Laserfiche WebLink
thr, Eucrgrecn <br />cm oF <br />E',V(�Y°E'tt <br />259-8745 <br />"' � �PdSTRdJCTION <br />PERMIT <br />PERMIT NO. � S � � u <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING Q MECHANICAL ❑ PLUMBING O SIGN <br />OWNEP M�ILAODRESS CITv ZIP PHONE <br />Picway Shoes Columbus OHIO <br />ARCMIiEGTORDE5IGNER MRILADOOESS CrtV ZIP PNONE <br />GENERALCONTPAGTOB MRILAOORE55 CITv ZIP FHONE LIGENSEI <br />DHH National 13500 Bel Red R.d Bellevue, {4A 98005 693-4600 DBHNI141MG <br />MEGMANIGALCONTRACTOP hIGiLADOf1E55 CITV ZIP PMONE LICENSE� <br />PLUMpINO CONTRACTOR <br />MAIL ADOHESS <br />CITv ZIP PNONE <br />� NEW ❑ ADDITION ❑ ALTEHATION ❑ REPAIR ❑ DEMOLITION ❑ BUILOING RELOCATION <br />VALUATION OF WORN <br />5 <br />install exhaust fan in bathroom <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Retail <br />LOT � BLOCK <br />�oonooness <br />7807 Evergreen Way <br />PLUMBING <br />NO. TYPE OF FIXTI <br />WATEfl CLOSET (TOILET) <br />BATHTUB <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />OISHWASHER <br />LAUNDRYTRAY <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS — RAINLEADE <br />SINK ISEF7VICE — BAR, ETC � <br />SUB TOTAL <br />PEHMIT <br />TOTALFEE <br />USE ZONE <br />TYPE JFCONST OCCUPANCYGROUP <br />SIZE OF BLDG <br />PPPIICATON ACC 9Y <br />S.H. <br />FEE <br />VACnNTSRE <br />[�vES U NO <br />NO OF OWELLING UNITS <br />PLANSCMECNEOf3Y � APPR fORI55l14NCE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING GF A <br />PERi�11T DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE P RFORMANCE OF CONSTRUCTION. <br />SiGNAT RE OF CONTli CTO�g AUTHORIIEO AGENT. OR ONTIER DATE <br />X / ��cc�{� �.ClG'l.cr — /`- 2/- �' � <br />MECHANICAL <br />NC - A/HNDLG UNITS — HP. <br />PEFRIGERATION UNITS — H.P. I <br />BOILERS — 8 T.U./HP. <br />GASFIREDA�C UNITS—BSL. <br />FORCED AIR SYSTEMS — 8 T.U. <br />WALL HEATERS — 87 U <br />UNIT HEATERS — B.T.0 <br />EVAPORATNE COOLEiiS <br />CLOTHES ORVERS <br />VENTILATION FA!J <br />RANGEHOOD <br />WATER HEATER <br />WOODS70VE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />M EA <br />M <br />M <br />FEE <br />SUB TOTAL S 4 O <br />PERMIT 5 I.S O <br />TOTALFEE S 19 O <br />PLAN CNECK NUMBER FEE RECEIPT NO. <br />FEES VALUATION FEE <br />OUILDING S <br />PLUMBING <br />MECHANICAL 19 SO <br />INVESTIGATION FEE Sec.304�e) <br />STATE BUILDING SURCHARGE <br />STATEENERGVSURCNARGE <br />OFIVEW�� PERMIT <br />TOTAL <br />PEf1MiT VALIDATION <br />WHEN PROPERLV VALIDATED �IN THIS SPACE� THIS IS YOUR PERMIT <br />• <br />• <br />