Laserfiche WebLink
APF���CA�ION FOR �- ' everett <br /> C(�NSTRUCTI�N � <br /> �verett PE RM IT <br /> DEPT. OF COMMUMITY DEVCLOPh7ENT S4RVICES <br /> CITY HALL 259-8745 <br /> eveReii,wn9ezct �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMSING PERMIT NO. <br /> O\YNER �J A M�IInODHt55 Crtf ZIP PHONE <br /> � Z�O� SQ� T/2�. '»QeS .?-�G. G.G� I�� 3 � 3.�3^�Z2� <br /> ARCMITECT OR OESIGNIN - MAII�UDRESS CIT1' ZIP PNONf <br /> LFNLR�L COtiIRAnCTOR ^ MAII ADDR[S$ ❑TY ZIP PHONE LICENSE� <br /> �// / " / '� �� �� U�� <br /> vICHArvIULCOYTR�CiOR A1AIL AUDR65 Cli" LIP PMON[ LICENSE p , <br /> PWMBINCCONiNACI(1R MAILADDFE55 CIiY ZIP PHON[ IICENSEM ' <br /> CL�55 OF 1YORK ,�/ <br /> ❑NEW ❑ADDITION /SLl7411ERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ��UILDINGRELOCATION <br /> \'AWATION OF 15'ONA(eO <br /> S 38"C�Z� `)'�/�iec�K. <br /> �CRIII/F JN'ORK n /J �j <br /> 1 .C�d�c'2. 6 ` � �L.G�C— X� ��'wt>�- ' /�'"Zl <br /> �rao oseovscoroumm�e I HERE6Y CERTIFY THAT I HA E READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO IiE TRUE AND CORRECT ALL <br /> �cenioesenirnouo�raorearr�sr�owr+�uowonnrrnuiroueeorrsi " PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> �clil� J? 0 �� � � OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> idr� -�'eiocc_ov _ OR NOT. THE GRANTING OF A PERMIT UOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOI.ATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LO�AL LAW REGULATING CONSTRUCTION � <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAT � OF CONTRACTON OR AUTHOHIZED AGENT DATE �, <br /> IOIIAO�RE� 1� .�e�.•/ �� /J ✓ I� (iY (/✓ O � , <br /> 5 v �- /�-�J i-�-� <br /> PLUMBING NI <br /> NO. TYPE OF FIXTURE FEE ND. 1'YPE OF EQUIPMENT FEE <br /> WATER CLOSET�TOLIET) AIR COND.UNITS-HP.EA <br /> BATHTUB REFRIGERATION UNIT)-H.P. EA <br /> LAVATORY(WASH OASIN) 601LER5-H.P.EA <br /> SHOWER GAS FlREO A.C.UNITS-TONNAGE EA <br /> KIfCHFN SINK d OISP. FONCED AIR SYSTCMS�-O.T.U. M EA <br /> OISWASHEft N'ALL H[Ai[RS-[f.TL. M <br /> IAUN�RY'7RAY UNIi HEAi[RS-U.i.U. M <br /> CLOTHFS WASHER FVAPORnTIVE COOLLRS <br /> WATER HEATER CLOTI{ES ORYERS <br /> URINAL VfYTIUTIONFAN � <br /> DRINKII.:.FOUNTAIN RAnGF ki00U <br /> FLOOR URAIN AIR HANDLINC UNR- C.F.h1. <br /> VACUUM 9RPAKERS STOVC <br /> HOOF DRAINS-HAINLEADERS METAL fIRCPLACE 8 CHIMNEY <br /> SINK($f.RVIC[-UAR.CTCJ <br /> SUBTOTAL SUB70TAL f <br /> PERMIT S PERMIT L <br /> TOTALFEE S TOTAIfEE S <br /> SIDE YARD SFi�ACK STNLET SElOACK REAR YAHD 5[TOACK PI.AN CHKK NUA711CN PLAN CHECK FEB <br /> FEE RECEiPT NO. <br /> � <br /> U5: /ONE LOTAREA VACANTSRE <br /> OYES ❑NO FC@S VAIUATION FEE <br /> TYPE OF CONST. 6CCUPANCY GHOIJP NO OF�WELLINC UNITS <br /> uuuo,Nc s 3 S-o o °° � Od <br /> sizE oF n�oe No.oF srorsies ti+nx occ ionu <br /> rwn�oin❑ <br /> FIkE ZONE 6ASEMEN� fiLOHOOMS F�Rk SPRINKL[RS <br /> HEQUINFD MCCII�NIUI <br /> f1YE5 ❑NO <br /> APPROVA:S BY DATE OTIiER <br /> L ENVIRONMENTAL CHKK LIST U.f1.C. <br /> PENALTY SEC.1011.�1 <br /> 2. RUILDING PLANS <br /> 1 FlFE HYORANT TOTAL <br /> 4. FIRE PROTK710N SYSTfM PERMIT VAtIDAT10N <br /> \YHEN PHOPERLY VALIUATED UN THIS SPACE)THIS IS YOUR PERMIT <br /> 5 CHADINGR.%CAVATIONAf.LIANINGICRUHI{ING <br /> G. DRAINAGE <br /> J. FNVIRONMENTnIIMPACTSTATEMfNT <br /> e. IIEALTH OISTRICT <br /> APi'LIC;�IIU�ACC. ii1 PL1:,�UIi�kLU Gl API'K li�i! U',C�A.�'� I It� <br />