Laserfiche WebLink
the Evergreen APB-ICATION FOR <br />CITY OF <br />everett CONSTRUCTION <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES PERMIT <br />CITY HALL 259.8745 <br />EVERETT. WA 98201 ❑COMBINATION ❑BUILDING ❑MECHANICAL OWNIR <br />PLUMBING PERMIT NO. <br />R <br />MAIL <br />CITY <br />GENERAL [ON TRAL'TOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE I <br />%HCHANICAI CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE I <br />\ PIOAIBIND CONTRACTOR <br />SEA - AC V11LOOM- <br />MAIL ADDRISS <br />INIR EMPIRE w4v C. <br />CITY <br />CFT4-ME <br />ZIP <br />09672 <br />PHONE <br />-,23 c3 <br />LICENSE I <br />a2;-70e <br />U O{ 500.K <br />KNEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RFInG <br />s <br />P'k,ITH PnnYA _('�.T,•1,- I - I AI <br />- <br />rxDP<TSLD DM DI xmwrvc I HEREBY CERTIFY TVAT I HAVE READ AND EXAMINED THIS AP <br />ETA - S �{-(? $ PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />• HGAI DISCRIPTION OF PROPERTY ISHO%VN FHtOY1'OR ATTACH FOUR COPHSI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />LOT �FHOCK�OF OF WORK WILL BE COMPLIED 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 STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />CASORU SHOPPING Q- rC 2 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />ION ADDRESS <br />-7G0I Evc(_C-,gLcW4I X <br />` PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE <br />WATER CLOSET HOLIETI AIR COND UNITS —HP EA <br />BATHTUB ' REFRIGERATION IINITS—H. P. EA <br />LAVATORY(%NASH BASIN) 7 BOIIERS—HP EA <br />SHOWER GAS FIRED A C UNITS —TONNAGE EA <br />KITCHEN SINK & DISP FORCED AIR SYSTEM]—B T U M EA <br />DISWASHER WAIL Hf ATERS—BTU M <br />LAUNDRYTRAY UNIT HEATERS —BTU M <br />CLOTHES WASHER i VAPORATIVE COOLERS <br />WATER HEATER CLOTHES DRYERS <br />URINAL VENTILATION FAN <br />DRINKING FOUNTAIN RANGE HOOD <br />FLOOR DRAIN AIR HANDLING UN. T— C F.M <br />VACUUM BREAKERS SIOVE <br />ROOF DRAINS—RAINLEADERS METAL FIREPLACE & CFEIMNFV <br />SINK Is RVICE—GAR. ETC) <br />SUBTOTAL 471q �' SUBTOTAL $ <br />PERMIT $ 'J PERMIT $ <br />_ TOTALFEE s lr TOTALFEE s <br />SIDE YARD SETBACK STREET SETBACK R[AR YARD 51T4 BACK PLAN CHECK N'U%.JER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE LOT AREA VACANT SITE <br />EYES [,NO FEES VALUATION FEE <br />TYPE OF CONST OCCUPANCY GROUP NO OF DWf ILING UNITS <br />S <br />SIZE OF BERG NO OF STORIES MAX OCC LOAD BUILDING <br />NUMBING <br />FIRE ZONE BASEMENT III URUUMS FIRE SPR INKL[R$ <br />Et SQUIRED MECHANICAL <br />rms nNo <br />APPROVALS BY DATE OTHER <br />T ENVIRONMENTAL CHECK LIST U O.0 <br />PENALTY <br />I BUILDING PLANS SEC J01(a) <br />1 FIRE HYDRANT TOTAL il( <br />A FIRE PROTECTION SYSTEM PERMIT VALIDATION% <br />S GRADINGIIXCAVATION& CLEARINGICRUHHING WHEN PROPERLY VALIDATED EIN THIS SPACE) THIS IS YOUR PERMIT <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />