Laserfiche WebLink
�he ErrrArcen ������� w��o�� „� <br /> �irv�F � �� � . : <br /> e�erett ���M �T PERMIT N0. -�•E4 � 7 <br /> CITV h,ALL 259�87d5 <br /> EVER'_7T,WA 98201 � COMBINATION ❑ BUILDING ❑ tdECHANICAL ❑ PLUMBING <br /> OWNER MRILA00 '��.68 _— CITY DP PHONE <br /> D & D Investment #9 Bel Take Bellevue <br /> AHCMI�EGT OR OESIGN[R MAIL AG09E55 CITV 21P PNONE <br /> GENERAL CONTR4CiOR MAIL.�JDRE55 C�TY ZIP PHONE LICE-ISE� <br /> Statewide Suildina Svstens 205='41st Street �'W Bothell 980?� 483-n416 STATF.7dQDI <br /> MECMANIGAL GOIJTRACTOR MAIL AODRE55 CITY ZIP PHONE �ICE45F I <br /> PLUMBING GONTPACTOR MAIL ADDPESS CRV ZIP PHONE LICEdSE• <br /> CUSS OF WORK <br /> D NEW ❑ ADDITION � ALTERATION ❑REPAIfl ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD'iTOVEIFIREPLACE INSERT <br /> VALUATIOM1 OF 190RK <br /> S ZrJ�\�Ci� <br /> DESCPI9E U'ORK <br /> Tenant PaL�titions Doors Snohoraish Co t <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTI`Y THAT I HAVE READ AND EXAMINED THIS <br /> Office Space APPLICATION AND KNOW THE SAME TO OE TRUE AND <br /> LEGAL OESCR Pt�ON OF PROPERTY�SMOW BELOW OR ATTACM P011R CO°IES) CORRECT. ALL PROVISIONS OF IAWS AND ORDINANCES <br /> �or_ewcn_oF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OH NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TU GIVG AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB AD�RESS SIGNHTURE OF CONTRACTOR OR AUT ORIZED AGENT DATE <br /> 111 SE E�ere`.t M 11 Wav Blda F. X � � <br /> PLUMBIN6 MECHANICAI <br /> N0. TYPE OF FIXTURE OR ITE�I FEE N0. 7YPE OF EOUIPMENT FEE <br /> 3 WATLRCLOSET�TOILEn AIR CONU.UNITS — H.P. EA. <br /> 6ATHTUB REFRIGERA710N 'JNITS— H.P.EA. <br /> 2 LNVATORY�W4SH BASIN) BOILERS— H.P.[A. <br /> S40WEF GAS FIRED A.C. UVI7S— TONNAGE EA. <br /> KITCHEN SINN 8 DISP. FORCED AIR SYST=MS— B.T.U. M EA. <br /> OISITY.hSNER WALL HEATERS— B.7.U. M <br /> 'LAJNORYTRAY UNIT HEATERS—� E.T.U. M <br /> —C OTNES WASHER EVAPORATNE COOLERS <br /> IYATER HEATER CLOTHES DRYERS <br /> j UFINAL VENTILATION FAN <br /> DFINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM B��EAKcRS STOVE —WOOD <br /> RCOF OP'�INa — iAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�..RVICF— BAH,ETC.) FIREPLACEINSERT <br /> HEAT PUMP <br /> SU9 TOTAL S � SUB TOTAL f <br /> PERMIT S PERMIT S <br /> TOTAL FEE S TOTAL FEE S � <br /> S1DE YAFD SETBACK S7REET SETDACK RFAR YAPD SETBHCK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 86/16407 FEE.�1.83 RECE.IPT NO. <br /> USE ZONE LOT AREA VACANT SITE �'+ <br /> i.iYES ',NO FEES VALUATION FEE _ <br /> C-1 <br /> NPE OF GONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N B-Z � BUILDING $ 15 000.00 1 '' <br /> SIZE OF BLDG. NO.OF S70RIE5 MAX.OCC.LOAD — <br /> 3180 sf this a ea 2 16 ea. flr. =32 P�UMBI�, 1 <br /> FIRE ZONE BASEh1ENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> � �YES ;-�NO <br /> APPIiOVALS BY OATE OTHEF <br /> 1. ENVIRONM_NTAL CHECK LISI PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS �� <br /> 3.FIREHYDRl.NT '- TOTAL <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIUATION <br /> 5.GRADING WHEN PROPERLY VALIDATED pN THISS�AG�)THIS'S YOrroP�iMIT,�_F�'� <br /> 7 I ) ll <br /> �-�6.DRAINAGE <br /> '—7.ENVIRONMENTALIMPACTSTAT5MENT r ��i <br /> - - 8.HEALTN DISTRICT — � . � . ; <br /> '� APPLICATION 4CC.BY! PLANS CHECKED BV APPR. FOR�SSUANCE BY , <br /> � ' _ r n <br /> � - naa J�r• Lc <br /> i <br /> - ' ; ; ,. _ <br /> �-� ADDRESS FILE <br /> � <br />