Laserfiche WebLink
AI-f L'�/'1�IVl�1 I OQO everett <br />(�e Ever9reen � O s ' � � � ■ ' �� ' O � � <br />CITY OF N U <br />everett PE RM IT <br />DEPT OF COMb1UN17Y DEVELOPMENT SERVICES <br />❑TY HALI 259-8745 <br />EVERETT,VYA9P:01 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />ONNFN M�II M)PHIl1 CIIY l�l' fMONE <br />._`��A1_N� _�d �YFR�" I �04 �VEiQGREL'� ,it.iA�f <br />APJIIIfCiOHI>ILGnIN M1IAIIAOpNICS �IIV . cR PHONf <br />CIhIXM (ONINAIIOM M1IAII hf)UNIlS ❑h (.IP PNON[ LIQNSI I <br />'//� r <br />�/ !�% /i/=0�v �/ t-AS i iG cF�S - e�%N -Si. liir?lCLFln//� ���� � 1';21-/ld% �1/L';f't'�M�/��i, <br />....� ...,.o.�. t ll� ! PIIOnF UCENSE Y <br />(UtiiNillUN <br />� � �v UI NONF <br />�( nEl\' ❑ADDITION <br />� ��i �nn� ci ��oa� <br />� �� �. � <br />UI��MIIII �vUN� <br />i�uorv�.lnrt� n� nunnoc <br />AIAII Af)[lNiS} <br />(�IY ZIP PIIOM1! ��C(MSEY <br />❑ALTERATION ❑NEPAIR ❑D6ti10lITION ❑FENCE X�SIGN ❑GARAG[ ❑6UILDING RELOCATION <br />C_ Ti:'/ C <br />IlL11 I115(RIP110V OI 1'HIaIRR UHUTAh III lUA1 ON UiA(11 fpt1X COI'IiSI <br />�oi _mo� r.�a <br />inn .nnui �� <br />PLUMBING <br />NO. TYPE OF FI%7URE <br />11'AiER ClO5L717U11[7� <br />iunnuo <br />�A\'ATOHi I��A511 OAL^�1 <br />SHONfk <br />1.IiCHE� Si�� k DISP <br />p6\�VSHfH <br />InV�DN1 INn\ <br />(IU1Hf"KASMEH <br />N�riFH MU7fN <br />UHIhAI <br />CRINIJNG IOUNIAIN <br />f I ODN Dft�lti <br />VA(.L'UM 11Hf AAI RS <br />kOC' DR�I`:5-HAIulUOfNi <br />SINA i5f NVI( f-IIAF, f iC 1 <br />SUB TOTAI <br />PENMIT s <br />70TAL FEE s <br />Y1ftfJ511111fK Sik[(15[i(Uf.A HI <br />(LC <br />YANp Sf IIIACA <br />USE ZO'+f IOf ARfA � A'At.�'�I }Ilt <br />,,,vfS ".-NO <br />rrvt or consr occurnr+crcuou�� �o or uwiuir+<.ur:i�s <br />SiZF OF OLCC NO Of SiORIfS MAX OCc IUnll <br />FIRF ZOvI 11�SfMEN7 HII�N(���ti�ti Nk�(jlll�HkINRIENS <br />!IVIS I'NO <br />APPPOVALS BY DATE <br />1 ENVIRONMtNTAL CHFCK 115T <br />I 11UILDIrvL PUNS <br />J {IN( HYDRAM <br />J FINL PROTEC710'� SYSI(h1 <br />5 GHADINCII%CM�n710N,tClIAHINGIGKunl7w(I <br />6 DRAINAG( <br />7 ENVIRONM[N1AIlMPACTS7AfFMENi <br />9 HEAL711 D151ft1O <br />.�� <br />AI'PLIUiIUn ACC UY �L`jCl1LIXED IiY <br />li:i�/! �:: <br />APPR iOR ISSWNC� ��� <br />I FIEREI3Y CtR7lPY THAT I HAVE READ AND EXAMWED THIS AP- <br />f'LIC�T ION �ND KNOW THE SAh1E TO �E TRUE AND COP.RECT ALL <br />PROVISIONS OP LAVJS AND ORDINANCES GOVERNIN , THIS TYPE <br />OF WORK N'RL BE COMPLIED WITH 1NHETHER SPECIFIED HEREIN <br />OB NOT THE GRANTING OF A PERA4IT DOES NOT PRESUME TO <br />CIV[ AUTFIORITY i0 VIOLA7E OR CANCEL THE PROVISIONS OF <br />�NY OTHER STATl OR LOC�L LAW REGULATING CONSTR�CTION <br />pR THF PfFFORh1ANCE OF CONSTRUCTION. <br />Slr,h:Ail�kl Qhl�)�Y7H,AF-tU2�-AUT1�ORIZfDACkN7 DATF <br />MEOIANICAL <br />NO. TVPE OF EQUIPMI <br />�iucoNn uNns-�ir in <br />HF.IHIGINAIIOVUN175-HP I.A <br />❑��i�tes-��r En <br />Gn511Rt��� UM1�i�-iONhnGE fA <br />fqH(�If)�IkS55ILV5-117U ��' <br />O'nLl IIL�iLRS-f1I U M <br />�!hI1111AiIN5-111U �tt <br />I�.V'URnIIYf (�OOLfRS <br />CIUiH15 DFPfNS <br />�'IKIII.�tIOu fnV <br />HnN(;I IIUOD <br />AIR h1AN�LING U'�IT- L I A1 <br />SIOVI <br />vllAt FINLPLACf A CIIIb1N[\ _ <br />Plnh CIIIC� �V��11[ft <br />iEES <br />eunuwc <br />YlUb1i11tiG <br />AIf ( HAMCAI <br />OIHEk <br />PI NAl ll' <br />'�l�,,.���� <br />FEE <br />SUB TOTAL s <br />PERMIT s <br />TO7AL FEE s <br />i'I h"1 CMECK FEE <br />ffE RKEIP7 NO <br />VAlWT10N FEE <br />s <br />U11C <br />Sf C 7011.�I <br />TOTAI I I <br />PERMIT VAIIDATION <br />wHEN PNOPI RL1 VALIOA7(U IIN THIS SPAIEI TIIIS IS YOUR PERMIT <br />����t�..s� f—i o-� �-�� r�� �'rrz=n -r�� <br />71�.._.`;��-'� �_� C:ti:f� �1 C.%�'C(%[U <br />(_ 1 i- l <br />