Laserfiche WebLink
1 <br /> 1 <br /> � <br /> �I <br /> A PLICATION FOR <br /> '"""'°""' �NSTRUCTION '� `�`.`� <br /> �,r� 0 � <br /> everett PERMIT <br /> DEPT OF COMMUNITV DEVEIOPMENT SERVICES � <br /> UTV HALL]5481�5 <br /> eveacrt.wnealm ��QMBINATION ❑ BUILDING ❑MECMANICAL ❑PLUMlING PERMITNO. I <br /> OWbfR MLIIAO�Ml55 ❑iY ZIP PMONE <br /> �t,.� s� � ��< u �5 .�i� �� � � '��,�� 1« l,� �_� � ��v--� � �r �-�y� <br /> �RCHRFCiOR�f9GNfN � MAIIApORF55 <RV ZIP YHONF /h,�� <br /> � <br /> GWfRRCONiRAROR M.�IL�UDXf55 CItY LIP YHONf LICFXSf� � <br /> M1�fCNANICAlCON1R�CIOR M�IlAOD0.E5$ CIIY LIP PXONF LICFNSE/ <br /> pllimBlYC CONIRACI00. M�IL�OORKS CIiY 21P PMONf UCFNSF I <br /> 1 <br /> CUSSOf WORM <br /> ❑NEW ❑ADDRION ❑ALTERATION ❑REPAIR ❑DEMOLRION ❑FENCE CSIGN �GARAGE ❑BNLDINGRELOCATION <br /> V .➢ONOf WORR <br /> � ��� �1L� <br /> �fSC0.1B/F/W/0>0.N .p <br /> � ' �L4�C/�2. //'�lit.•— ��'[G�-t -Y 1 <br /> vaoroseousF ov emioiNe ' I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- , <br /> �'.,.��.,�4,>, � ; ��_<--�� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ieui oEscaivnov or reovearr tsHow«e[�ow on e.rncn roua cories� PROVISIONS OF LAWS AND ORDINANCES GOVERNING TMI$TYPE <br /> OF WORK WILL BE COMPIIED WITH WHEiHER SPECIFIED HEREIN <br /> w*_aiocx_ov OR NO7. 1HE GRANTING OF A PERMIT DOES NOT PRESUME TO � <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> �_, /�'_ j . � �� - ANY OTHER STATE OR LOCAL UW REGULATING CONSTRUCTION �. <br /> OR THE PERFORMANCE OF CONSTRUCTION. . <br /> � �- XC� �� l^l LG � - SIGNATURf Oi CONTBnCtON ON�UTHORIZED AGENT UQE <br /> C. �.�f�t �i <br /> ioa eoox is � < � , <br /> S{ i� "o- ?"/1-' '�C�c.3k J 1' li�l: X � '�i�.. i -cC-� �—�- � , <br /> ►WMlING MECNANIGL ' <br /> NO. iY►E Of il%TU�F iFF NO. TY►E OF EQUI►MENT fFf <br /> WATER CLOSET�ROLIFT7 AIN COND UHITS-N P.E� � <br /> B�THTUB NEfRIGfR�TION UNITS-HP.FA � <br /> UVATORY(WASHB�SIN7 BOILfNS-HP E� � <br /> SHOWEN G�5 FIRED A.0 UNITS-TONNAGE EA ' <br /> KITfHEN SINK 8 DISP FORCE��IR SVSTEMS-B.i U M EA '� <br /> p6WA$HER WALIHEAT[RS-B.TU M <br /> LAUNDRYTRAY UNIiHfAiERS-BTU M � <br /> CLOiHES WASNER FV�PORATrvECOOLENS �� <br /> WATER ME�iER CLOTNFS DRYERS ' <br /> � URINAL VENIILATION i�N '� <br /> ONINNING FOUNTAIN R�NGE HOOD ' <br /> FLOOR ORAIN AIR HnNpIING UNIT- C.F M. , <br /> � VnNUht BRE�NERS STOVE i <br /> ROOf ORAINS-R�INLEADERS MET�L LIMEPLACE 6 CNIMNEY � <br /> SIrvK 6ERVICF-BAR.ETCJ <br /> SU�tOT�I SU��OtAI � <br /> rF�MIT �f �ERMIi f <br /> TOT�I iFE f TOT�L iEE � <br /> SIDf YARD SETB�CK $TRFET SETB�CK RfnR YARD SEiBACK FL�N CHEIX NUMBER PL�N CMEQ FEf <br /> /"�i� � FEE �� RECEIPTNO. <br /> USE 20NE � lOi�RE� // �� � � 7 3 <br /> VACANiSRE ifES V�lU�l10N fE[ <br /> � � OYE$ F�(JO <br /> TY�O�f O�ST "�� OCCUVA;�GROUP HO OF DWEIIING UNIT3 eWIOiNG s y� <br /> �1 1 ( /' <br /> SIZE Of BL�G � � HO OF STOPI[5 M�R OCl IOAU � — <br /> fj [// J(. � � � � PWMBINC <br /> flRf ZONE BASEMfNi 9kOROOMS ��RE SVRINKlERS <br /> � PEQUIR MfCMAMUL <br /> ❑YE$ O <br /> �hROVAIS �Y DATE OiHFR <br /> 1 ENVIRONMENTALCHEIXLIST pFNeltY UBC. <br /> SfC 30Na� <br /> 1 BUIIDING PUNS <br /> l fIRF NYD0.�rvT TOT�I �� � <br /> � fIRE YROTFCTION 5Y51EM �EIIMIT V�LIDA110N <br /> wHFN VROPENIV VMIpATED ON tMIS SPACEI TMIS IS YOUR PERMIT <br /> S GR�OMQFMUV�T�OMbCIf�RINGIGRUHflING /� <br /> 6 OP�iNnGE �- �� d,.',c` ��c�✓ �t v <br /> / ��,� � <br /> l ENVINONMENTALIMVAR ST�TFMENT <br /> � E HE�LTM DISiXICi <br /> �VYIIUTION�CC 9Y FUNS fMFIXfO BY �pPR fOR ISSU�N[E Bv <br /> V• c' _ <br /> 9-1 79 <br />