Laserfiche WebLink
1 <br /> I <br /> 0 PPLICATION FOR <br /> IM Ewtprs�^ �;O N ST R U CT I O N `�e <br /> CITY OF <br /> everett PERM{T <br /> DCPT OF COMMUNITY�CVfIOPMCNT SERVICES <br /> CITY NAIL 759�8745 <br /> eveaeTr.wn9sloi ��OMBINATtON ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNIq Mnll eOOMl55 CI1V Lf PNO4f ' <br /> M,� �tmR Asscne. ��,�' G� 1-ac������ _ ��,�-�,: Q��-� � �.v� -� 4q5J <br /> eMC111fICiORO1LGkIR MAII UDRISS Cltt ZIP fMON[ <br /> Gl41NAl CO�IRA(IOP M�II ApDNI55 ❑tY Z11' VMONE IICIn$I� <br /> �\ N N� �1 x.�� � �s�a� MAr �o H,�iv�,�a � F���� k 9�i��9 ���-as�� � <br /> +11(INYI(�t CONIRIROX NAIt�ODRl55 CIIY LIV PNO4! LIC[NSF� <br /> _ � <br /> PII`.�III\G CJVIqACtpR MAII GDUR151 CIIY IIP P1109F lK[NSE I <br /> 1 <br /> �1�Yt OI WONK I�7 i <br /> ❑NEW ❑ADDITION u�AITLRATION ❑REPAIR ❑�fMOUTION ❑FENCE ❑SIGN ❑GARAGE ❑OUILDING RELOGTION j <br /> �.iu�nnr o� woaa <br /> � �\ �. Ci 'Q _. I <br /> Di tl PIPI N�Oq� <br /> � i c �� 5) flA� �1 i A �. �T� <br /> runrovovst dr owioi�+c I HERFBY CERTIFY THAT 1 HAVE READ AND EXAh71NE0 THIS AP- <br /> �c� C.p�IaO S °F � Ii� � PLICATION AND KNOW THC SAME TO BE TRUE AND CORRECT ALL <br /> irc.0 oiscxirr�ovor rxor�arr�sHowH etiuwoa�nncHiouecornsi PROVISIONS OF I.AWS AND ORDiNANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFlED HEREIN <br /> ��� �—R���"�-�a� � � � ` OR NOT THF GRAKTING OF A PERMIT DOES NOT PRESUME TO <br /> GN[ AUTHOR�TY TO VIOLATE OR CANCEL TNE PROVISIONS OF <br /> ANK OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUR[ OF CONTNACTOR OR AUTHORIZED ACENT DATE <br /> 1011 ApURI55 <br /> ��.O c, .�' X � .�,_ <br /> PIUMBING MECHANICAI <br /> NO. iYPE OF FIXTUNE r FEE NO. TYPE OF EQUIPMENT FEE <br /> \4Alf N CLOSLT IiOLiLlI AIF CO�� LM75-11 P U <br /> IIAIH7UP NC(RIG(RMION VNIIS–H P G <br /> LAVAi(1RY fWASM PASIN) flUILCk$–M P U <br /> SHL'N'IR � C�SIINI�AC VNI75–TONNACf U <br /> RI'U{f N SINK 6 DISP �ORCf U AIF SYST[MS–Il T U M EA <br /> DISN'�SHfF \5'�LINtMLRS–OTU Id <br /> LAU�DHY7HAY V�I7NInRRS-9TU M <br /> � ❑011115wA$HCH U'APOFn11V1 COOLER$ <br /> W�IfN 111A1[R UO7Hf5ORYlNS <br /> UHI4Al —'-'��' \'IMIU1104FAN <br /> URInNING fOUNTAiN M�NG[ f100� <br /> �� I IOOA pftAIN Alq I�IAnDI ING UNIi– C F M <br /> WClJUA1 11NUK1 RS S70VE <br /> � N90I ORAINS–NAINLEADlRS MfTM fBEPiACf ACMIMNfY <br /> � SINK I51 RVICt–OAR,F TC 1 <br /> SUB TOIAI SUBTOTAL S <br /> RRMIT ! �[RMIT S <br /> iOTAI/EE 3 10iAL f[E s <br /> SIUI YI.P.O SCIOACK SiRI Ci 5[TflACR FUN YAqO S!ipACl PUN OILCK NVh�llkH �IAN O1ECN fEE <br /> �� rt� etc�irrr+o <br /> USL CUY4 lOi ANIA y�UN7 Sllf <br /> ❑!f5 ❑h0 �«5 VAlWT10N FEF <br /> � 7YPI Of CON57 O:CUPANCY GftOUP NU OI 01Y�LlING UNI1S <br /> ' OUIIDINC S 7 �jU' � �l_,.) C�� <br /> � tiilt OI PLOG NO Of STORI[5 MAx OCC IO�D <br /> rwnroiNc <br /> � lB[ ZON[ �7�5[MfM OInNOUntti flRl iP0.1NKlINS <br /> RIQUBLD Atl[IUNICAI <br /> i IY(S ❑NO � <br /> �PPNOVAlS !Y DATF OTHER <br /> 1 l4VIPONM[N7AL 01LCK.IST 1!8 C <br /> PtNAL7Y 5`C �)Inl <br /> : OUILbING PUNS <br /> ) NNf HYURANI TOTAI I y "��� <br /> � lINFFROLIC!IONSYSIIM iUMITVALIDATION <br /> WNLN PROC(RLY 1'AUUATLU IIH iN6 5^ACq 1HIS IS YOUR P[NMIi <br /> ' S GNADING/!%UVAl10N6C1lARINGIG8U9NING _ <br /> h Dp�INAGC <br /> ] LM�IROYM[NTAI IMPACT SIATFMENT <br /> E MEAITII�ISTHICT <br /> t.rV`�IG�IUN ACC flY PUMS CHECAE�I1Y APPp FOR ISSUANCF HY <br /> 9-1 %9 <br />