Laserfiche WebLink
thc Evcrbrecn <br />arv oF <br />evere�,t <br />259-8745 <br />� l�iVl��'RIJCTIUi�I - <br />��RN11T <br />PERMIT NO. <br />�� <br />i•�� <br />❑ DEMOLITION ❑ COMBINATION CjCBUILDING ❑ MECHAKi�AL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL AI>OtiESS GITY 21� PHONE <br />Picway Shoes Columbus Ohio <br />A(iCMITECTOROE51GNEf1 MAILAODRE55 CiTV Z�P VMONE <br />GENERALCONTRACTOR MAILAOORESS CITv 21P PNONE LIGENSEI <br />DBH Makni� National Inc. 13500 Bell-Red Road, Bellewe, WA 98005 643-4600 DBHNI141MG <br />hILCHANICRLGONTHAGTOF MAILAOORE55 CITV 2iP �'HONE 4CENSE• <br />PLUMBINO CONTRRCTOR �AIL PD�RE55 CITY ZIP PnONE 4CENSE � <br />C� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION <br />IALUATIONO: WORN <br />$ %f0�0 <br />)ESCRIOE K'OI1N <br />Frame� wallc; and install owner's fixtures. Provide restroom <br />❑ ELECTHtCITV ❑ GAS � WOODSTOVE <br />Retail <br />LOT � DLOCK _ <br />7807 Evergreen Way <br />PLUMBING <br />TYPE OF <br />WATER CLOSET (i( <br />BATMTUB <br />LAVATORV(WASHI <br />KITCHEN SINK 8 �ISP. <br />DISHWASHER <br />LAUNDRYTFAY <br />FLOOR DRAIN <br />DRAINS — RAINLEAD <br />iERVICE — BAR. ETC. <br />OFCONST <br />V-N <br />SIZE OF <br />APVLICATIONACC �� <br />hi. D1. <br />LOPIES� <br />❑ OTHEH <br />r] BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AhD EXAMINED THiS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIOVS OF LAWS 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 GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE,�JR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE P�/iFORMANCE OF CONSTRUCTION. <br />Sif,NATIfR�OF COHfRpCTOR. AHiMORiZEO AGENT. OR OWNER � OATE <br />X ��/� YJ - <br />�' - <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPME <br />AiC — A/MNDLG UNITS - HP <br />REFRIGERATION UNITS — H P. EA <br />BOILERS — B].0 /H P <br />GAS FIRED A�C. UNITS — B.T.U. <br />FORCED AIR SVSTEMS — B.T.0 <br />WALL HEATERS — B T.0 <br />UNIT MEATERS — B T U <br />EVAPOFATIVECOOLERS <br />CLOTHES �RVEFS <br />VENTILATION FAN <br />iiANGE HOOD <br />WATER HEATER <br />K'OOD STOVE <br />1dETAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUB TOTAL S <br />PEflMIT � <br />TOTALFEE 5 <br />PEAF SET�nCN SiDE SET�nCK <br />lOT AREA yqCNNT SITE <br />❑YES ❑NO <br />OCCUPANCVGROUP NOOfOWEILIN� <br />B-2 � <br />NO OF STOFIES IAA% OCC lOAO <br />ninNS CnECNED Ov <br />B.E. <br />rar+ i55unncE nv <br />L.C. <br />SEPARATE PLUMBZNG, MECHANICAL AND ELECTRICAL <br />PERMITS ARE REQUIRED. <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />>N CHECK NUMBER <br />87/18690 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SU <br />STATEENERGVSURCHARGE I <br />D�7IVEWAV PERMIT <br />�� <br />Sec <br />� <br />50 <br />TOTAI I I 93 I50 <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDnTED IIN THIS SPACE� TNIS IS VOUR PERMIT <br />O <br />O7 <br />CD <br />� <br />� <br />`t,� ,_�., �..._ <br />