Laserfiche WebLink
(hi�l:��i•i;Cr�rir � ��Y �V�, l��'�/��V� �� ' .. <br />CITY OF ' <br />e�verett PER��Y PERnnir rso. 0�482 <br />CITY HALL'G59�8745 <br />EVERETT, WA 982u1 ❑ COMBINATION ❑ SUILDING ❑ MECHANICAL ❑ FLUMBING <br />G�'/NEfl MAILA�[1RESS CIiY ZIP PHONE <br />KIT CARSON FARMERS INSUI2ANCE 607 S. Broadway Everett <br />AFCHIiEC10RDE51GNER MAILAD�PE55 CITY 21P PMUNE <br />Simco Sign Corp 2719 Afaple St. 252-0086 SI-MC-OSC272P3 <br />GENERALCAhIRACTOfl IAAILADOPE55 CITY 21P PHONE UGENSEI <br />MECHANICPL CANTHACTOR MAIL ADDRE55 CITY ZIP PHONE UCCNSE I <br />PLUMBINGCANTflACTOR MAILAO�PESS QTV ZIP PHONE IICENSEY <br />ONEW ❑ADDITION ❑ALTERA710N ❑REPAIR ❑DEMOLITION ❑FENCE CRSIGN ❑GARAGE <br />VALUPTION OF WOqK <br />S ZS�.�� <br />DESCPIBE WOflK <br />Sign installation <br />LOT BLOCIC_OF <br />JOB A�DRES$ <br />607 South Broadway <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM FEE <br />WA7ER CLOSE7 (TOILET) <br />BATHTUB <br />LAVATORY hYASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES YJASHER � <br />WATER HEATER <br />URINAL <br />ORINKING FOUNTAIN <br />FI.00R DRAIN <br />VACUUM BREAKEPS <br />ROOF DRAINS — RAINLEADERS <br />S�NK �SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT S <br />TOTALFEE S <br />SIOE YARD SETBALK STREET SETBACK REAR YARD SETBACK <br />USE ZONE LOT AREA VACANT SITE <br />�YES ❑NO <br />TYPE OF CANST. OCCUPANCV GROUP NO.OF DVlELLING UNITS <br />SIZE OF BLDG. NO. OF STORIES MAX. OCC. LOAD <br />FIRE ZONE BASEMENT FIRE SPRINKLERS <br />7. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />R. Boiaker <br />APPR. FOR ISSUANCE BY <br />BAB F� LNC <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL r'ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH NiHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING 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 9EGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTHU/C710N. <br />X NATUREOF �iOPAUTHOR'IZEOitGE�IT � /I �7E�� <br />� / � <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNI1S — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M <br />WALL HEATERS — B.T.U. M <br />UNIT HFAiERS — B.T.U. M <br />EVAPORATNE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />7LING UNIT — C.F.M. <br />REPLACE 8 CHIMNEY <br />5118 TOTAL S <br />PEHMIT S <br />TOTAL FEE S <br />dBER PLAN CNECKFEE <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />52sa.00 s nn <br />U.B.C. <br />SCC. 303 (a) <br />3 <br />N PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOU PERMl� <br />Plus electricai t 0 5 5 �fl �).0 �� 1'' <br />� <br />j'. � <br />YOUR RECEIP� <br />T,�-IF.NK YOIP <br />ADDRESS FILE <br />t "�� K` �:.. � . . . <br />I 7 �� 80 <br />. <br />--�� =-_.. _ <br />