Laserfiche WebLink
� -- <br /> � <br /> tMEnryrMn A1'�Pi.ICATION FOR, ��e <br /> °�TM� CONSTRUCTION <br /> everett PERMIT <br /> DEP7. OF COMMUNITY DEVELOPMENT$ERVICE$ <br /> CITY HALL 259�8745 <br /> EVERETT,WA9B201 �COMBINATION ❑ BUILOING ❑MECHANICAL ❑FLUMBING PERMIT NO. <br /> �� owr+tR M.n nonxtss <br /> nrr ziv rHo�e <br /> .���t�,,,-�c�' � 57�Cb �1/EQqYr�U UJ� C—V&2�tT. PHo � <br /> �0.CMI11CTORO61Gr4N M�IlA0DRt55 <br /> GINFRAI[pNi0.n('lOq MAILAD0R65 <br /> PTY 21P PHONF llC[NSE� <br /> �5 SSKtIJCY� 1 �I90 �IFONr ni��� ri� SFi.�LP a 6133 �Gso2�tZ SS-Gi� GC�T/qa <br /> � �t LIP IICENS[I <br /> � \11CM��:IUICONiRAC10N MTIIADDRf55 <br /> PII'��PitiG(UNLRn[IOR mnILAD�Pl55 <br /> CIIY ZIP PHONF IICENi[/ <br /> ! U N OI NOPN <br /> 1. I�NEN' ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> �j tur+nrn oi woxa �C� <br /> � �� <br /> j � � ' <br /> � 1)IS1N1111 \VORF , '\ 1 ` . <br /> / � <br /> .1 " L 7 V� � � �/L/ filMyX� <br /> � e_ �. ND w+ S <br /> � rwurnaoust ai nunowc 1 HERE6Y CERTIfY THAT I HAV READ AND E%AMINED THIS AP• <br /> PLICATION AND KNOW Th1E SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> � 1(UI [115C0.iF110`�Of PROPIRIYIS��ON'N flIION'ORAlUCH10I1RCOP1f51 OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi nioc._oi OR NOT. THE GRANTING OF A PERMIT DOE$ NOT PRESUME TO <br /> �� GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> � OR THE PERFORMANCE OF CONSTRUCTION. � /I /�� <br /> SIGNATURC OF CONTRACTOR OR AUTHORIZkD AGENT DATF I I <br /> iON�OD0.155 � X S � '�� . <br /> � MECHANICAL <br /> � PLUMBING FEE <br /> . � FEE NO. TYPE OF EQUIPMENT <br /> Np, TYPE OF R%TURE r,iR COhD UNITS—�i P �� <br /> � WATFR CLOSEi ITOIIETI <br /> � BEfRICFRA7�ON UNITS—HP EA <br /> pATMTUB <br /> ' EfORCRS—HP EA <br /> I.AVn70RY IW�SH OASIN) <br /> CAS FIR[O A C UNIT$—TONN�GE EA <br /> � SHOM'EH �ONC[D�IR SYSTCMS—B T U. M EA <br /> KITCHFN SINK M1 DISP �y���HUTCRS-0 TL M <br /> D15wA5N[R <br /> �nIiHEATERS—OTU M <br /> IAUM1DRY TNAI <br /> �y�ppgATIVE COOIER$ <br /> . ��piHES wASMFR CIOtHES DRY[RS <br /> • WAIFR MEATLR V[NiILATION fAN <br /> � URINAI K�NG[ IIOOD <br /> DRINKINL FOUNTAIN <br /> AIR MANOLINL UNIT— C F M. <br /> FI.00R DRA�N $TOV[ <br /> \'ACUUM IiREAK[RS <br /> . MFTAI RHfPU`E 6 GHIMNEI' <br /> ROOF ORAINS—RAIrvIEADERS <br /> SINK(SFRVICF-9AR.[7C 1 <br /> SUB TOTAI S <br /> SUE TOT�L yENMIi � <br /> �� V[RMIT s 70TA1 fE( S <br /> TOTAL FEE 3 <br /> PLAN CMECK FEE <br /> SIDfYAROSCTIIACK S7Rf[TS[T�ACK pMRYAND1�ifIACY PUNCHICKNUh10C2 FkE RECFIPTNO. <br /> USE ZONE 40i ARU VAUNT 511f FEFS VALUA710N FfF <br /> ❑YC$ GNO <br /> TYP[ Of CONSf OCCUPANCY LROUP <br /> NO 04 DW(LIING UNITS <br /> l7UIlUING 3 <br /> $IZE Of NLDG NO OI STORI[5 MA% OCC LOAD <br /> PlUMI11NG <br /> FlREZON( MSEMENT �����k��UM1�`' REQUIREIDNLEXS MECMANIUL <br /> C7YE5 ❑NO <br /> A�►�OVAlS !Y DATE (1T11FR <br /> UBC <br /> 1 ENVIXONMfNTALCNCCKUST plNAL7Y SEC ]O7(a� <br /> 2 IIUILDINC PLANS 70TAL <br /> ] FIRE NYDNANT <br /> PfRMIT VALIUATION <br /> � fIRE PROiEC710N SYST[M WMEN PNOPERLY VAl10�1�DON TMIS$PACEI TNI515 YOUR PERMIT <br /> 5 :RADIN%,II%CAVA710N 6 Cl!ARINGIGHUHI7ING <br /> e oanir+ncc ���/� ��C:� �T.::, r-.t..d-.,. t.r-,< - <br /> ' ENVINONM[NTAL IMPAQ 57ATFMENT 'f��` v N�t� r��.�;[��.��,_„�:��j��= <br /> 1 <br /> E HEALTH OISTNICT <br /> APPIIC�T�ON ACC. BY P N fiME KE �Y APpN,(08 ISSUANCE BY <br /> J � /�./ � 1 �/f� %} <br /> %�T,�C.c�d` ��:J�l�fi.t�X-`!%w .',•� :r • <br /> G'f-�,�..�,��-� �•t <br /> 9.1-79 <br />