Laserfiche WebLink
a <br />theEverpreen AP; LICATION FOR everetl <br />CITYOF CONSTRUCTION e <br />everett PE RM IT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HA.LL t5o�97e5 <br />EVERETT, WA98201 ��OMBINATiON ❑ BUILDING ❑MECHANI�AL ❑PLUMBING PERMIT NO. <br />OWNER M�II AUDMR$ UiY ZIP PlIONF <br />cv��te7r sv2vkr GYog' � vr-n6�ae-e�J crMr E�rr c✓/a q8'zo� <br />AR('l111([TOROf51LrvtR MAltA0DRt55 CILY 21P PHONE <br />LlN[NAl IOhIFACIOR <br />t I �n Of NONN <br />❑NEW ❑ADDIT�ON <br />v.�u�n�n/n or woac <br />� 7�5'���— <br />Ol�l'Nllif NOPS <br />runros�o oa� or nmmi�c <br />5'r <br />b1A1L nDDNE55 <br />CIIY LIY <br />9troYG �j <br />❑IY CIP <br />CIIY ZIP <br />PHOH[ LICENSE / <br />s6.c•�. r�'� - 6'0 <br />.7.ct. BR R�t YN ZW7�D, <br />PMON[ IICFNSE 1 <br />PHOHE LICENSE R <br />❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />IfGU �I S[RiPliOrv Of PFOPfPIv ISMOWrv PEIOW OR elin[H fOUR COI`R51 <br />ioi _mocr;_or <br />wn +nnai ss <br />G yoY !3V-vrt67. <br />PlUM91NG <br />NO. TYPE OF <br />BATHTUB <br />I.AVATORY pVASH OASIN� <br />SHO\vFR <br />KITChIEN SINK 8 DISP <br />IAUNDRY TRAY <br />CLOIHES WASH <br />WATFR HfATER <br />UftIN�� <br />DRINKINC FOUI <br />VACUUM BREAKERS <br />ROOF DHAINS—RAINIUDERS <br />SINK ISFRVIC! —flAR. RC I <br />$IDF YAHD S[TOACK <br />USF ZONE <br />TYPE OF CONSi <br />SIZE OF F1LDG <br />TOTAL FEE <br />STREFT SCTFlACK <br />LOT AREA <br />OASEMENi I BLUNOOMS <br />APPROVAIi <br />7 ENVIRONMENTAL CHECK L6T , <br />2 BUILDING PUNS <br />7 FIRE HY�RANT <br />� iIRE PROTECTION SVAEM <br />S GRADING!%CAVAiIONbCIkARINGGRUNHING <br />6 DRAINAGE <br />7 fNVIRONMfNTALIMPA�iSTATEMFNT <br />b HFAITM DISiRICi <br />�S <br />RUR VARD <br />VACnNi 511F <br />❑YES CNO <br />JO OF OWELLING UNIiS <br />7Yl5 ❑NO <br />BY DATE <br />,.�, s.z-s�v, <br />I HERE�Y C[RTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW 1 HE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAW$ AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL �E COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRAC70R OR AUTHORIZED AGFNT OATE <br />FEE <br />Alft COND UNITS—H P EA <br />REFRICERATION UNITS—HP EA <br />BOIlERS—HP EA <br />CASfIREDAf UNITS-70NNAGEEA <br />FOftCED AIR SYSTEM$—U T.0 M EA <br />WALL MEATEHS-0 T U M <br />I�NITHfATERS—DTU h1 <br />PInPORATIVE COOLERS <br />ClOiliFS ORYERS <br />VENTILATION FAN <br />RANCEMOOD <br />AIR HANOLING UNIT— <br />h1FTAt FIRFPLACE 6 CHIMNEY <br />SUB iOTAL f <br />�� TOTAIiff S <br />PIAN CH[U: NUb1pFR PLAN CMECK FEE <br />FEE I RECEIPT NO. <br />BUIL�INC 5 �/ a,� !� <br />� �' <br />VWMNING <br />IdEC11A`lIUL <br />OTHER <br />PFNAITY U.�.C. <br />SEC JOI�aI <br />70TA1 <br />PERMIT VALIDATION <br />14HEN PROPERIY VAlIOATED �IN iH15 SPACE) THIS IS YOUR PERMIT <br />�/- (-�-80 ���' <br />.5l4.v ✓.�dx�r,c.. 8� pc �.�-. <br />l5 M.LI--+LI-itA�.r.� �� iI ._ <br />