Laserfiche WebLink
11ie Evergreen r� N�T R U�TI � N <br />CITY OF <br />ever�tt PERMIT pERMIT Na. O$94O <br />CITY HALL 259�8745 <br />eveaen, wn sezo� ❑ COMBINATION 7�x BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OLVNER '�FILAD�RE55 CIiY ZIP �'MONE <br />James Barker 3531 Lombard <br />ARCHITEGTORDESIGNER MAILAODRE55 CITY <IP PMONE <br />GENEBFLCONIRAGTOR MAILAD�RE55 CITY LO PHONE LiGGRStI <br />Fortune Roofing P.O. Box 1012 Lynnwood 98036 776-0377 <br />�dECNArvIGAL CANTRACTOR MPiI AOORESS Cli� ZIP PH01!E LIGEHSE � <br />FO RT UR R&$JG 319 <br />PIUTABINGLONiRACTOR MAILADDFE55 CIiY ZIP PHONE LICENSEI <br />WORK <br />❑NEW ❑ADDITION ❑ALTEflATION �jflEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAFAGE <br />g 6,000.00 <br />DESCRiBE WORK <br />re-rocf composition <br />vROPJSED USE OF BUILOIhG <br />Pour plex <br />LEG4L DESCRIPiION OF PROPEPTY (SHOW BELOYI OR ATTAC�� <br />��r 15—��K 85aF Everett Di <br />�on r�noaEss <br />3531 Lombard <br />PLUMBING <br />NO. TYPE OF <br />WATEfl CLOSET ITOILE' <br />KITCHEN SWK & [ <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHE� <br />WATER HEATER <br />UFINAL <br />DFINKIIJG FOUNT <br />FLOOR DRAIIJ <br />VACUUM BREAHE <br />ROOF DRAINS — <br />SINK ISERVICE — <br />SIDC-YARD SEiBACK STRE[T <br />USE ZONE ' OT ARI <br />TYPE OF CONST. OCCUP� <br />SI2E OP BLDG. NO. OF <br />ITEM <br />L ENVIRONMENTAL CHECK LIST <br />2. �UILDING PLANS <br />9. RFlG riYDflANT <br />n. FIPE PROTECTION SYSTEM <br />5 GRADING <br />�u. DRAINPGE <br />%. ENVIRONMENTALIMPACT STATEMENT <br />0. HEALTH DISTRICT <br />APPLICATION ACC. BY PIANS CHECKED �V <br />I HEREt� CERTIFY THAT I HAVE REHD AND EXAMINED THIS AP- <br />coviesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS <br />E TYPE OF WORK WILL BE COMPLIED WITH WHETHER 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 REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />si�unrunF oF coN�nncroa on nurHo�izeo ne�nr onre <br />X 3 2 Sl <br />MECHANICAL <br />FEE N0. TYPE OF EOUIPMENT FEE <br />AIP COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.F. EA <br />�OILERS — H.R EA. <br />REAR YARD <br />❑YES ❑N� <br />NO.OF DWEI <br />oH5 rincu M�. ��viio— <br />FORCED P.IR SVSTE�dS — B.T.U. M EA. <br />NJALL HEATEFS — B.T.U. M <br />UNIi HEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HAN�LING UNIT — C.Fl.9 <br />8 CHIMNEV <br />SUB <br />TOTIIL <br />PLAN CHECh FEE <br />FEE � RECEIPT NO <br />FEE <br />BUILDING $ 6 � 000. S <br />MA%.00C.LOAD - <br />PWMBING <br />FIRE SPRINKLERS <br />acnivacn MECHANICAL <br />DATE <br />PFNALTY U.B.C. <br />SEC. 303 (a) <br />56 <br />YCHMII VHLIVMIIVI� � <br />\4HEN PROPERLV VALIDATED (M THIS SPACE) THIS IS YOUR PEF}Mlj �(� �� <br />��1����� �`,�v �� � � <br />� <br />n "' " �� <br />� l, <br />APPR. POR'bSUANCE BV � � � � �. � - `�T' <br />n.- . - ._,i . <br />