Laserfiche WebLink
APPLICATION FOR ��«�n <br /> '"'E"'°'"" L�NSTRUCTION e <br /> ��N OF <br /> everett PERMIT <br /> DEPT.OF COMMUMTY DEVEIOPMENT$EHVICES <br /> CITY HALL 259-87�5 <br /> EVERETT,WA9B207 ��OMBINATION ❑ SUII.DING ❑MECHANICAL ❑PLUMSINC PEkM1T NO. <br /> OWNEX M�IL�DDNRS CRV �1' ZIP PMOYE <br /> � I�/Iia..�G Js'°��r�i� �r Fdtr'G�7" �53����� � <br /> �RCMIIICiOR ISIGNfR MAlIAppRt55 CIIV LIP pMONE ' <br /> Lif//c G,��� G.ss��f�:��+ Pr� �- �/a F��et�` 98�� _ �s8-��6t • <br /> GINfRnI COuIX�ROR MAII�OONlS$ C TY 21P PNO [ IICFHSE/ <br /> �� ,,, •� •, ,� LT-TT-LG — <br /> elllM�MUI CONiqAC1UR M�II/.��NlSS Ul CIP PNO [ UCFNSE� <br /> Ir �/ I� •� i' Gij1�l <br /> PIV�IPI�G(ONIR�C100. MeIIeUDM65 Oi� DP PMON[ UCINSEI <br /> C1�550f N'ONI( <br /> ❑NEW ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUIIDING RELOCATION <br /> \'MUAl10yp I Wpp5� ' a-� � / �O �M �� <br /> 5 f�Q'- �i ��L � il__ N �V <br /> TW�� l e�""a� V��.�V• <br /> Ul5Cx1 I 1�OtlK / ' <br /> /�wt/on o e � �2a••� � �i � ara�e .? c�i/ <br /> raovos oust a nmion+c i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> ZJ�, PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ucu oiscairuov or reovian�srwwn nnow oe nnncH roua coriu! PROVISIONS OF LAW$AND ORDINANCES GOVERNING THIS TYPE <br /> q� � OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> io�J��nlFfcc � � OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> � �� � � L GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ! ANY OTHER STATE OR LOC�L LAW REGULATING CONSTRUCTION <br /> OR iHE PERfORMANCE OF CONSTRUCTION. <br /> ,'� ' '� �I /\L I e� ��P�O SIGNATUR[ Of CONTNACTOR OR AUTHORIZED AGEN7 DATE <br /> I'/` 71 CJ <br /> ioxenoa�s O/ _a9 ! <br /> X <br /> PLUMBING MECHANIUI <br /> Np. TY►E OF fl%iliRE FEE NO. TY►E OF EQUI►MENT FEf <br /> WATIR ROSL7�TOURI AIN COND U'+i15—N P EA <br /> PA7HTUB RLf0.1GlRATIONUNITS-HP U <br /> UVATORY�N'ASM 9ASIN� NOILfRS-HP IA <br /> SMO\VIR GASFIRED�C UNI75-TONNAG[ U <br /> HI7CMf N SINK 6 DISP fORU n AIR 1�SilMS-N T U M EA <br /> i DIS�v�SMER N'AlL MtMkRS-�7 U M <br /> UUHONi 7NAt UM1I7 HUiLRS-fl 7 U M <br /> ' QO7Nf5\VASMIR F\UPORATIVE COOLEBS <br /> W Al(R H[A71 R CIOiHI 5 UR\1 RS <br /> VfN71U71ON fAN <br /> UNINAL <br /> pNINKING FOUNTAIN RANGf MOOD <br /> fLOON ORAIN AIR HANDLIYG UNIT- C f M <br /> VANUh1 9Rf�K[0.5 SIU\'[ <br /> ROOf DRAINS-RAINIUDlNS Ml1Al11RFPUCI 6 CHIMYFY <br /> SINN ISf RVIC!-P.�0..f iC 1 <br /> SU/TOUL SU�TOTAL f 1 <br /> �EIIMIT f ►[l�AIT � <br /> TOTAIfEE f TOT�LfEE � <br /> SID! YARf]Sl10ACK $iNlfT 5[TflACK RfAN\'ARO Sf10ACK PUrv CH[CK NVti111LR PLANCH[CK FCF <br /> fLF 0.KEIPiNO. <br /> ` USl ZONL l07�RLA yAUNT_�lil {FR VAIUATION IEF <br /> ❑Y[5 fC��O <br /> 7VPE Uf (O!+SJ OCCUPANCY GPOUP NO OF fJWILIING VNIiS <br /> �N flUIIUING s <br /> 5�2��� p�pC NO Of 51ORI6 h1A% OQ LOAU <br /> Z �� PIUNPING <br /> flRl ZONf BA L [N7 IIIUNOUmS IIRI SPRINKIIRS <br /> NtQUIR D A11fMANIUI. <br /> �"-� �s ;:VIS NO <br /> �A�OV�It ■T D�TF OtHER <br /> 1 [NVIRONM[NTALCHLCKl151 P�NA�T, UflC <br /> 5[C 1011a) <br /> i PUIIDING PUNS <br /> TOT�I <br /> 7 IBE HYDNANT <br /> � FIRF PROlIC710N 5`!A[M ►[IIMIT WLID�710N <br /> WHLN P0.0PFRLV VA110A7fD pN TNIS SPACq THIS�5 YOUR PERMIT <br /> 5 LRADINGII%UVAlION6QMRINGIGItUNPING <br /> 6 DNAINAG[ <br /> 7 (NVIRONM[NUL IMPAC7 ST�7[b1ENT <br /> E NFALTH DISTRIC7 <br /> �VPLICATION ACC BY PlANS CHECKED BY APP0. fOR ISSUANCk BY <br /> U �� <br />