Laserfiche WebLink
IMEwrprNn P;PPLICATION FOR::, <br />Gr°F `��-�'iCONSTRUCTION`�� <br />everett PE RM �T <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICE$ <br />CITY HALL 259�8745 � <br />EVERCTT,WA98201 �COft1BINATION �UILDING ❑MECHANICAL QPL� <br />PERMIT NO. <br />...� � .. _......., i . � .. � � � } . �u� - ' zir _.. . reon=. <br />. �� 1 � � <br />G[N[AALCO iR ION MMIADDP65 <br />._ C�TY '. ZIP PNONE II�ENSE � <br />� �� • � ,. �• ,� <br />M[CMANIUL[Obip�CIOA � � MAIL�ODRE55 UTY llP <br />'.Y.r,, • ...` ` PHONf UC[NSEI <br />: . r... .. �. <br />PIUMBING[ONi0.ACTOR. � , M�IlAODN[55 �IIY $IP pNONE _ IICENSfI <br />CL�SSOFWOx[ . • . <br />�NEW ❑ADDITION LALTFRATIOIJ �REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDINGRELOCATION <br />VAIUAlIONOlWORK � <br />' �h���D/l , . <br />oiscaiac woa� . . � <br />� <br />IFG�I OF SCqiP11qN pf pROPt0.1Y � <br />l0t � Bl0[It � O! <br />rwMeiNc 1 <br />NO. TYPE OF fIXTURE <br />LAVAT(1NY (WASN BASIN� <br />SHOwfR <br />KITCHEN SINK 6 DISP <br />DISWASMFR � <br />IAUNDNYiq�Y <br />CLOTHES WASHER <br />WATfR HEATFR <br />URIN�L <br />AKFRS <br />fOUN <br />►[IIMIT S <br />' • .TOTAIi[E 3 <br />SIDE YARD SFTBACK STRFET SETBACK NE <br />USE;ZONE w ' � LOT AREA �, <br />TYVE OF CO T. OCCUPAN�Y GROUI <br />. <br />SIIE Of BLDC. �' NO.OF STORIES <br />fIR ZONE BASEMENT IIFUF <br />� A►�ROVAlS <br />1. ENVIAONMfNTAI CHECK 115T <br />7. BUIIOING PLANS <br />]. FlXE MYDRANT <br />l fIRE PROTfCTION $YSTEM <br />S. GRAOINLIE%C�VATION 8 CLFAR�NG�GRUBNING <br />6. �RAINACE <br />7. ENVIRONAtENTAL IMPACi STATEMENT <br />NO. OF DV <br />� <br />MA%.00C <br />�Y DATE <br />!. HEALTH DISTRICT � I � -- <br />APPLIC/�TION rCC. 91' PLANS CH[CKED BY APPR. fOR ISSUANCE <br />44•79 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI$ AP- I <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS Of LAWS AND ORDINANCES COVERNING THIS TYPE <br />OF WORK WILL @E COMPLIED WHETHFR SPECIFIED HEREIN <br />OR NOT. THE GRA I G O A PERM!T DOES NOT PRESUME TO <br />CIVE AUTHORITY O VIO ATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STA � REGULATING CONSTRUCTION <br />OR THE PERFO E F CO RUCTION. <br />SIGNATURF Of C10R N A RIZE� AGENT DATF <br />' � I <br />X <br />NO. TYPE OF EOUIMMENT FEE <br />AIR COND. UNITS—HP. EA <br />EFRIGfRATION UNITS—H.P. EA <br />BOILERS—f1.P. EA <br />- ,'CAS EI0.ED.A.�: UNITS—TONNAGE r�.:� ��� <br />FONCED AIR�SYSTEMS—B.7.U. ' <br />WALL MEATERS—B.T.U. , - '� S • ' -w <br />. °.�� <br />UNIT HEATERS—e.TL. <br />� EVAPORATIVE LERS, ' -..e <br />CLOTHFS D , ' ' <br />�VfNTI I NT•, ','f p..r.�� ��r-., � <br />A D � � .. � �. ., 1 <br />NDIIN [ <br />OVI <br />MCTAL F�RE ACE HIMNEY <br />SU� IOTAL i <br />IE[MIT f <br />g� /18��� <br />RECEIPT NO.�D�J'1/ ' <br />/ CYf3 <br />s���o�N� s3/ f,?�� / 37 <br />PtUM81NG <br />MECHANIUL <br />OTHEA , <br />PFNALTY U.B.C. <br />SEC. 3o3(e1 � . <br />TOiAL <br />►EIIMIT VAIIDATION <br />WHEN PROPERLY VALIDAiED (IN THIS SPAC,F/I yTHIS I$ YOVR PE/RM�IT <br />��I I�/i�' / `�.'�_I L ci . . � �i' <br />��� � �' ��� - <br />