Laserfiche WebLink
�roro'"" .,ONSTRUCTION U t,/ <br /> ev�rett PERMIT � <br /> DEP7.OF COMMUNITY DEVELOPMENT SERVICES � <br /> CITY HALL 259�8745 <br /> EVERETT,WA9B201 �=QMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT N . <br /> MAII AOON65 ��iY ZIP PH�Y� <br /> oW�a?!'ftTl �c n�eeocE' S3oy Evi-�ees/'e�N �Y �w:r . �iYa�-3 os'�-• 191�> <br /> eRCHIT[CT OR D[SIGv[R M�IL AD�RE55 CITY 21P PHONF <br /> MAII�OU0.fS5 CITY , 21P PHONE S,�' FF�I��S—I j 0 <br /> GEN[R�l[O�'IR�[LON � � �535 Sf L�/�r/lAYN1y7 <br /> �eanY F�i✓ « 7�Uc Y�OZ7 Li - w. �Vi�.� ,•.K 9R�'3t '77� <br /> hl[CHANIUI CO`�TReC10R <br /> MAII AOOR[55 UIY 21P VNOYf UCEMS[1 <br /> VtU.41qING COfJ10.�C10N <br /> nnnll e0DRE55 CRY ZIP PMONf IICLMSF 1 <br /> CUS$Oi N'OPK <br /> ❑NEW ❑ADDITION ❑ALTERATION C�REPAIR ❑DEMOLITION ❑FENCE �IGN ❑GARAGE BUILDING 1ELOCATION <br /> �•��U�T� '�Of N'OR� <br /> S�O =0 <br /> s <br /> OLS[RI9F KORK <br /> rnovosiouseor euuoi�e I HEREBY CERTIFY THAT I HAVE READ AND E%AMIN°D THIS AP• <br /> C��N���r,���` �sn/ pLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THI$TYPE <br /> LEGAI DESCNIPiIOY�F PPOPEPIY�SMOWH e[lOW OP AIiACH IOURCOPIE51 OF WORK WILL BE COMPLIED WITH WHETHER SPECIFILD HEREIN <br /> ioi a�oa�o� OR NOT. THE GRANTING OF A PERMIT DOE$ NOT PetESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL TNE PROVISIONS OF <br /> ANY OTHER STATE OR LO:.AL LAW FEGULATING CONSTRUCTION <br /> OR THE PERfORMANCE OF CONSTRUCTION. <br /> S�GNATURE Of CONTRACTOR OR AUiHORIZEL`A[�ENi UATE <br /> IOP nD�RE55 y _ �—�/ ` O I <br /> ,7 3v b CVrr2 6 Ec,V �.,b ^ — � <br /> M.ECHA IGL <br /> PWMBINC FEE � <br /> ryp, TYPE OF fIXTURE FEE NO. TYPE OF EQUIPMENT <br /> AIN COND UNITS—HP. EF <br /> WATER ClOSET fTOLIET� <br /> REFRIGERATION UNIiS—H P.EA <br /> gATHTUB <br /> OOILERS—HP EA <br /> UWTORY�WASM BASIN� <br /> GAS FIRfD A C UNITS—TONNAGE EA ,,. <br /> SHUWiR <br /> fORCED AIR SYSTEMS—B T U M EA <br /> KITCHEN SINK 6 DISP <br /> WALL MEATERS—B.i.0 M <br /> OI5IVASMER <br /> UNIT NFATER$-0 T U. M � <br /> IAUNDRY TkAY <br /> EVAPORAT�VE COOLERS <br /> CLOiMFS wASHER ��pTMES�RYERS <br /> \VA7ER MEATfR <br /> VENTIlA710N FAN <br /> URINAL ftANCE MOOD <br /> DRINKING FOUNTAIN <br /> AIN NANOLWG UNIT— C.F.M <br /> fLOOR DRAIN 570Vf <br /> VACUUM OREAKERS <br /> METAL FlNtPL10E 6 CHIMNEY <br /> kOOF ORAINS—NA�NLEADERS <br /> SINK(SERVICE—B�R.EiC 1 <br /> SUliOTAL f <br /> SU!TOTAL ►ERMIT f <br /> ►CIfM1T s f <br /> 3 TOTALFEE <br /> TCTAI FEE p��N CMECK FEE <br /> SIDF YARD SFTOACK STftEfT SCT9ACK RCAR VARD SETIiACK PLAN CH[CK NUM9Eft pFCEIPT NO. <br /> FEE <br /> USE 20NE LOT AREA yAUNT SITE FEfS � VAWA710N iEE <br /> �V[5 ❑NO <br /> TYPE O�CONST OCCUPANCY CROUP NO.OF DWELLING UNITS <br /> flUIIDING S�j�• � <br /> $IZE OF �LDG NO OF STORIES MA% OCC LO�D <br /> PLUMI3ING <br /> FlREZO`1E DASEMEHI IIIONOOMS ftRQEU'�EIDNKlERS MFCHANIUL <br /> C7YE5 ❑NO <br /> AP►IIOVAlS !Y DATE OTMFR <br /> U.B C <br /> 1 ENVIRONMENTALCHFCKl15T PFNALiY SEC 70J�a) <br /> 7 OU�LDING PLANS jpTAl <br /> � <br /> ) FIRE HYDRANT <br /> ►CIIMIT VALIUAiION <br /> 4 FIFE PROTECT�ON SYSTEM WNEN PROPERIY VAIIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5 GR��INGII%CAVATIONBCLk�RINC!GHUBflINC <br /> 6 ORAINAGE � �' ��� B( <br /> Z ENVIRONMENTALIMPACTSTATfMENi � A / ` r <br /> S HEALTH DISTRIQ `�YI ��.81 � �� - - <br /> ' APPUCATION ACC. BY �'LA S CH Ck�OY APPB fOR�SSU�NCE BY <br /> " r��!—�(���� <br /> ��7�t-�-.-...z.��.C!`J-�.— <br /> g.t�i9 <br />