Laserfiche WebLink
the E:rrgreen ; O N ST R U C T I O K <br />CITY OF <br />everett PERMIT PERMIT NO. 11917 <br />CITY HALL 259 8745 <br />EVERET. WA 98201 ❑ COMBINATION U BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Alpine Retreaders 306 South Broadway Everett 347-5626 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Simco Sign Co. P.O. Box 68 Everett 98206 252-OOB6 <br />MECHANICAL CONTRACTOR MAIL ADDRESS City ZIP PHONE LICENSE <br />1 <br />� PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE DIXON ❑ WOOD STOVEIFIREPLACE INSERT <br />f 345.00 <br />DESCRIBE WORK <br />Install non -illuminated Sian Of PXictinn nnlo <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY" TO VIOLATE <br />OR CANCEL TJ-1E PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LjA , REGULATING CONSTRUCTION OR THE <br />PERFO MANCE OF,CONSTRUCTION. <br />SIGNATURE F''CONT ACTOR OR AUTHORIZED AGENT Q, ATE <br />X /ll <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT -BLOCK -OF <br />JOB ADDRESS <br />306 South Broadway <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK 8 DISP. <br />FORCE') AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. Al <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />S <br />SUB TOTAL $ <br />PERMIT <br />S <br />PERMIT f <br />TOTAL FEE <br />$ <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHICK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES E:NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />S 345.00 <br />3 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />. YES :: NO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLL'IS <br />TOTAL <br />3 <br />00 <br />3. FIRE HYDRAN. <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />to O U O PERMIT <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THI1003.00 <br />6 U 4 7 S <br />CF:t <br />I <br />'YO UI R RECEIPT '--t <br />THANK YOU <br />5. GRADING <br />8. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />RF <br />APPR. FOR ISSUANCE BY <br />NV <br />ADDRESS FILE Z 5 ' <br />