Laserfiche WebLink
� tpefi�•crgreen C ��►NSTRUCTION - <br />pTY OF � . - <br />everett PERMIT PERMIT N0. O?634 <br />CITV HALL 259�8745 <br />EVERETT. WA eszo� ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ pLUMBING <br />OWNER A!R!�Apf!PE55 CITY ZIP VMONE <br />Cascade Party Sales, Inc. 220 Olympic Blvd. 258-2431 <br />Aq�MRECi OR pE51GNER MAIL ApDRESS CITY ZIP PHONE <br />GENEPAL CONiRAGTOfl MAII AOORE55 CITY ZIP PMONE LICENSE I <br />Same <br />MECMANIGAL CONTMCTOR A1AIL FDDRESS QTV ZIP PHONE UCENSE / <br />PWMBINGCpNTRnCiOR M4ILADDRESS CITY ZiP PHONE LICENSE� <br />ClA55OF WORK <br />❑NEIY ❑ADDITION XBALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALU/TI011 OF WORK <br />y i�J�.O� <br />DESCRIBE WORK <br />install fire do <br />GFOPOSED USE OF BUILDING <br />commercial <br />LEG4L DEfiCdlPiION Of PROPERi <br />ior e�oc�oF <br />220 Olympic Blvd. <br />PLUMBINO <br />NO. TYPE OFI <br />BATHTUB <br />LAUNDRY TRAV <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />ORINKING FOUNTAIN <br />G <br />� <br />SUB TOTAL <br />SIDE VARD SEiBACK � STREET 5[7BACK <br />GROUP <br />NO. OF ST( <br />�AS[MENT <br />1. ENVIRONMLNTAL CHECK LIST <br />2. BUIL�ING PIANS <br />3. FIRE HYDRANT <br />a. PIRE PROTECTION SVST[M <br />5 GRADMG <br />6. ORr11NAGE <br />7. ENVIRONMLNTAL IMPACT STATEMENT <br />8. HEALiH DISTRICT <br />APPLICATION ACC. BY PLANS CHLCKED BY <br />�. �. <br />FEE <br />REAR VARD <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 PROVISIONS OF LA4V5 AND ORDINANCES GOVERNING THIS <br />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 AAW REGULATING <br />CO OR THE PERFORMANCE OF CONSTRUCTION. <br />iGNATURE q TMO E AGENt DATE <br />X � Si��ian <br />N0. <br />AIP COND. UNITS — H.P. E <br />REFRIGERAiION UNITS — <br />�OILERS — HP. EA. <br />GAS FlRED A.G UNITS = <br />FORCED AIR SYSTEMS — I <br />WALL HEATERS — B TL. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVE COOLERS <br />CLOTHES DFYERS <br />VENTItATION FAN <br />PANG[ HOOD <br />AIR <br />CHECK NUM9ER <br />f�YES ❑NO <br />NO. OF DWELLIIJG UNITS <br />BUILDING <br />MAX.00C.LOAD <br />PLUM�ING <br />FIRE SPRINKLEqS <br />REOUIRED MECHANICAL <br />i7VE5 flNO <br />BY DATE OTHER <br />PENALTY <br />APPR FOR ISSU�NCE DY <br />SUB TOTAL <br />FEE <br />UB.C. <br />SEC.909�a) <br />9 <br />M EA <br />M <br />RECEIPT NO. <br />FEE <br />� �� <br />� 11 <br />PROPERLY YA�IDATED �W THIS SPACE� TN1515 YOUR P[RMIT <br />�sio 8005.00—�.`r,1 <br />�� <br />� <br />1'_�UR RECEIPTo <br />7,�,�r!K ��cu <br />no�r�r_ss Fi�r_ i I�";� 80 <br />