Laserfiche WebLink
� <br />rhe Ecer,lreen <br />�p ���¢.��" � u�N�TRU�TI�N <br />�l.V�r�H.� ►� � f� IYi �� PERMIT NO. l 4 I t' 1 <br />CITV HALL 259�8745 <br />eveaen,vaneero+ [,I COMBINATIOW i� 6UILDI�G � MECFfANICAL ❑ PLUMBING <br />OWNEP A14IL AD�RESS CITY ZIP Ph10NE <br />Portland Optical 1321 S.E. Everect Mall Way Everett 98204 <br />ARCHITEQ OP DESIGNER IdAIL AD�RE55 CITY ZIP PHONE <br />GENERAL CONTRAGiOR lAFIL AODPE55 CITY ZIP PHOIJE UCENSE N <br />MECNANICALCONTR4CTOR MAILFO�PE55 CITY ZIP PHONE LICENSEM <br />Evergree» State Sheet Metal Inc. P.O. Sox 15�8 Everett 98206 252-3114 <br />PI.UMCiNG CONfRAGTOR IAFIL ApORE55 CITY ZIP PMONE IICENSE N <br />Ev �,x cs s�ozns <br />GLA55 OF WOfiK <br />❑ 4EW ❑ ACDITION ❑ AL7FRATION � REPAtR ❑ D'cMOLITION ❑ FENCE ❑ SIGIJ ❑ VlOUD STOVE/FIREPLACE INSER7 <br />bFLU^.:iON OF <br />5 <br />PfiGPOSED USE OF <br />LOT __ P.LOCK __ OF <br />1321 S.E <br />PLUivIBING <br />N0. TYPE OF FIXTURE OR ; i EM <br />WATER CLOSET (TOILEn <br />�ATHTUB <br />i.AVA70RY �NlAShi BASIn) <br />SHOW�R <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />LAUNURYTHNY <br />CLOTHES W�ISHER <br />WATER HEATER <br />UPIVFL <br />ORIilKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAK.F.RS <br />ROOF DR.AINS - RAINLEAOERS <br />SINK (SERJICE - BAR, ETC.) <br />OF ATrq,li <br />Evecett Mall Way <br />SUB 70?AL <br />PERMIT <br />TOTALFEE <br />E <br />APPROVALS <br />1. ENVIROIJMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDflANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTA7EMENT <br />8. MEALTH DISTRICT <br />APPLICATION ACC. 9Y PLANS CHE <br />5 <br />b <br />YARD <br />FEE <br />i:YES �.-NO <br />YES NO <br />BY DATE <br />ISaUANCE BY <br />I HEriE9Y CERTIF� THA i I HAVE READ AND EXAMINED THIS <br />APPLICATION AND hNOIN THE SAME TO BE TRUE AND <br />COrIRECT. ALL PROVISiONS OF LAWS AND ORDINANCE� <br />GOVERNING THIS TYPE UF WORK WILL BE COMPLIED WITH <br />VJHETHER SPECIFIED REREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES N07 PRESUME TO GIVF AUTHORITY TO VIOLATE <br />OR CANCEI TF�E PROVI,`'iIONS OF AIJ`/ OTHER STATE OR <br />LGCAL LAW REGULATING CONSTR�ICTIUN OR TH[ <br />PEP.FORMANCE OF CGNSTRUCT!ON. <br />56]NATUNE pF OONTRACTOR �: i AUTHORIZED AGENT pATE <br />`�� � 4/30/85 <br />X _��y� � <br />MECHANICAL � <br />NO. 7YPE OF EOUIPMENT FEE <br />AIR COND. J!JITF — H.P. EA. <br />RcFRIGERATION UM!TS — H.P. EA. <br />201LEPS —� H.P. EA. <br />GAS FIqED A.C. UIJITS — TONNAG[ EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WqLL HEATt:'S — BT.II. � M <br />UNIT NEA7ER5 -- J.T U. M <br />EVAPGiiATIVE COGLERS <br />CLOTHES DflYERd <br />VENTILAT:ON FAN <br />RANGENOOD <br />AIR HAN�LING UNIT — C.F.M. <br />S70VE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLAG'cINSERT <br />HEAT PUMP � F,.„ <br />SUB TOTAL <br />PERMIT <br />TOTALFLE <br />FEE <br />FEES VALU�TION <br />S <br />5 <br />5 <br />RECEIPT NO. <br />FEE <br />BUILDING S <br />PLUMBIN�3 <br />MECHANICAL 1% <br />OiNER — <br />PENALTY U.B.C. <br />SEC. 303 (a) <br />T07AL 1� <br />PERMI7 VALIDATION <br />WHEN PROPERLI' VALIDATED QN THIS SPACE) THIS IS YOUR PE(iMIT <br />i i <br />iif:.fl,':� SS Pll I: <br />� <br />, <br />t <br />: <br />� <br />