Laserfiche WebLink
theEvCgvoF �ONSTRUCTION � . <br />ev�erett PERMIT pERMIT NO. 08909 <br />CITV HALL 259•8745 <br />EVERETT. WA 99201 ❑ COMBINATION �tBUILDIN(3 ❑ MECHANICAL ❑ PLUMBING <br />OWNER MPILADURE55 CITY ZIP PHONE <br />Karr Realty, inc. 9708 Evergrean Way <br />AFCHRECT OR UESIGNEF MAIL AODIIESS CITY 21P PHONE <br />GENERALCONTMCTOR MAILADDRESS CITY ZIP PHONE LICENSEI <br />Simco Siqn Corp. 2719 Maple Everett 98201 252-0086 <br />MECHANICALCANTHACTOR MPILADOHE55 GTV ZIP PNONE UCENSE� <br />SI MC OS 272 P3 <br />PL'UMBINGCANfPACTOR MAILADOPESS CITY ZIP PHONE UCENSEI <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITIOI: ❑FENCE }I�SIGN ❑GARAGE <br />E BG0.00 <br />erect illuminated si <br />FpOPOSED USE OF BWL�ING <br />LOT BLOCK_OF <br />� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />�SHON'BELOWOPATTACHFOUFCOPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVEHNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />i3ONSTRUCTlO OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE TOF OR AUTHORIZE� AGENT � � DATE � <br />9708 Evergreen Way <br />PLUMBINO <br />NO. TYPE OF FIXTURE OR Il <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEV SINK 8 DISP. <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />WATEfl HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SEI. �ICE — BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />SIDEYARD SET6ACK STFEET SETBACK <br />u5F IONF LOT AREA <br />OF CONST. <br />N0. OF <br />FIRE ZONE <br />GROUP <br />1. ENVIRONMENTAL CHECn LIST <br />2. BUILOING PLANS <br />3. FIRE HYDRAN7 <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRIC7 <br />APPLICATION ACC. BY PLANS CHECKED BY <br />RB <br />FEE <br />TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERA710N C "'S — H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAF'ORATIVE COOLERS <br />CLOTHES ORYERS <br />VEN7ILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M <br />STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />9EAR YARD SETBACK PLAN CH�CK I <br />VACANT SITE <br />❑YES ❑NO <br />NO.OF DWELLING UNITS <br />BUILDING <br />MAX.00C.LOAD <br />PLUMBING <br />FIRESPRINKLERS MECHANICAL <br />REOUIRED <br />❑VES ❑NO <br />BY DATE aTHER <br />PENALTY <br />TOTAL <br />APPR.FORISiUANCE BY <br />BAD <br />PLAI: <br />FEE <br />s g00.00 <br />U.BA. <br />SEC.303(a) <br />FEE <br />REOEIPT N0. <br />_. _ <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) iHIS IS YOUR PERMIT <br />Ci � � <br />� � � <br />Q� <br />�„�3 ��06.OD-Q1 <br />� <br />� <br />;: ;_ �nj <br />, �.� <br />