Laserfiche WebLink
',�_ . . <br /> , �_ ���� <br /> MeEv�rDresn ���CONSTRUOCTIO � � e�^ret� <br /> CITY OF � <br /> everett PE Rf� IT <br /> TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br /> BUILDING DEPT. <br /> 259-8745 � COM1'.IIINATION ❑ BUILDING ❑ MECHANICAL ❑ PWMBING ❑ SIGN ' <br /> OWNEfl MAILAODpE55 CIiY 21P PIIONE <br /> Lessl.ey ConstrucCi.on, Inc. i8204 DoChell Tverect Ilwy H2 Bothell 98012 481-8866 <br /> APCMITECTOfl0E51�fiEq M1IAILdCDqEES CiTI ZIV PllOfl[ <br /> Impreesion Design 2229 Jackson . Everett 98203 355-3200 <br /> GENEflALGONTPACIOR MAILADppESS CIiY 21P PIIONE LICENSE� <br /> Lessley Construction,Inc. LESSLI�F210PK <br /> IAEGNANICRLCONTFACTOq MPIL AODBE55 CITY ZIP PMOl1[ LIC[NSE• <br /> Same <br /> PLOM6IN�CONTflACTOR MRILApDFiESS CITY ZIP PMON[ LICENSE• <br /> Robinson Plumbing 607 S.E. Everett Mall. Way GvereCt 98204 743-9858 <br /> CLASS OF YlONK <br /> �}; NEW ❑ ADDITION ❑ ALTEI7ATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTO\�E/FflPL.INSERT ❑ BUILDING RELOCATION <br /> WLOATI'JNOF OFK�COSIOFMATEFIAl5PW5LABOP� OU <br /> � '. �9- �� O 00 � <br /> OE'iCP19E Ofli <br /> F.:w residential d�aellin; <br /> UaE OF BUILOING <br /> sin le famil resicience 1 HEREBY CER7IFY THA7 I HAVE READ AND EXAMINED 7HIS AP• I <br /> R V PLICATIONANDKNO'NTHESAMET08ETRUEANOCORRECT.ALL <br /> LEGRLOESCflIPTIONOFPflOPER7Y�5MOWN�EL0IYORRTTACHF00flCOPIES� PROVISIVNSOFLAWSANDORDiNANCESGOVERNINGTNISTYPE <br /> 14 Silver I.ak� VisCa OFWORKWILLBFCOMPLETEDWITHWl1ETHEASPECIFIEDH[RE• <br /> ior_o�oc�or IPl Ofl NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANYOTHER STATE OR LUCAL LAW R[GULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTflUCTION. <br /> SIGNATUflE OF CONTFIACTOR OR AUTHORIZED AGENT OATE <br /> . I . � � �.��/� � <br /> X �,��//��/ <br /> PROJECT A�DOE65 RPPIIGRN PS GiTY pU51NE55 UGENSE NO. <br /> ��o? " ���Li N, S .�. _ <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTUpE FEE NO. T'PE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) D AIR COND.UNITS—H.P.EA. _ <br /> Z BATHTUB � � (iEFRIGERATION UNITS—H.P.EA. <br /> �j LAVATORY�WASH BASIN) BOILERS—H.P.EA. <br /> " SHOWER GAS FIRED A.C.UNITS—TONNAGE EA <br /> KITCHEN SINKB DISP. OD FORCED AIR SYSTEMS—B.T.U. M EA. <br /> � DI5HWASHEB _ � O WALI HEATERS—B.T.U. M __ <br /> — LAUNDRYTRAV UNITHEATERS—O.T.U. M <br /> CLOTHES WASHEF �' O T EVAPORATIVECOOLERS <br /> WATER HEATER '� QD / CLOTHESORYERS � <br /> URINAL �J VENTII.ATION FAN D <br /> � DRINKING FOUNTAIN J RANGG HOOD � �O <br /> � _ <br /> ' FLOORORAIN AIRHANDLWGUNIT— GF.M. <br /> — VACUUM BREAKEFS � STOVE <br /> � ROOFDFAINS—RAINLEADERS I METALfIREPLACEB CHIMNEY � <br /> SINK�SERVICE—BAR.ETC. WOOOSTOVE/FIREPLACEINSERT <br /> SU9 TOTAL � 0 SUfi'JTAL 5 .S S� <br /> PEflM1T S PERIIIT S <br /> TOTAL FEE S D TOTAL FEE 5 S� � <br /> THIS PORTION '; O BE COMPLETED BY BUILDING E���ERSONNEL <br /> FFONT SETOACK / REAp S[TBACN SIpE SETDACN PIAN CNEGK NUM�ER - AN CHELH FEE <br /> �D a / n I \C�_`'%� FE�v flECCE1PT. f!O_ . <br /> � 1 1L l <br /> 115EZONE LOiAPEA yACANTSRE f�r <br /> /� / y�vES ONO FEES VALIIRTION FEE <br /> TYPEOFGONST. OGGUPANGYGflOUP NU.OFOWELLINGUNITS <br /> / �fj f= -� <br /> SIt O�BI�Cy fi NOOFSTOflIES MA%ALG.LO�O BUILOINO — S�� �D/ �(� <br /> �G�G ���;I f�� / PLJMBING Od <br /> /o[/ <br /> .,711os'^�-� MECHANICAL S 5(� <br /> FIqE SPRINKLF.RS RE�UIRED ❑YES NO <br /> OTHER <br /> PENFLTY <br /> RPPLICATIONACG �Y PLRNSCNECNE�BY APPR.FORISSURNCEBY ��[ <br /> TOTAL j�[� 7v <br /> si�, �� _ �4�� I�N`"� <br />