Laserfiche WebLink
thr £rergrecn r_ <br />��TYOF �ONSTRUCTIOP� <br />eve�ett PERMIT PERMIT N0. �-2157 <br />CITY HALL 259�8745 <br />EVEPETT,WA9B201 ❑ COMBINATION �t}(BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWHEH MAILAODRESS GRY ZIP PNONE <br />60 6linute TLne 6923 Evergreen Way <br />ARGNttEGT OR OESIGNER MAII AD�flE55 ��TY ZIP PNONE <br />GENERAL GONTRAGiOP MAIL AO]RE55 CITY ZIP PMONE LICENSE 1 <br />Northwest Neon and Plastic Inc. 815 8th Street Kirkland 98033 822-1200 <br />MECMANICALWNTRALTOF MFILAOOPESS CITY 21P PNONE LICENSEX <br />PLUMBING GONTPFLTOR ���AIL ApOPE55 CITY ZIP PHONE LIGENSE � <br />�j�IEW ❑ AODIiION O ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE �751GN ❑ WOOD STOVFJFIREPLACE INSERT <br />S 2]00.00 <br />erect and maintain illuminated sign <br />lOT_BLOCN_aF <br />6923 Evergreen W <br />PLUtdBING <br />NO. TYPE OF FIXTURE <br />WATER CLOSEf (TOILETI <br />BATHTUB <br />SHOWER <br />KITCHEN SINK 8 <br />LAUNORVTRAY <br />CLOTHES WASHER <br />IYATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR �RAIN <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />OHATTACNFOURGOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />— WHETHER SP[CIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATU OFLONTNRpTORO�OPIZEDAG� DITE <br />X yLIJw...l{ �L'� <br />ROOF ORAINS - RAINLEADEFS <br />SINK (SERVICE - BAR, ETQ) <br />SUB TOTAL S <br />PERMIT 5 <br />TOTALFEE f <br />APPflOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRAOING <br />6. DRAIP.AGE <br />7.ENVIRONMENTALIMPACTSTAT <br />B. MEALTH DISTRICT <br />FEE �O. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILEPS - H.P. EA. <br />GAS FIRED A.C. U�lITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - O.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTMES DRVERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WO00 <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEATPUMP <br />IYES i:NO <br />10. OF DWELLINC <br />7A%. OCQ LOAD <br />IRE SPRINKL-.RS <br />IEOUIRED <br />]YES L,NO <br />PLANS C4ECNED BY APPR. POR I: <br />RF NV <br />� <br />BUILDING <br />PLUM�ING <br />MECHANICAL <br />OTHER <br />SU9TOTAL S <br />PEP�AI'( S <br />TUTAL FEE S <br />PLAN GHhGK FFt <br />VALU�FEE RECEIPT NO. <br />-- FEE <br />52700.00 12 00 <br />PENAL7Y SEC 3W (a� <br />TOTAL LZ 00 <br />PEflMIT VALIDATION <br />WHEN PBOPEflLY VALI�ATED pN THIS� i 5 E� THIS ��O�Fl,�E�h}�T _��� <br />� V <br />� <br />N <br />eY 1'OUR RECEIPT'� <br />TI-�ANK YOU <br />ADDRESS fILE <br />„� <br />� <br />� <br />