNL CONiRAC�Oli NAII AppRE55 GIiY 21P oi�pqE L�CENSE✓ I <br /> Paragon Construction, Inc. Same as above PARAGCT134llL i <br /> � MECMANiC4LCONTRaLTOfl MAtLADDRE55 Citt ZiP PeONE IIf,ENSE I <br /> PWMtliNM1CONiRACiOP MAILA��R[55 bTY ZiP PIIONE IICENSE� . <br /> CLA55 OF\YORN <br /> � NEW ❑ �DDITION ❑ aLTERATION ❑ REPAIF ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUIL�ING RELOCATIOfJ <br /> W�URTiON OF WORN ICOST OF Ml*EP'4lS�WS IAHORI <br /> $�O=ee�` ��F,70a <br /> DESCRIB[WORK � <br /> i <br /> New construction <br /> USE OF pUIl01NG <br /> � I HER[8Y CEFTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �, Resi@eRtal PLICATIONANDKNO /THESAMETOBETRUEANDCORRECT.ALL j <br /> '� LEGNLOESCRIPTIONOFPBpPERiY1SMOl4N0El01YORNliACMFOURCOP1E51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> 15 Larsen Park OF WORK WILL BE COMPLETED WITH WHETHEA SPECIFIED HERE• <br /> � �or_eioc�—or INORNOT.THEGRANTINGOFAPERMITDOESNOTPRESUMETO <br /> GIVE AUTFIORITY TO VIOLATE OR CANCEL THE PROVISIONS OF I <br /> , �k �� ANYOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTION �� <br /> OR THE PERFORMANCE OF CONSTRUCTIUN. . �I <br /> SIGNATUFE Of CON�RACTGR OR AU7MOR12ED AGEN7 []ATE I <br /> A <br /> PROJELT RDOFE55 AVPLICANiS GiY BUSwE55liCENSE NO <br /> 10929 - lOL-h Dr. SE Evereet, Wa. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TIIpE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) /U OU A/C—A/HNDLG UNITu—H P. <br /> , I �ATHTUB S U AEfflIGERATIONUNITS—H.P.EA. <br /> LAVATCRV IWASH BASIN� �p BOILER3—B T.0/H P. ' ' <br /> SHOWER p(� GAS FIRED A C.UNITS—B.T.U. <br /> �, KITCHEN SINK d DISP. 5 J FORCED AIR SYSTEMS—B.T.U. M F1�. <br /> DISHWASH'cR — pU x WALLHEATEPS—BT.U. M OU <br /> ' LAUNORVTFAV UNITMEATERS—BS.U. M I � <br /> �, CLOTHES WASHER s EVAPORATIVECOOlERS <br /> '� URINAL CL07HESDHYERS S j) <br /> ORINNING FOUNTAIN VENTIIATION FAN ZJ I <br /> FLOOR ORAIN RANGE HOOD v '�, <br /> I BACKFLOW PREVENTERS Y/AT[R HE�TEF ' <br /> FOOFDRAINS—P.AINLEADERS WOOOSNVE Rtqd (J <br /> SINK(SEFVICE—BA(i.ETC� McTAL FIREPLACE d CHIMNEV <br /> ' FIREPU+CE INS[RT <br /> HFAT PUMP <br /> � �AS PIPING <br /> � EXHAUSTFAN i <br /> i I <br /> �i SUB TOTAL f $Q SUB TOTAL � �C� <br /> � PEfiM1T f PERMIT <br /> � TOTFL FEE S �J Q�� TOTAL FEE 7� O(J <br /> I <br /> • iRONT5ET04CK REaASEfBACN SIDESEiPqCK/�o 5� HI��NCHECKNUfJBEF FEE RECEIPTNO. <br /> �� �, / 6 ' d i o' SS f 9 c.• i 5 -o- l�+src, _ <br /> use m ior nnea � VACANL SIiE FEES VALUATION FEE <br /> �—1 7036 s1�.�E5 ��,o <br /> � ttPEOFCONST OGLUPFNCYGBOUP IIDOFDWFLLINGUN1i5 BUIL�ING S / G�/ 7vU L`8� QO <br /> 10 <br /> 11—� r - I PLUMOING SO C�U <br /> Si2E OF BlD❑ NO UF SiORiES MA% OLC IOAD <br /> I T�Z � il 1� MECHANICAL L�U <br /> iv <br /> \/ OTHEFi <br /> FIRE SPRINKLERS FEOUIRE� ❑ YES C�NO <br /> STATE BLIILDING SURCHAFiGE U <br /> STATEENEFGYSURCHARGE s � <br /> nVV��CAliOR4CC f3r Pi_ANSCHECHEDOv APPR fO4iI55lIANCEBY Q O� <br /> . �� � PUBLIC WORKS <br /> TOTAL �y SU <br /> � PROPERN OWNERS ARE RESPONSIBLE FOA DETEHMINING ALL <br /> � PROPERTY LINE LOCATIONS AND RELATED EASEMENTS. <br /> ::r,.:'.... ' .... ..... . .. ... � . . . . , � . � . . <br />� � <br />