Laserfiche WebLink
�he E'verxrrcn <br /> ����°� � -�ONS7RUCT10� '� � "� <br /> ever�tt PE�MIT PERMIT N0. 16572 <br /> G7Y HALL 259�87d5 <br /> EVERETT,VlA98201 � �OMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEP MAIL AD�RE55 CITY ZIP � PHONE <br /> ALL STAR VIDEO 10121 Evergreen Way Everett WA 98204 <br /> ARCHItECT OR DESIGNER MAIL ADDPESS CITV ZIP PqpNE <br /> GENERRI CONTRACTOR � MpIL ADDRESL CITY ZIP VHONE �ICENSE N <br /> JIM MANNING SIGNS 9003 - 220th SW Edmonus WA 98036 774-1964 JIMMAA208M6 <br /> MECMFNICAL CONTRACTOR MAIL AOORE55 CITY 21P PHONE UCENSE M <br /> PIUMBING CONTRACTOR MAIL AO�RE55 CITY ZIP PMONE LICENSE 6 <br /> GLA55 OF WORK <br /> O NEW ❑ ADDITION ❑ ALTERATION ❑REPAIF ❑ DEMOLITION ❑ FLNCE �] SIGN � WOOD STI..;:FIREPLACE INSERT <br /> VALUATION Oi 1YOFK ' <br /> f 800.�Q <br /> DESCRIBE WOPN -- <br /> Install 2' x 15' wall mounted sign <br /> PROPOSED USE OF BUILDIN3 <br /> Retail I HEREBY CERTIFY THAT I HAV[ READ AND EXAMINED"fHIS <br /> LEGALOESCRIPTIONJFPROPERTY�SHOWBEIOWOPATPqCMFOUFCOPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLO�K__OF GOVERNING THIS TYPE OF WORK W�LL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF'A <br /> PERMIT DOES NOT PRESUMETO GIVEAUTHORITYTO VIOLATE <br /> — OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LA'�/ REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTI N. <br /> JOB ADDRESS SIGNATUf�OF C TRACTOR OP AUTH I AGE �ATE <br /> 10121 Evergreen Way X � -� /' _ ,�Z_� <br /> PLUMBING ME HANICAL _� <br /> N0. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET(TOILET) AIR COND.UNITS— H.P. EA. <br /> BA7HTU8 REFHIGERATION UNITS— H.P.EA. <br /> LFVA70RY�WASMBASIN) BOILERS — H.P. Eh. <br /> SF:OWER GAS FIRED A.C. UNITS— TONNAGL EA. <br /> KI7CHEN SINK 8�ISP. FORGED AIR SVSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEA7ERS— B.T.U. M <br /> L: JNDRY TRAY UNI7 HE.�TERS— B.7.U. M <br /> CLO7HES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIM AIR HAND�INu UNIT— QF.M. <br /> VACUl1M BREAKERS STOVE —WOOD <br /> ROOF�RAINS— RAINLEPDERS METAL FIREPLACE 8 CHIAINEY <br /> SINK(SERVICE— BAR, ETQ) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL S SUB TO7AL S <br /> PERMI7 5 PENMIT 5 <br /> TOTALFEE S TOTAL FEE S <br /> SIUE YARD SETBACK S7REET SE7BACK REAR VARD SETBAGK PLAN CHECK NUMBER PLAN CHE�K FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> i_VES :.-:NO FEES VqLUATION FEE <br /> TYPE CF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING �00.00 6 00 <br /> SIZE 0�=BLDG. :NO.OF STORIES MA%.OCC. LOAD <br /> PWfdBING <br /> FIRE Z�.)NE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> ::YES ;..NO — <br /> APPHOVALS BY DATE OTHER <br /> 1. �NVIRONMENTAL CHECK LIST PENAL7Y U.B.C. <br /> 2.Bl11LDING PLANS SEC.303(e) <br /> 3.FIFEHYDRANT 70TAL �BG iZ%S OLOHNOSS.� �-K.L <br /> 4.FIRE PROiECTION SVSTEM PERfrilT VALIDATION <br /> S.GRADING WHEN FROPERLV VALIDATEO ON�;SPACE)7f{(91�O0UR PERMIT .-4 <br /> 6.�RAINAGE ��C7 46.� r`- <br /> 7.ENVIRONMENTALIMPACTSTATEMENT C�ECK fIb•W ��-' <br /> B.HEALTH DISTRICT �� � <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY � � <br /> lc nv <br /> ACDRESS fILE <br />