Laserfiche WebLink
> � <br /> the Evergreen -- C�-ySTRUCTION � <br /> GTY OF <br /> everett PERMIT pERMIT NO. OSZ34 <br /> an Hnu zss e�as <br /> EVEREIT,WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL PLUMBING <br /> OWNEF MAILAD�PE55 CITV ZIP PNONE <br /> C.P .D. Computor Products 10316 Highway 99 South <br /> APCHITECTOflOESIGNER MAILADDRESS LITY ZIP PHONE <br /> GENEFAL LOPITPALTOR MAII ADORESS CITY 21P PHONE LICENSE� ' <br /> Simco Sign Corp. 2719 Maple Everett 98201 252-0086 <br /> MECHANICAL CANTRACTOR MAIL AOORESS GITY ZIP PHONE LICENSE I <br /> SI MC OS C272P3 <br /> PUIMBING CANTRAGTOR MAIL ADDRE55 CITY ZIP PHONE LICENSE� <br /> CLA55 OF WORK <br /> ❑NEW ❑ADDITION ❑ALTE(7ATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VALUATION OF WORK <br /> 5 <br /> DESCii1BE WOHK ' <br /> � PROPOSED USE OF BUILDING <br /> I HEREBY CEkfIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEGALDESCRIPTIONOFf'ROPERNISVIOW BELOWOFNTfACHFOURCAPIE51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or eiaK_oF TYPE OF WORK WILL BE COMPL�ED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUREOF OFAUTHORIZEDAGENT 9�9�g0 <br /> JOB ADDRE55 <br /> 10316 Everqreen Way X <br /> PLUMBINO MECHANICAL <br /> � � NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H.P.EA. <br /> � � &4THTUB REFRiGERATION UNITS—H.P.EA <br /> LAVATORY(WP.SH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIFED AC.UIJITS—TONNAGE EA. <br /> � KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.0 M EA. <br /> DISHWASHER WALL HEATERS—B.T.U. M <br /> � LAUNDRY TRAY UNIT HEA7EFS—B.T.U. M <br /> CLO7HES WASHER EVAPORATIVE COOLERS <br /> � WATER HEATER CLOTHES DRYERS <br /> VENTIUl710N FAN <br /> URINAL <br /> DRINKING FOUNTAIN RANGE HOOD <br /> AIR HANDLING UNIT— QF.M. <br /> PLOOR DRAIN � <br /> VACUUM BREAKERS STOVE ' <br /> ROOF DRAINS—RAINLEADERS METAI FIREPV CE&CHIMNEY <br /> SINK(SERVICE—BAR,ETC.) <br /> SUBTOTAL � SUBTOTAL f <br /> PENMIT S PEPMIT s <br /> TOTAL FEE S TOTALFEE S <br /> PLAN CHECK FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR VARD SETBACK PLAN CHECK NUMBER RECEIPT NO. <br /> FEE <br /> USE ZOI�E LOT AREA VACANT SITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> 7YPE OF CONST. OCCUPANCY GFOUP NO.OF DWELLING UNI75 <br /> BUILDING $SOO. 00 S OO <br /> SIZE OF BL�G. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIFED <br /> ❑YES ❑NO <br /> ppPpOVALS BY OATE OTHER <br /> 1. LNVIRONMENTALCHECKLIST PENALTY U.B.C. <br /> SEC.303(a� <br /> 2. BUILDINGPL4NS _ TQTA� 5 00 <br /> 3. FIRE HYDRANT <br /> 4. FIRE PROTECTION SYSl'EN. PERMIT VALIDATION � � � � �����O `_ <br /> WHEN PPOPERLY VALIDATED(IN 7HIS P C � tYIS IS .� <br /> 5. GRADING <br /> M <br /> 6. DFAINAGE <br /> N <br /> 7. ENVIRONMENTAL IMPACT STATEMENT �j,;—� f j �l ��C��pT� <br /> B. HEALTH DISTRICT / <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUFNCE BV I i. 1 i11�I t� Y O U O <br />