Laserfiche WebLink
��' � �JNSTRUCTION � � _ ^ <br /> everett PERMIT �RM,TN�:17139 <br /> 259-8745 <br /> ❑ DEMOLITION ❑ COM8INATION ❑ BUILDIN6 lC1 MECHANICAL ❑ PLUMe1N0 ❑ MON <br /> �p M�IL�DDRESS CITY 21P RIp1E <br /> Nichols Trust 2611� Hewitt Everett, WA <br /> ARCHITECT Ofi DESIGNER MRIL PDURFSS CRY ZiP PHONE <br /> GENEMICONTRaCTOR M4L�DOHESS CITY ZIP IiIONE UCENSEII <br /> Brokaw & Co. 626 - 128th St SFi Suite 104 Everett, WA 4pY 98204 347-1192 DROKAC152N8 <br /> MECNNIICAI CONTP�CTOR AIA�L RDDHE55 CITY ZIP PHCNE LICENSE• <br /> NW Energy Syatems 20815 52nd Ave W Lynnwood 98036 774-2980 NORTf�5152N2 <br /> PLUMBING GLNTRIICTOR MML ROOPE55 CiTv 21P PHONE UCENSE� <br /> CUSSOf WqiR <br /> ❑ NEW `[I ADDITION ❑ ALTERATION ❑ REPAIR C] DEMOLITION ❑ BUILDIN6 RELOCATON <br /> VALU�TION OF WORN <br /> { <br /> DESCRIBE WOPN <br /> Gas pipe to & relocation of gas fired unit heater <br /> NEATSOURCE <br /> ❑ELECTRICITY ❑ 6A5 ❑ WOODSTOVE ❑ OrlIER <br /> aaoroseo use oF awiowc <br /> Retail/warehouse I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPIICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�LDESCRIPTIONOFPpOPERTY�SMOWBELOWORRTfACHFOURCOPIES� CORRECT. AlL PROVISIONS OF LAWS AND ORDINANCES <br /> �aT 1_4 eL�Z19 oF Everett GOVERNING THIS 7YPE OF WORK WILL BF. COMPLIED WITH <br /> — WHETH[R SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATIPlG CONSTRUCTION OR <br /> Coven t Art Glaes THE PERFORMANCE OFCONSTRUCTION. <br /> JOBRD�RE55 SIGNRTUR FCONTRACTOP.AUTIIORIZEDPGENT.OROWNER DATE <br /> X ((•�V—� 9 8 86 <br /> PLUMBING MECNANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET� A/C-AiHNDLG UNITS-HP. <br /> BATHTUB REFRIGEAATION UNITS-H P.EA. <br /> LAVATORY(WASH BASIN� BOILERS-B TL/H P. <br /> SHOWER GAS FIRED A C.UNITS-BS.U. <br /> KITCHEN SINK 8 DISP. FORCE�AIR SVSTEMS-BSL. M EA. <br /> DISHWASFIER WA�LHEATERS-BTL. M <br /> LAUNDRY TRAV 1 UNIT HEATERS—B TL. M B OO <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CIOTHESDRYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE Ii00D <br /> BACKFLOW PREVENTERS WATER HEATER • <br /> ROOF DRAINS—RAINLEA�ERS WOOD STOVE <br /> SINK�SERVICE—BAR,ETC� METAL FIREPLACE 8 CHIMNE� <br /> FIREPLACE INSEflT <br /> MEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUB TOT�L 5 SUB TOTAL 9 OO <br /> PEflM1T { PERMIT 1$ Q <br /> TOTAL FEE f TOTAL FEE Z4 OO <br /> iRONT SETB�CN qenR SErenCK SIOE SETBRCN PLAN CHECK NUMOER PEE RECEIPT NO. <br /> USEZONE LOTAREA <br /> VACANTSITE FEES VALUATION FEE <br /> OYES ❑NO <br /> TYPEOFCONST. OCCUPANCYGROUP NOOfDWELUNGUNITS BUI.DING g <br /> PLUMBING � <br /> SRE OF BLDG NO OF STORIES MR% OCC LOAO <br /> MECHANICAL bOOO171� Z OO <br /> INVESTIGATION FEE ���1�) _� � <br /> FIRESPHINKLERSREOUIRED VES NO <br /> STATE B W LDING SURCHARGE <br /> STATE ENERGV SURCIiARGE <br /> RPPIICATIONACCBY PLANSCH[CKEOBY PPPNfORI55UANCEdY <br /> ORIVEWAV PERMIT <br /> M.M. TOTAL 2 00 <br /> PEflMIT VALIDATION <br /> W11EN PROPERLV VALIDATEO�W THIS SPACEj THIS IS vOUR PERMIT <br /> Q� <br /> �1 <br /> \� <br /> �� <br /> \� <br /> P.I'�:i'CSS �G[ <br />