Laserfiche WebLink
� � � ' � <br /> r� <br /> APrLICATION FOR �� ���,�n <br /> '°.E""°'"° CONSTRUCTION e <br /> LITY OF <br /> everett PERMIT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259�8745 <br /> EVERETT WA9B201 �COMBINATION ❑ BUILDING ❑MECHANfCAi ❑PLUMBING PERMIT NO. �(� <br /> OWHEH / - MAII ADOXI55 CIIY 21P PHONF <br /> ANCIIIi1CTORDlSIG� 'J �y`�Z�RI55 ��'O �`�v"� �� �� <br /> CIIY ZIP PHONF <br /> LtNIRAICONIR�C100. MAllA0DR65 CIIY ZIP PMONF t�f `fCfH� <br /> C�B1RY.va�w to r.uc z�o z7 � i �c✓ GyN� c.i� t9'o3 a �7c 8a�� «, e.r.+ �.0 ±�7 <br /> ��ICHnMUI fOrvLR�C10N M1�MI�DORI55 CIIY LIP PHON[ UCENSE 1 �i <br /> Pll'�>�OmG CUNiNACIOR MAII ADON65 CIIY 21P PHONF IICENSF/ <br /> (11\f O{\5'ORK <br /> ❑NEN ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE �SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> \1114i10!v Of 1\'ORK <br /> f <br /> ��"������„�RA 'olg� s26N c2xs-�T.Iu6' " i�s <br /> reovosioust o� nunoirvc S I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> O �� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> lfUl[115CPIPlIOv Of PROPIRiY�SMO\\'N PIIOW OR AIiACM IOUR COPII51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> io� mocx_or OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CON'iTRUCTION <br /> OR THE PERFORMnNCE OF CONSTRUCTION. <br /> SICNATUNE OF CONTRACTOR OR AUTMORIZED AGENT DATE <br /> IUN n00R155 � y � Z f � � _ . <br /> � � ^ V <br /> PIUMBING MEC ANIUL � <br /> FEE NO. TYPE OF EQUIPMENT FEE - <br /> NO. TYPE OF FI%TURE � <br /> WATER ClOSET ITOLIET) AIR COND UNITS-H P EA . <br /> BATHTUB RfFNIGENAiION UNITS-M P EA <br /> LAVATORV(WASH OASIN� OOIlERS-H P EA � <br /> SHOWER GA$FIkED AC UNITS-TONNAGE EA <br /> KI7CMEN SINK 8 OISP FOftCED AIR 51'STEMS-B T U M EA , <br /> \YALLHEAT[RS-6TU M <br /> DISwASH[R <br /> � UUNDRY' iRAY UNI7HFATENS-BTU � M <br /> CIOTM[5 WASMfR EVAPORATIVE COOLENS <br /> N•ATfR MEATFR CLOTHFS DRVERS <br /> VENTILAiION FAN <br /> UkINAL <br /> DRINKING fOUNTAIN NANGE HOOD <br /> FLOOR ORAIN AIR HANDLING UNIT— C F Id. <br /> VACUUM BHE�KERS STOVE <br /> ROC% DRAINS—RnINLEAOfRS METAL FIREPLACE 6 CNIMNEY <br /> SINk(SERVICf—9AR,FTC 1 <br /> SUl70iAL S <br /> SU! TOTAI <br /> ►ERMIT S �FRMIT s <br /> TOTAIFFF f 70TALfEE f <br /> PLAN CHECK FEE <br /> SIDE YARO 5[Tl7ACK $TRE[T SRHACK R[AR YARO SETBACK PLAN CH[CK NUMBER FEE RECEIPT NO. <br /> USE ZONE LOT AREA y���NT SITE FEES VALUATION FfE <br /> ❑YES ❑NO <br /> TYFE OF CONST OCCUPANCY GHOUP NO OF DwFIUNL UNITS <br /> E1UIlUWG s <br /> SIZE OF OIOG HO OF STOR16 b1AX OCC IOAD . <br /> PLUMOING <br /> RRE ZONE OASEMENT RLUNOOh15 REQUIRfIOKlERS MKMANIUL <br /> �1YE5 ❑NO <br /> APPNOVALS !Y DAiE OTM[R <br /> � <br /> 1 ENVIRONM[NTALCHECKUST pfNALTY U.BC <br /> . SK.JOl(al <br /> 7 BWLDINC PL�NS <br /> TOTAI <br /> 7 FIRC HYDRANT <br /> � FIHE PROTECTION SV57EM PfRMIi VALIDATION <br /> 1VIIEN PROPERLY VALIOATED(�N THIS SPACE)TMIS IS YOUA PERMIT <br /> 5 GRnDINLII%UVATIONf.�IUftINpGRUBPING �' �� �� �`� <br /> 6 DRAINAGF <br /> 7 ENV�°CNMENTALIMPACTSTATEMENT <br /> E H[ALTH OISTRICT <br /> APpL�CATION AQ. BY PLANS CHfCKEO 6Y APPR.FO0. ISSUANCE BY <br /> ���� <br /> �� . <br /> f. <br /> 91 79 <br /> . . - . • . r- , . <br /> . . . _. , � . . r <br />