Laserfiche WebLink
(he Evergreen " � "'� \ � � �T � � �T � O N . . <br />CI'Y OF RA <br />�`7�;�e�� ��R�Y'� e PERMIT NO. OH46� <br />GTY PALL 259�8745 <br />EveaF T. �vn ?ezo� ❑ COMBINATION ❑ BUILDING L�MECHANICAL PLUMBING <br />OYINER <br />MNLAOOf1E55 GITY ZIP �'HONE <br />Bry�ces Shoes 1512 South Hroadway _ <br />ARCNREGT OR �ESIGNE❑ AIAIL ADDPE55 GIiY ?IP PMONE <br />GENERALGONiPACTOR MAILAD�RESS CITY ZIP PHONE LICENSEI <br />reec�iaNicnicouTancroR ur.aaooaess cav 98122 TY�ELE RI cZ4� MM <br />Tyler Refrigeration P.O. Box 22300 Seattle <br />PWhIBINGCONTRACTGR I.IAiLA0DNE5: CITY Zlo PHONE UCEf15EY <br />❑N[W ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITIGN ❑FENCE ❑SIGN ❑GARAGE <br />5 <br />OFSCBiBE WORN <br />PROPCSED USE OF DUIIDING <br />�EGAL �ESCi li'/10N OF PROPERTY ISNOW BELOW OR ATTACM <br />�or eiceK_oF <br />JOB ADDRE55 <br />1215 South Bz'oadway <br />PLUMBING <br />N0. TYPE O:� FIXTURE OR ITEM <br />NJATEF CLOSET(TOILETI <br />BATHTUB <br />LAVATOAY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DIuHWASHER _ <br />LAUNDRYTRNY <br />CLOTHES WASHER <br />WATEfl HEATER <br />UflIPIAL <br />DHI�lKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOr DRAINS — RAW LEADEHS <br />cu�v.couvi�c — nna cT[' � <br />SIDE YARD SETOACK $TREET SETBACK <br />USE ZGNE LOT AREA <br />OF CONST. <br />BLDG. <br />OCCUPANCY <br />NO. OF S70F <br />L ENVIPONMENTALCHECKLIST <br />2. 9UILDING PLANS <br />3. F;AE HYDRANT <br />4. FIHE PROTECiIOtJ SYSTEM <br />5. GRADING <br />6. ORAINAGE <br />7.FNVIRONMENTALIMPACT STATEMENT <br />0. HEALTH DISTRICT <br />APPUCATION ACC. BY PWNSCHECKED BV <br />I HEHEBY l'.ERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />Fouar,owes� PLICATION AND Y,NOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS 0� IAVJS AND ORCINANCES GOVERNING THIS <br />TYPE OF 1VORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE URANTING OF A PERMIT DOES NOT <br />� PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGUUaTING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />sicNnruae oF coNrancran oR nu�Honizeo n,ern 10 2T1 80 <br />X Check #19185 / / <br />MECHANICAL <br />FEE <br />E OF EC <br />;—HP.i <br />UNITS— <br />o���«., — , �.� . �,.. <br />GAS FIRED A G UNIT$ — <br />FORCED AiR SYSTEMS — <br />bVALL HEATERS — B T.U. <br />UNR HEATERS — B.T.U. <br />EVAPORATNECOOLERS <br />CLOTHES DRYERS <br />VENTIIATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT -- <br />STOVE <br />RENR YARD OETBACK PLN� CHECK NUM9ER <br />VACANT SITE FEES <br />❑YE° ❑NO _ <br />NO. OF DWELLING UNITS <br />BUILDING <br />MAX.00C.LOAD <br />PLUMBING <br />FIRESPRINK:.ERS MECHANICAL <br />REOUIRED <br />❑YES ❑NO <br />AY DATE �THEfl <br />PENALTV <br />TOTAI <br />APPR. FOR ISSUANCE BY <br />FEE <br />�d EA <br />GF <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />VALUATION FEE <br />S <br />13 50 <br />U.B.C. <br />SEG. 3U3 (a) <br />13 50 <br />PROPERLY VALIDATED (W THIS SPACE) THIS IS YOUR PERMIT <br />9399 �0�3.��=� <br />'� <br />� <br />, ' : R;=CFIPT � <br />' � �� � II/ \��.' �� <br />i :.\ 1 <br />