Laserfiche WebLink
�hc Ercr,�rren �^ O N ST R U CT I O�, <br />C�iY OF � . � ' . <br />everett PERMIT PERMIT NO. �-278 � <br />CITY HALL 259�8745 <br />EVERETf, WA 9d201 ❑ COMBINATION ❑ BUILDING ,�j( MECHANICAL ❑ PLUMBING <br />OWNER MAILAODRE55 CITY ZIP PMONE <br />KEN SCHILATY 1716 Terrace Sno]iomish lVA 98290 568-5709 <br />ARGMRECi OR OESIGNER idN�L ApORE55 CRY Z'P PHONE <br />GENERALGONTPAGTOR MFILApOFIE$$ GRY ZIP PHONE UCENSEY <br />IAECNANIGAL CONTPACTOR MFIL AO�PE55 LI1Y ZIP PMONE UCENSE � <br />Cas�ade Air Conditioning 1544 Nl4 Ballard 17ay Seattle 98107 784-3135 <br />— � PWMBINC :ONTRACTOR IAPIL AOpRE55 CITY I PHONE LICENSE � <br />C�NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSER7 <br />f <br />ESGHIBE WORK <br />Install roof top <br />ROPOSED USE OF BUIIDING <br />Retail <br />EGAL DESCRIPTION OF PROPEflTY �SH <br />L0T _OLOCK _OF _ <br />OB ADOiiE55 <br />5930 Evergreen l� <br />PLUMBING <br />NO. TYPE OF FIXTU <br />W A7ER CLOSET (TOI LET) <br />BATHTl18 <br />LAVATORY(WASH BASIN) <br />SHOWEF <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUN�FYTRAY <br />CLOTHES WASHER <br />SIDE <br />lieai and cool units <br />OR ITEM <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKEHS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAF, ETC.) <br />SUB TOTAL <br />PEHMIT <br />70TAL FEE <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />�. FIRE HYDRANT <br />4. FIRE PRO7ECTION SYSTEM <br />S.GfiADING _ <br />6.ORAINAGE <br />7.ENVIRONMEN7AlIMPAC75TA7EMENT <br />8. HEALTH DIS7RICT <br />eoPl ICdT10N ACC. BY PLANS CHECKED BV <br />FOUR <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRLCT. ALL PROVISIONS OF LA\NS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GI4'E AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIOIVS O� ANY OTHER STATE OR <br />�qL LR REGUL.ATING CONSTRUCTION OR THE <br />P FpRMA C O CONSTRUCTION. <br />XNATyRcGF RAGT��O*AU.�H AGENT �ATE <br />/1 %� C J/ 12/6/83 <br />NO. TYPE OF EOUIPMENT <br />AIR CON . UNITS — H.P. EA. �= a <br />REFRIGERAlION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FiRED A.C. 11NITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYEPS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNiT — C.F.M. <br />STOVE — WOOD <br />METAL FIFEPLACE 8 CHIMNEY <br />FIPEPLACEINSERT <br />S <br />5 <br />S <br />IEAR YARD SETBACK PLAN <br />'ACANT SITE <br />IYES I.:NO <br />BY <br />LOAD <br />�C�] <br />ISSl1ANCE BY <br />SUB TOTAL S <br />PERMIT 5 <br />TOTAL FEE 5 <br />FEE I RECEIPT NO. <br />FEES I �ALUAT�ON � FEE <br />6111LDItJG � $ <br />PLUMBING I <br />MECHANICAL 4O OO <br />OTHER <br />PENALTY U.B.C. <br />SEC.303 <br />TOTAL I I n � � � � <br />PERMIT �A�IDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPAGEI THI515 YOUR PE MIT � <br />5o�a �040.0� — �4 <br />� <br />N <br />i r �� T <br />. _ � �i i::_ri.. i� <br />":; 'i' C iJ <br />ADDRESS FILL <br />- � ��-� U J <br />