Laserfiche WebLink
flie EverBreen �'-•. �!' �� \V������I�� .."" _�.' N� � ��� � �~J <br /> CITY OF <br /> everett PERI�IT pERMIT N0. 0�226 <br /> UTY HALL 259�6745 � <br /> EVERETT,WA 9Bzoi ❑ COMBINHTION I��.. BUILDING ❑ lNECHAIdiCAL ❑ PLUMBING <br /> OWN[R MAllA0DRE5S CITY ZIP PHONE <br /> KWIK-COPY 4600 Everegreen Way Suite 2 <br /> ARCHITECT Oli DES�GNER NAIL ADOR[SS QTY ZIP PHONE <br /> GENERAL CONTFACTOR MAIL AOOFE55 Cltt ZIP PHONE LICENSE 1 <br /> Simco Sign Corp. 2719 Ma�?le Street 25'1-0086 <br /> MECHANICALGONTMC7UR h1AllAD�flESS CITY LIP PHONE LICENSE/ <br /> SI MC JS C27'LP3 <br /> PLUlABIhGCONTPACiOfl MFILAf1DflE:S CITY ZIP PHONE UCENSEI <br /> C1A550F WOPK <br /> �NEW ❑ADDITION ❑AL�ERATION ❑REPAIR ❑DEMOLI710N ❑FENCE �SIGN ❑GAftAGE <br /> VFLUFiION OF WONK <br /> s 300.00 <br /> �ESCRI6E WORK <br /> erect illuminated sign <br /> �dJPOSED USE OF GWLOING ' <br /> I HEREBY CERTIFY THAT I HA'JE READ AND EXAMINED THIS AP- <br /> LEGALDESGFIPTIONOFPROPERTY�SHJWCELOWOFATiACHFOURCOPIES� PLICATION AND KNOW THE SAME TO BF TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or e�aK_or TYPE OF WORK WILL BE COMFLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTFiORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AO�RESS SIGNATURE OF C ryI OR AUTNORI2E0 AGENT DATE <br /> 46^0 Evergreen Way X � _ � <br /> P!.UMB!NG ME HANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> �WATER CLOSET(TOILET) ` AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERA710N UNITS—H.P.EA <br /> LAVATORY(WASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GASFIREUAG.UNITS—TONNAGEEA. � <br /> KITCHEN SINK 8 Olcp, FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER N1ALL HEATERS—B.T.U. N <br /> � UIUNDRYTRAY UNITHEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPOPATIVE COOLERS <br /> WATER HE4TER CLOTHES DRYERS <br /> URINA�_ VENTIiATION FAN <br /> DRINKIiIG FOUNTAIN F7ANGE HOOD <br /> FLOOR 11RAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUAIBREAKERS STOVE <br /> ROOf�D�IAINS—RAINLEADERS MEfAL FIREPLACE 8 CHIMNEY <br /> SINK(S8 dICE—BAB,EfQ) <br /> � SUBTOTAL SUBTOTAL S <br /> . PERMI7 S PERMIT 5 _ <br /> TOTAL FEE S TOTAL FEE E <br /> SIDE YARD SETBACK STREET SEiBACK REAR YARD SETB4CK PLAN CHECK NUMBER PLAN CHECK FEE � <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDINa 5 300.00 3 00 <br /> SI2E OF BLDG. N0.OF STORIES MAX.OCC.LOAD <br /> PLUhiBING <br /> fIRE ZONE BASEMENi FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPROYALS BY DpTE OTHER <br /> 1. ENVIRONMENTALCHECKLIST PENALTY U.B.C. <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIRE HYDRANT T�TA� 3 00 '` <br /> 4. FIRE PROTECTION SYSTEM PEflMIT VALIDATION <br /> WHEN PROPERLY VALIDATEG(IN TNIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING <br /> . � <br /> G. DRAINAGE (v <br /> 7. ENVIRONMENTALIMPACTSTATEMENT 8 y � � s � O 3.V O �'� , <br /> 8. HEALTH DIS7RICT <br /> � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY , <br /> � B� Y�UR R�CEfP1' . <br /> � - THANK YOU <br /> ADDRESS FILE <br /> �.. <br />