Laserfiche WebLink
1 <br /> thsEw,M,m� � _.APPLICATION FOR ���,�„ <br /> °�TM°F CONSTRUCTIO, . � <br /> everett PERMIT �+ <br /> DEPT. OF COmtMUNITY UEVELOPMENT SERVICES <br /> . ❑TY HALL 259�8745 <br /> EVEftETT,WA98201 �COMBINATION � BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWN[q M�ILAOONF55 UTY ZIP PNONE <br /> COsfau-f7uyF /.a� �/.F1G 6vEQfriEEn/'/,�/� _Fv�.r�il fC.�'7�3 2�Z—,rJ�60 <br /> eRCHIT 'T ON OF GN(qr Mnll n00NF55 4TY ZIP PNONF <br /> GF�:LRAI COniRnC10R M�II eDD0.65 CIIY 21P PHONf LICEHS[I <br /> ��ca . rd�, Fo aosrG� _G�«�- ��ZoG zr-z-oo,Q� <br /> nII('HnnlUl COviNnCiOR M,111 ADDRF55 UTY LIP PHONt �ICENSE� ^ <br /> J <br /> PWMIIIM1L COM1TXACiOM MAIL AODRE55 CITY 21P FMOM1E IICENSE I <br /> C1n550f N'ORK I� <br /> �JE�N ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE r�51GN ❑GARAGE ❑BUILDING RELOCATION <br /> VAW�iION O!wORK <br /> . �i�/oa _ <br /> nescaiu�wexK <br /> Lc C ' i ' ' GU,c, .v � ,.f � .,r �innx, /S:�l�� <br /> reoPose/ouseor nmi.ou+e 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> i ,� � PLICATION AND KNpW THF SAME TO UE TRUE AND CORREC7'ALL <br /> IEGAIOfSCRIPIIONOfVROPfRIY15H0\\'N9FlOWOXAiT�CH10URCOFI[)) PROVISIONSOFLAYVSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi eiocK_or OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUMI: TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONi OF <br /> ANY OTHER STATE OR LOCAL LA`N REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> S:GNATUREOFC iDN AQ f AUTHORIZEDAGENi DATE �y/G/y <br /> IOU nDDRE55 <br /> X <br /> PLUMBING MECHANIUL <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE <br /> \vATEN CLOSET(TOIIET� AIH COND UNITS—H P. EA <br /> PATHTUB REFRICERATION UNITS—NP.EA <br /> � LAVGTORY�WASN BASIN� 901LER5—MP.EA <br /> SMOWfN GAS FIRE�A.0 UNITS—TONNACE EA <br /> KITCHEN SINK b DISP �OHCE�AIR SVSTEM$—L4.T.0 M EA <br /> I DISWASHER WALL HEATERS—B.T.U. M <br /> UUNDRY TRAY UNR MEATENS—B.T U M <br /> CLOTHES WASHER EVAPOFATIVF COOLERS <br /> \VAiER HEATEH CLOTNES DRYCRS <br /> UNINAI VENiILATION fAN <br /> �FII:KING FOUNTAIN RANGE HOOU <br /> FLOOR DRAIN AIR MANDLING UNIT— C.RM. <br /> VACUUAI 11REAKlRS STOVf <br /> ROOF DItAINS—RAINLFADERS n1FTAL FIREPLACf ll CHIMNEY <br /> SINKISERVICE—�AR,ETC) � <br /> SU870TAL SUBTOTAL 3 <br /> •! PFRMIT f PERMIT f <br /> TOTALiEE f TOiALfEE f <br /> SIDE YARD SETOACK $TREET SCTOACK R[AN YARD SETOACK PLAN CHCIX NUMBEF: PLAN CHECN FEE <br />� FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACAnT SITE <br /> CJYES ❑NO iFES VALUATION FFE <br /> TYPE OF CONSi OCCUPANCY GROUP NO OF DWFLLING UNITS <br /> UUILDING S <br /> $IZE OF BLOC NO.OF STOHIE$ MAX OCC.LOAO <br /> PLUMOINC <br /> fBE ZONC 6ASEMENT I4kUNOOMS FlR[SPRINKlERS � <br /> RFQUIREU M[CMANIUL <br /> ❑Yf5 ❑NO <br /> APPIIOVALS !Y DATF OTHE0. <br /> 1. ENVIRONMENTAL CMKK L15T U.BC. <br /> PENALTY SEC 70)(a) � <br /> 2. UUIIDING PLANS <br /> 7 fINC HYORANT iOTAI <br /> � FIRE PROTfCTION 5Y5TEM �fI1MIT VAI.IDATION <br /> E" SGHAUiNCILXCAVATIONBCLCARINGIGRUtlHING H'HENPROPERLYVAiiJATE�pNTM155PACE1TH1515Y0URPERMIT <br /> 6 DRAINACF <br /> L ENVIRON�4£NTAL IMPACT STATEMENT <br /> 8. HEALTM DISTRICT <br /> APPLICATION ACC.BY PUNS CMECKEO BY APPR.fOR ISSUA E tlY <br /> / <br /> 9�1�79 <br /> � <br />