Laserfiche WebLink
r <br />� <br />Y <br />� <br />,�.Ew,fl,,,� 9PPLICATION FOR <br />°'r°F CONP RMITT�On eVE+ <br />everett <br />DEPT. OF COMMUNITY DEYELOPMENT SERVICES <br />CITY HALL 259�8745 <br />EVERETT, WA9B207 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />�W��R MAII ADOME55 p110NE <br />�A1���� LEl2�OID �I'L3 �JGRqI'��I trJ�q�l EJrp�i{Z1���� 3��.-�510 <br />ARCIIIT(CT pR D6 C[R All UUPF55 <br />� I '� � � �� 1 l �� ZIP 1( PHONf ' � <br />L[NEReI CiNTN�CIOR M1UII AD0R65 ❑1Y 11 ZIP 11 YHONE IICENSF I <br />( �� II �� I ff <br />�9CM��IUI �JMpAQOR MAIL �ODRE55 UiY LIP PIIONE IICENSE / <br />�1 �� 11 �� �1 t 1 <br />�� <br />PWMpIAL CONiN�Qpp M�II �OONE55 CITY ZIP PMONE llC[NSf 1 <br />C1w55 f WORK,,_,// <br />NEW L�JApDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SICN ❑GARAGE ❑6UILDING RELOCATION <br />VAWnIION pf wORK <br />i <br />0[SCN��F KORr _ <br />PqOPOStD US[ 01 <br />L[f,Al UlSCFIPiION Oi PqOPlRiY (SIIOWN B[lOW OR eiTnC1110UR COPIE51 <br />LOI � tlIOCK � pF <br />lotl <br />PLUM9ING <br />NO. TYPE OF <br />WATCH CLOSCT �TOLIE <br />BATHTUB <br />UVAiORYpVASH 17A5 <br />SHOWER <br />KITCMEN SINK d DISP <br />DISIVASMCN <br />LAUNONY TNAY <br />CLOThlES WASMFR <br />WATEH HEATfN <br />UNINAL <br />DRINKING FOUNTAIN <br />FLOON DRnIN <br />VACUUM i1REAY.LNS <br />ROOF DRAINS—RAINLFA�[R$ <br />SINK ISFItVICE—OAR, ETC� <br />SUB TOTAL <br />PERMIT i <br />70TAL FEE f <br />VARO SROAIX STRECT SCT11A[K RI <br />TYPE OF <br />SILE OF tIIOG <br />LOTAREA VAUN�SITE <br />OYCS ❑NO <br />OCCUPAN�y�ROUP NO Of OWEL <br />NO. Of STORIES MA% OCC LO <br />OASEMENT I1LUH00615 fIH[ SPNINKt <br />A�I�OVAlS <br />1. ENVIRONMENTAL CMEIX LIST <br />7. BUIIDING PLANS <br />] FIRC MVDRANT <br />� FIRE PROTECTION $YSTEM <br />5 GNAUINGI%G\'ATION b CLEARINGCRl1BNING <br />6 DRAINACC <br />Z ENVIRONM[NTALIMPACTSTATEMfNT <br />B H[ALTH DISTRICT <br />sr <br />APPLIC�TION ACC. BY PLANS CHECKED BY � AYPR. FOR <br />94�79 <br />FEE <br />o�te <br />8Y <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />AROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL �E CCMPLIED WITH WHETHER SPECIfIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STAT[ OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORM�NCE OF CqNS1e2UCTION. <br />SICNAT HE (�F CON�qA TOH OR Al)THORIZED AGENT DATE <br />TYPE OF <br />AIR COND UNITS—H P. EA <br />R[FRIGERATION UNlii—H P. EA <br />OOILERS—H P EA � <br />WS FINED A C UNITS—TONNAGF EA <br />fONC[D AIR SVSTEMS-0 T U. M EA <br />N'All MEATERS—US.U. M <br />UNITHEATERS—OTU. M <br />CIOTNFS ORYERS <br />VENiILATION FAN <br />RANGF HOOD <br />AIR HANDLINC UNIT— CF M. <br />STOVE <br />MfTAL FIREPLACE b CHIMNEI' <br />FEE <br />SUBiOTAI f <br />PFMMIT 3 <br />TOTAL FEE / <br />��. <br />CIICCK NUMOEN PUN CNECK FEE <br />FEE RKEIPT NO. <br />fEES VAIUAiION IEf <br />IIUR�ING <br />PWM171NC <br />MFCHANIGL <br />OTMfR <br />PENALTV <br />TOTAI <br />3 <br />U. B C. <br />SEC. 1 <br />�ERMIT VAIIDAiION <br />WMEN PROPERLY VnLI�ATED IIN THIS SPACF) THIS IS YOUR PFRMIT <br />� <br />1 <br />J <br />