Laserfiche WebLink
�he Evergreen � � N ST R U CT I(� IV � <br />CITY OF <br />evere�t PERnIIIT pERMIT N0. O`�674 <br />CITY HALL 259�8745 <br />EVERETT. WA 982]7 ❑ COMBINATION �BUILDING ❑ MECHAPJICAL ❑ pLUMBING <br />OVMER IAAILADORE55 GTY ZIP PHONE <br />Foster and Marshall Real.�y, Inc. 205 Columbia/Suite 505 Seattle 98109 <br />ni�CMRECi OR �ESIGNER IANL <� DpE55 CRY ZIP PHOHE <br />344-2412 <br />GEIlEP.AL CONTRACTOF �.IAIL A�pPESS CITY ZIP PNONE LICCNSE I <br />Signage, Inc. J272 State Avenue hfarysville 98270 659-2200 <br />61[CN4NICA� WNiPl.CTGR MAILAOORE55 QiY 21P PHONE UCENSE I <br />��U�d�I�,aCONTP]CT09 MAILFDDRE55 CRY IIP PHONE LICENSEI <br />❑NEW ❑A�DITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE �A1GN ❑GARAGE <br />VA W ATION OF VlORN <br />£ 7962. <br />oesr.aioe woaK <br />erect illuminated Siyn <br />VRUPOSEO USE OF BUIl01NG <br />�or <br />PLUMBING <br />PROPERTY i5H0\V BELOW OR <br />� <br />�CjW2l}' <br />� <br />TYPE OF FIXTURE OR ITEM <br />LAVATORY pVASH BAE <br />SHOWEfl <br />KITCHEN SINK 8 DISP. <br />DISHWASHEF <br />LAUNDRY TflAY <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAWS — RAINLEADER� <br />SINK ISERVICE — BAR. FTC] <br />I TUTALFEE <br />SIDE VARD SETBACk STREET SETBACK <br />USE ZONE LOT AHEA <br />TYPEOF CONST. OCCUPANCY GROUP <br />SIZE OF BLDG. N0. G' STqRIES <br />APPROVALS <br />t ENVIRONAIENTAL CHECK LIST <br />2 BUILDING PLAM1S <br />3 FIRE HYDRANT <br />:. FiRE PROTECTION SVSTEM <br />5 GRADING <br />G DRAINAGE � <br />-i. LM/IRONMENTALIMPACTSTATEMENT <br />a HEALTH OIS7RICi <br />nrF�ucnrion acc ov a�qNs cF�ecKeu er <br />- RII _ - . <br />VACANT SITE <br />❑YES LNO <br />NO.OF DWEL <br />BY I UATE <br />:,rHa Foa issuardc[ ur <br />IInB=LNC <br />I HEREBY CERTIFY "i HAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK V�'ILL BE COMPLIED WITH WHETHER SP[CIF�ED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO `lIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SiGNAiUREOFCONi4iACTOROqA•_"��JN12EDAGENi OATE <br />X Check #1607 12/10/80 <br />MECHANICAL <br />TYPE OF E�UIPMENT FEE <br />AIF �ND. UNITS — H.R EA. <br />REFRICERATION UNITS— H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNIT:� — TONNAGE EA. <br />FORCED AIR SYSTEh1S — 3.T.U. M EA. <br />WALL H[ATEf75 — B.T.LL M <br />UNITHEATfRS—ElT.11. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANOLING UNIT — <br />STOVE <br />METAL FIREPLACE R CF <br />VLAN CHECK NUMBER <br />SUBTOTAL <br />FEE RECEIPT N0. <br />VALUATION FEE <br />DUILDING s Jc�6Z 24 00 <br />PLUMBING <br />MECHANICAL <br />uoc <br />SEC. 303 (a) <br />29 I 00 <br />WHEN PROPERLY VALIDATED QN THIS SPACE) iHIS IS YOUR PERMIT <br />�'�.3 SC24.00 --�j <br />� <br />� <br />. n�-�,.._:i;.�U <br />,i <br />�' <br />