Laserfiche WebLink
rheEi�crr�oF ���V�������� � <br />everett PERMIT pERMIT NO. 1-12HO <br />CITY FIAiL 259�6745 <br />[VERETT, WA 9E201 ❑ COMBINQTIUN X� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OLVI:EP �MFILq00PE55 �IiY ZIP PMONE <br />BRUC:i A. lV�I2D 4912 - 132nd P1 NE Marysville WA 98270 u59-5714 <br />AfiJHITEGTORDE5IGNER h!AILAD�PE55 QTY 21P PMONE <br />GENERAL CANTRACTOR MPIL FOORE55 GITY Z�p PHONE UCENSE 1 <br />Owner <br />MECNANICALCONTRACTOF MAILADDFE55 CITY ZIP PHONE LIGENSEI <br />PLUlA91hG CONTfiACTOF IAAIL ADDFESS CITY ZIP PNONE UCENSE 1 <br />❑NEYJ ❑ADDITION �' ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />.unrioN e� woan <br />s 500.00 <br />Dividing iaall <br />ISED USE OF 6111LDING <br />Commercial <br />LOT B�OG�OF <br />6309 Evergreen 1'la <br />PLU1981NG <br />B <br />DISHWASHER <br />CLOTHES <br />$INK <br />— nnin <br />— �AR. <br />SIDEYARDSEiBACK I STREET <br />TVPE OF <br />NO. OF STORIES <br />1. ENVIRONMENTAL CHEGK LIST <br />2. BUILDING PL4NS <br />3. FIRE HVORANT <br />4 FIRE PFOTECTION SYSTEId <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRO'JMENTALIMPACT STATEMENT <br />0. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS GNECKED �Y <br />VACANT bl1'E <br />❑YES ❑NO <br />MAX.00C.LOAD <br />BY <br />APPR.FORISSUANCEBY <br />DAB <br />1 IIEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS APJD ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SptCIFIED <br />HEaEIN 0!l NOT. THE GRANTING OF A PERMIT DOES NOT <br />PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TI1E PRO• <br />VISIONS OF ANY OTHF.F STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAiUrIE FCANTRqCTOFOPAUTMOPIZEDAGENT DATE <br />X �c�, , �.l,t%a�F ii�aa�sz <br />MECHANICAL <br />AIR COND. UNITS — H.R EA. <br />PEFRIGERATION UNITS — H. <br />BOILLRS — H.P. EA. <br />FORCED AIR SYSTEMS — B.T <br />WALL HEATEFS — B T.U. <br />UNIT HEATERS — B.T.U. <br />CLOTHES DRYERS <br />PANGEHOOD <br />A1 EA. <br />M <br />� Si18 TOTAL <br />PENMI7 <br />TOTAL FEE <br />PLAN CHECK NUM�ER FLAN <br />FEE <br />FEES VALUATION <br />�UILDING SSQ�.�Q <br />PLUMBING <br />IdECHANICAL <br />OTHER <br />PENALTY U.B.C. <br />SEC. 303 (a) <br />TOTAL <br />RECEIPT N0. <br />FEE <br />1� 0� <br />10 �0 <br />`NHEN PFOPERLY VALIDATED �IN THIS SPACE) THIS IS YOUR PERMIT <br />O <br />04h4 �U I O:Q� --�1'' <br />r' j <br />YOUR RECEIPT <br />rri��NK YO U <br />ADDRGSS FILE %_9 I�JY ZZ <br />