Laserfiche WebLink
,VY'�I� f- Lll./'� �I�II�I �OIG� everetl <br /> Ihs EverO�esn C O N ST R U C T 1 O�J � <br /> cirr oF <br /> everett PERI��I�' <br /> TO BE COMPLETED IN BLACK INK-- PLEASE PRINT <br /> BUILDING DEPT. <br /> 259-8745 �X COMBINATION ❑ BUILDINCa ❑ MECHANICAL ❑ Pl.UM31NG ❑ SICaN <br /> OWNEf1 MAIIADDRESS CITY 2iP FIIONE <br /> Lesslev Construction Inc 18204 BoChell Everett 1[wv H2 Bothell 98012 481-8866 <br /> �RCNIIECTORDE5IONER MAILAOORE59 GIiY ZIV PNONE <br /> Design Consultants 745-G5G9 <br /> QENERALCONiPRCIOfl MAILAODIlE55 Gltt ZIP PHONE 4CENSE• <br /> Lessley ConstrucCion, Inc. LESSLI�t210PK <br /> � MEGHANi��LGO��iMCtOF MRIL/D�RESS CIiY IiP PMONE LiLENSE• <br /> Same <br /> PLUMOINOGONiRACT0f1 MRILADDilESS GIiY ZIP PIION[ IICEN$E• <br /> Robinson Plumbin� 743-9858 <br /> CL�^uSOF WORK <br /> �XNEW ❑ AODITIOI� ❑ ALTERATION ❑ REPAIR ❑ DEM�L:�ION ❑ WOODSTOVE/fRPL.INSERT ❑ BUILDING RELOCATION <br /> VALU�11011 OF WOPK�COST OF MRT[111nL5 PLU9 UBOPI <br /> � /lO / <br /> 1_• <br /> �E9Gf11BE RN <br /> Single family residence P1an 1096 <br /> usEor eui�oir�o I HEREDY CERTIFY THAT I HAVE RFAD AND EXAMINF.D THIS AP- <br /> PLICATION AND KNUW THE SAME Tb BE TRUEAND CORRECT.ALL <br /> LF.GAlDESCRIViIONOFPNOPEf1tV�5110WN�ELOWOR4TTACMFOUfiCOPIES� pROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> 9 lJillow Creek Glen OFWORKWILLBECOMPLETEDWITHWHETHEFSPECIFIEDHERE• <br /> �or—oioc�_or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE .4UTHORITY TO VIOLATE OR CANCEL THE PROVISIONS 4F <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CO�JSTRUCTION <br /> OR THE PERFOR�.AANCE OF CONSTRUCTION. <br /> 5161lATURE FCONiRACTOROfiAUTHORIZF.�AGENi DATE <br /> x 4��7�?� 3� �1/�. <br /> PflOJECTA�GPE55 AP GANTSC1� BUSINESSUCENSENO. <br /> 5131 15ch Ave. W. , Everett <br /> PLUMeING MECHANICAL <br /> NO. TYPE OF FIXTUFE FEE NO. TYPE OF EOIIIPMENT FEE <br /> 'd WATERCLOSET�TOILEn ±' AIRCOND.UNITS–H.P,EA. _ <br /> I BATHTUB �_ REFRIGERAiION UNITS–H.P.E0. <br /> � LAVATURY(WASH BASINI � BOILEf75–H.P.EA. <br /> _1_ SHOWER GPS PIRED AC.UNITS–TONNAGE EA _ <br /> I KITCHEN SINK 8 DISf�. FOfl�:ED AIR SYSIEMS–B.T.U. M EA. <br /> � DISNWASHER WALL HEAiERS–B.T.U. M _ <br /> �- LAUNDHVTRAY '� UNITHEATERS–B.T.U. M <br /> CLO7HcS WASHEF `�' EVAPORATIVE COOLERS <br /> 1 WATER HEATER CLOTHES DRVERS <br /> URINAL _� �ENTILATION FAN <br /> � DflINI(ING FOUNTAIN RAN�E HOOD <br /> '� FLOOR DRAIIJ A�R HANDLING UNIT– C.F.M. <br /> VACUUM BiEAKERS I STOVE <br /> � ROOF ORAINS–RAINLEADERS �_ METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE–BAR ETC.) _ WOODSTOVE/FIREPLACE INSEfIi <br /> SUBTOTAL SUBTOTAL S <br /> PEflMIT S PE�M�T S <br /> TOTALFEE S TOTALFEE 5 <br /> THIS PORTI{JN TO 13E COMPLETED BY BUILDING DEPT. PERSONNEL <br /> FRONfSEi�ACK itEAPSETOr1CK SIOESEf9AGN PLBNLIIECNNUMBEfl /f PLANCHECKFEE <br /> 8� � � /� C(� FEE /(���O �ECEIPT HO. <br /> pc.J l.( !J ` <br /> ❑SEZONE tAIAREA yqGANT5IIE FEES VALUATION FEE <br /> fIYES OtlO <br /> TYPEOfCONST. OCGUPRNGYGROUP NO,OFOWELLINGUNIiS <br /> BUILDING S <br /> 512EOF9L�G. 1lO.OFSIORIES tdA':.00C.LO�O <br /> PLUMBING <br /> MEf,H4NICAL <br /> rIf7E SPRINKI.EFi51lE0UIRLD ❑ YES I7 NO <br /> OTHER <br /> PENPLTY <br /> RPPLICALION ACC.0� PLAIIS CIIFCNED OY 4PPR.FOR ISSUPNCE BY <br /> TOTAL <br /> �� _ <br />