Laserfiche WebLink
—. � <br /> i <br /> � <br /> PPPLICATION FOR <br /> '��F'°""' :,ONSTRUCTION !�e <br /> everett PE RM IT <br /> DEPT.Oi COMMUNITY DEVELOPMENT SERVICES - <br /> CITY HAII I59-07�5 <br /> [v .wnqe�ot COMg{I/`l1 ON ❑ lUILDING ❑MECHANIUL ❑PLUMeING PERMIT NO. <br /> o � ra�Rnooetss citr 2R vnoNF <br /> Y� Ni�i � ✓/'- S ��oo n���a�own�/ E►���E�r 9�z6� I s�-i,s��s 7 <br /> I.11CNIf[C1011�ISIGMR MAII�DUR155 CIT� ZIP PHOMF <br /> GINIqAICOYtR41q11 MAllA0011l55 ❑IY IIP PNONE IICINflI <br /> NICN�NIUICOMMCIOM M�Il�OD11I5S CRY LI� %IOYE IICINlI• <br /> PIUMPrvf,CONtIl�Ct01 M�II�DONf55 CIIT ZIP VNO�+[ IIClN5F1 <br /> (ls1SOI WORR <br /> ❑NE\4 ❑ADDITION �AL7ERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUIIDINGREIOCATION <br /> \'AW�IIONOINOR[ � <br /> ' ��Jn� <br /> msaiei woec <br /> E /3/�Tff.�a,�6'YI <br /> FqOPOSIDL1f OI PWIDMG I HEREBY CfRTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> PLICATION AND KNOW THE SAME TU BE TRUE AND CORRECT ALL <br /> ❑GLL�ISCNIPt10Y Oi VMOitAfY 1SNONN BIIOW OR�Ii�CN 10UI1 C0%l51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> � 1 r_Z ,ir��� - OF WORK WILL OE COMPUED\V�TH WHETHER SPECIFIED HEREIN <br /> �o�_eiaa_or OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTNORITY 70 VIOLA7E OR CANCEL THE PROVISIONS OF <br /> — � , S ANY OTHER STATE OR LOGL UW REGULATINC CONSTRUCTION <br /> . ,, i, OR THE PERFORMANfE OF CONSTRUCTION. p <br /> ' , - / �% - .. SILNATUR[OF CO'+?.".nCTON OR AUT 0.12ED ACCNT DQf �����p / <br /> IOR eDDMlSS / r <br /> l/r� o ?'l. �'�z���.- , x %��� <br /> ►W.NlING MECNAN�GI <br /> NO. 71'►E OF FI%iURE F[E NO. T1'►E Oi EQUI►MENt fEF <br /> W�1fNCLOSLT�iOL'ET) �INCOND UM1liS—HP FA <br /> PAi1tlU8 NfIRIGER�TIONUNITS—MP E� <br /> UV�TORY(WASN PASIN� POLL[XS—N P U <br /> SIION'!N LASfIN[OAC UM1IiS-10NNACFEA <br /> NIICHW SI!:R 6 OISP IONCEO AIN SYST[MS-9 T U M EA <br /> DISWASM[R WALLIIEATLPS—OIU. M <br /> IAUNDNI'IN�Y UM1�THUilRS—AlU M <br /> ClO1HLS N'ASNER U'APOR�TIVF COOILRS <br /> WAIIR NUilN CIOiNfS DMYINS <br /> URINM VIN71l1TION MY <br /> pNINNIYG IOUNIAIN RANG[HOOD <br /> I 100R ORAIrv Alq II�NOLING UNIT— C f M <br /> VACUU11PRfAkfRS S10Yf <br /> NOOI OI:AINS—R�IN��ADLRS Mf1�L fIN[PUCf 6 CMIMNEV <br /> SINk(5t F\'IR—9A0.[TC I <br /> fU�TOIAI SU�TOT�I � <br /> '[IIMIT { f[�MIT � <br /> TOT�IiEF 7 TOi�tfEE � <br /> SIOf Y�RD SRBACK STREFT SRO�CY. RUq YARO$RB�CK PLAN CHttK NUMB[N PUN CMECK RE <br /> fEE RECEIPTNO. <br /> USf ZON[ l07 ANU VAUNi 5 7[ <br /> ❑YES �O f[[S VAlU�T10N 1[F <br /> IYF�BNST, OCCUP��1CrRZ NO 04 DW[ILING UNIIS <br /> / `/ d <br /> ✓ Bl/1LDING s <br /> $IZL Of flLOG NO Ot�OR16 MAX OCC IOAD <br /> �� PLUM6ING <br /> FlR[20N[ BAS[MENi flL00.00M5 FIRL SPNINKLLNS <br /> �� �� RLQUIN[D M[CHANIUL <br /> ❑Y!5 O <br /> �qllOVAlS �� D�T[ OIMFfl <br /> �. [NVIqONMfNIALCM[CNLIST pENAL7Y U9C <br /> T[C ION�I <br /> 7 BWLDINGPUNS <br /> ) FIN[ NYDN�NT TOiAI <br /> � IINE PRO7ttTION cY51[M �[tMIT VAUOATION <br /> WIIW PROPERLY VAIIDATFDIIN TMIS SPKF)TMIS IS VOUR PFRMiT <br /> 5 GRAOINGI%UyA710NbClfARING/GR�IiNINu <br /> 6 DRAINAGf <br /> 7 [NVIRONMlNiALIMPACT ST�iEMENT <br /> � <br /> � . E. NEALiH DISTNICi � � � <br /> APPLICATION ACC 6Y PUNS CHFCK[D BY APPR.fOR ISSUANCF BY _„�'�'-. <br /> V�� <br /> g.1 79 <br />