Laserfiche WebLink
tMEv�ryrwn -���4 P P LI CAT O N F C�R ���,�n � <br /> °m°F CONSTRUCTIO� . e <br /> eve�rett PE RM IT ,/� <br /> DEPi. OF COMMUNITY DEVELOPMENT SERVICES ( ,_ ��1 <br /> CITY HALL 259•B745 ' " � <br /> EVEREIT,WA9B201 ��OMBINATION O�BUILDiNG ❑MECHANICAL ❑PLUMBING PER.MITNO. <br /> OM'n[N Mell�D�N[55 [IT1 ZIP PNONL <br /> -.��i e.0 !��� �rl/:S S��.Z .2 �'ve,<..n��,�. . �.v.,r�> ,:U-_:. �r- ;'G�y� : <br /> �RCHR[CI OR OESILVE0. MAII AO�N[55 C�TT ZIP FHONs <br /> GENER�I COviN�Cf00. MAIL AOURf55 CITv zIP PMOHE LICENSL/ <br /> '�l: �O .� tf� /3/d � ..2d-7� /✓: �it� rit..r: .�tt;v � � .,v 'i3si�J'<Jr'7F%'/r/[.7J3ic'7 <br /> MECH��+IUL COh9N�CT0R M�II�OUR65 CITY " 11P PHONE tICENSf■ <br /> PlUM9�nGCOrviXACTOR mAllA00RE55 CItY ZIP PHONE IICEN5E1 <br /> CU55�i tiORK <br /> ❑NCW ❑ADDITION I�ALTERATION ❑REPAIR ❑�EMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> VAWhiION Oi N'ONK <br /> S �/� <br /> �/ n�L� <br /> OtSCHIP NORK <br /> , lti.;j_.t.:T �,...tt - I rL f'� -s• , 7�•.: <br /> reovoscousc ov nuiiowc I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP• <br /> S��N „�a�,.�, - ,�,�,,, �'.F.sc PLICATION AND KNOW 7HE SAME TO BE TRUE AND CORRECT ALL <br /> LEG4 0f5CNIPTIO�Of PROV[RLYISHOWN 6[lOW ORnli�[H FOIIR COP161 PROVISIONS OF UWS AND ORDINANCES GOVERNING 7'HIS TYPE <br /> � OF WORK WILL BE COAIP�.IED WITH WHETHER SPECIFIED HEREIN <br /> iot 3G eiocc�_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 REGUL.4TING CONSTRUCTION <br /> OR THE PERFORMANCE OI° CONSTRUCTION. <br /> SIGNATURE OF CONTRACTOk OR AUTHORIZED ALENT DATE <br /> IOB�DDN65 � /, C <br /> � 1 • a.r.< <f X%• � I� � � ; 3�- l - �/ <br /> PWMBING ME ANICAL <br /> NO. TYPE OF FI%7URE FEE NO. TYPE OF EQUIPMENT FFE <br /> WATEe CLOSFT(TOLIET� AIR CONO UNITS-NP. E�. <br /> 9ATHTUB RFFP.IGEPAiION UNITS-N'P.EA <br /> UVA70RY�WASh BASIN) BO:LfRS—MP EA ' <br /> SHON'ER GA$FIRED AC. UNIT$—TCINNAGE EA <br /> KITCMEN SINK 6 DISP FORCED AIN SVSTEMS—B 7D M EA <br /> DISWASHER WALL HfATERS—B.TL. M <br /> UUNDkY TRAY UNIT HEATENS—B T U. M <br /> CLOTHES WASMER EVAPORATIVE COOLERS <br /> WATER MEAiCR CLOTHFS DRYFRS <br /> URINAI VENTILATION FAN <br /> DRINKINL FOUNTAIN RANCE HO00 <br /> P OOR 7RAIN AIF HANOLING UNIT— C.F M. <br /> VACUUM NREAKERS STOVE <br /> HOOF DRAINS—RAInLEADERS ��ETAL FI0.EPLACE 8 CHIMNEY <br /> tiINK(SERVICE—BAR.ETC 1 <br /> SU!TOTAL :�UR TOTAI f <br /> ►fRMIT f �FIIMIT 3 <br /> iOTALFEF f TOTAlFF4 � <br /> SIDF YARD SEi�ACK STREET SCTOACK RUq YARD SETBACK PIAN CHLCK NUh1tlER PLAN CMECK FEE <br /> FEE �' y RK/EIPTNO. <br /> USF ZONE l01 A0.EA VACANT TE ���s � S J J 7-Sr � <br /> ❑YES ,�OtO fEFS � VALUA710N IEF <br /> TYP[ OF CONST OCCUPAN�Y�/OU�P/' NO OF OW�:LING UNITS <br /> ' � �I�Q H'Z /( �7 OUIIDINC 3 <br /> SIZF OF 9lDG. NO.OF TOR�ES MA% pCC LOAD <br /> ✓ � PLUMOING <br /> FIRE ZONE OASEMENT 11(OROOh4 FlRE SPRINKLERS <br /> �� REQUIR MFCHANIUL <br /> ❑YFS O <br /> A���OVAlS �Y DA7[ OTHER <br /> 1 ENVIRONMENTALCHECKLIST UBC. <br /> PENALTY SEC.JOJ�a) <br /> 2. BUIL�ING Pl�NS <br /> ] ilRf HYDRANT 70iA1 <br /> �. FIRE PROTECTION SVSTEM tEI1MIT VALIDAiION <br /> 1VHEN PROfERLY VALIDATED(IN THI$SPACF�THI515 YOUR PERMIT <br /> 5 GRADINC4%CAVATIONBCLEARINGICXUB9INC <br /> 6 DRAINAGE <br /> 7. EkVI0.0NMFNTALIMPACTSTATEMENT <br /> B HFALTH DISTRICT <br /> APPLICATION ACC. BY PLANS CNECKED BY APPR.FOR ISSUANCF BY <br /> �/. c- . <br /> 9�1�79 <br />