Laserfiche WebLink
the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />OWNER MAIL ADDRESS ZIP PHONE <br />Fashion Conspiracy <br />liB�-%% -0 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />S. & S. Sign Company <br />z <br />C <br />MECHANICAL CONTRACTOR MAIL ADDHE55 PHONE LICENSE NU. <br />W <br />rn <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PERMIT CLASS <br />❑COMBINATION <br />[]BUILDING ❑PLUMBING ❑MECHANICAL <br />OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />$ 600.00 <br />yy� <br />❑DEMOLISH ❑FENCE IGN []SWIMMING POOL <br />DESCRIBE WORK <br />erect illuminated sign <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />$ I _ <br />REFRIGERATION UNITS-H.P. EA. <br />_ <br />BOILERS-H.P. EA. <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />�— <br />JOB qpg@ SS <br />171 South Broadway Space 207 <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />NO. I <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />S <br />I _ <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />- <br />I _ <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM: NO OF OUTLETS <br />FLOOR DRAINS <br />I <br />SUB TOTAL S <br />KITCHEN SINKS & DISP. <br />I <br />PERMIT $ <br />_ <br />BAR SINKS <br />I <br />ROOF DRAINS - RAIN LEADERS <br />I <br />TOTAL FEE $1 <br />1 <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />8/4/77 <br />X <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATERCLOSETS <br />WATER HEATERS - ELECTRIC <br />I <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />I <br />I <br />SUB TOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REARYARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOTAREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNITS DWELLING <br />I <br />BUILDING <br />$ 600.00 <br />I <br />51 QQ <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX.00C. LOAD <br />PLUMBING <br />FIREZONE <br />BASEMENT <br />rFE SPRINKLERS <br />UIREDMECHANICALYES ONO <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />PENALTY <br />SEC. 3031A) <br />1 <br />TOTAL <br />51OO <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IIN THIC419 fII lr) THe R 41HY'AI;PiI� <br />+{i IIJ VU�" <br />YOUR RECFq01 <br />THANK YOUR <br />n <br />v un 7'7 <br />APPLICATION ACCEPTLIIDY: <br />PLANS LYIECKED BY: <br />APP1-111 BII-ANCI By <br />L.C.eb <br />- 3 AIM / 1 <br />