Laserfiche WebLink
_ I <br /> APPLICATIO.� FOR CONSTRUCTIJN PEt;M1T ��� I <br /> " TO BE COMPLETEG IN BLACK INK—PLEASE PRINT `� <br /> _ I <br /> LHEATING SYSTEM: I,GAS U ELECTRIC 1`_] ______-__� i <br /> BUILDING DEPARTMEN� <br /> 259-8810 <br /> � i DEMOLITION i ' COMBINATION x' BUILDING I i MECHANICAL _ ! I PLUMBING I I SIGN <br /> o�.vr�qn —_—uniinnonrss cnv nr rno�m I <br /> Gencral HospiCal ffedical Center 1321 Colby Avenue Evere[t WA 98201 258-6300 ' <br /> IFNANI <br /> IAnllno[InF.55 Cliv 71r rHONF � <br /> � � � Gverett Clinic "lasLic Surgery _ __. '� <br /> [d ntr rm runuE <br /> q y nncnnecronnessuen nmiinnoness <br /> G A y Martenson Clark Associates 9750 NG 120ch Place I:irkland SJA 98034 823-2244 <br /> ceNrna coN�nnC�on Malnoonr55 <br /> cnv zm rnar�e stnttucee�se� <br /> �� Z Lumpkin ConstrucCion 1627 F.astlake Avenue East Seat[le lJA 98102 329-1129 <br /> ���� — 7�p ^�iONE 51A1[UCf115E� <br /> K y p �aeummcnieoNrnncion RINIMOfi[55 � <br /> � �' � — <br /> � y M <br /> CIIV ZIi` PIIOIIF. Sint[I.iCENS[� <br /> i.j � � PlUA�01N000����AliOf1 AI�ttADD�[55 — <br /> C' <br /> � n t .�SSM WOfiK <br /> �..i �q � I I NEW I I AODITION �I ALTERATION I I REPNH I I DEMOLITION I I WOOOSTOVE/FRPLINSERT I I BUILDINGF7ELOCATION <br /> G� • G cornnci rensoN mm r��oue�u, <br /> Z M �T. _____--_— <br /> y IC cor+mncivn�c�oF�+ronK $46 665 <br /> r H y nrSenmF vron�nem sai�nF rooincF nrva��Fo <br /> O N <br /> � d y Tenant Imnrovemenl's 1037SF - <br /> m�orosEousEorevaomG I HEREB�' CERTIFY THAT I HAVE READ AND [X�MINED THIS <br /> Z ro �r APPLICATION AND KNOW TNG SAM[TO BE if7UE AND CORqECT.ALL <br /> �zv y y fledicll Office BuildiR�. pROVISIONS OF LAWS�ND ORDINANCES GOVERNING THIS TYPE OF <br /> y p y i[cnine5cnmta�wrrnorenrv�siownoetowonnnncuramtorie5l WORK WILL BE COh1PLEiED WRH WHE111FR SPECIFlED HEf7E�N OR <br /> io� Aia;H _ or __- NOT. THE Gf7ANTWG OF A PERM1IIT OOES NOT PRESUME TO GIVE <br /> AUTIIORITY TO VIOLATE OR CANCEL TfIE PilOVIS�ONS Of ANY <br /> OTHER STATE Of7 LOCAL LAW REGULATING CONSTRUCTION Ofi iHE <br /> PERFORtdANCE OF CONSTRUCTION.THAT I AM AU7HORIZEO BY THE <br /> OWNER OF i111S PROPERTV TO PERFOfIld THE WORK FOR WHICII <br /> APPUCATION IS MADE ANO I COMPLY WITFI THE SiATE <br /> COMiRACTORS LAW 1827 RCW AND 29°200 WAC. <br /> "tedical Office 13uilding ��Lt ` ,W`��'�=_s}t�-S�� �! �G- <br /> •.�cinu� , nn�r <br /> PIIOIECi�pORE55 ___ __ _ __--- <br /> 1330 Rockefeller Avenue Sth floor (Suite500) c��vnusw�ss��c� s�w — <br /> PLUMBINO MECHANICAL <br /> �'���.. NO. TYPE OF PIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � �_� WATERCLOSET�TOILEI) _ �_ NC-NHNULGUNITS-H.P. �__ <br /> �ATHiUO � FORCEDAIRSYSTEIAS-O.T.U. M GA �_ <br /> _____.— --3— — ----___--__'__-__---- <br /> 1 LAVATORY(W•-.SH BASIN) i_ _ UNIT HEATERS-B.T.U. M _ ___�_ <br /> CLOTHESDRYERS ' <br /> I �� SHOWER i---- � <br /> I ' KITCHEN SINK 8 DISP i VENTILATION FAN .____t_ <br /> �� DISHWASFIER ---T— RANIiE HOOD _ ' <br /> LAUNDRYIRAY ' WATERFIEAIER � <br /> CL07HES WASFIER ---r__ WnOD STOVE _T_ <br /> URINAL ' METAL FlREPLACE&CHIMNEV , <br /> I r� DFINKING POUNiAIN _�—_—� FIREPLACE INSEfIt _�_ <br /> i <br /> FLOOR DRAIN � HEA1 PUMP ��, <br /> BACKFLOW PREVENTERS i GAS PIPING � <br /> � ----i EXIIAUST FAN <br /> � �' ROOF DRAINS-RAMLEADERS _ — <br /> � _� SINK(SERVICE-BAR,ETC.) � � <br /> —i— — � <br /> � --,— <br /> --- --'—— � <br /> _ , <br /> �_ — -- � <br /> i ' - -- —_ � <br /> +�1�� — � -r— <br /> � <br /> ' SUB TOTAL $ SUB TOTAL $ __�___ <br /> � �—'?—— — PERMIT $ <br /> — � PE(1MR $ ,___ - —- <br /> '��� TOTAI FEE $ ' TOi�L FEE $ --_-�� <br /> FOR OFFICE USE ONLY: <br /> ree n�cem�u <br /> rnoursemnr.e nennsemncK smese�encK rinncurcnuaMoen <br /> � � �S`�'tNC �7C�`� / LJ�l� 7J l� I <br /> ose zoei io�nnrn VACMII SItE FEES .— -- VALUATION — FEE <br /> � �0 2' 3 S �J <br /> L- UUILOMG . ���_'__ _ "_J'�__�_ <br /> IY�FOiC0�lI5l.IlOwAR(E 1\fE0fC01151RC1U�L �iu�eucr xnrclstU����s � <br /> � �,n�r ; <br /> �� �i -�� .,�� PLUM�ING _ r_ <br /> Si�7G/M_ OLoa n.•n��t;n� 1im�.`Orsw(�lnfs r e•�S[u[Nf h1ECIMNICAL � _ <br /> IO�(J F� TI_ �/ G�'W^.�E�(� � L� •"""'� ADDIIIONALP�ANCIIE�K � <br /> occurnr.crionn rmesrnr+rncnsneno urwmiiunnnor+ __ � <br /> � <br /> �� ''��'�' -- ---- srniNKi.en --- -- -- ^7� <br /> nenso�irOnsrninkicn, - - L/ ! r`� <br /> SINEOUILDIN6SURCIInRGE _J • �) <br /> _ _ __ _ . _ '_________ .. " - � <br /> mrnvrm rin�+snrrnovenm CITYDFEVERETT runucwonKs __�__ <br /> LOCALSALES <br /> 1� �,� �1L J TAX CO�E IS 3105 rorn� � N �/ 1 � �� <br />