Laserfiche WebLink
��PLICATIC)N FOF , ���,�n <br />tA� Ev�ipmn C O N ST R U CT I O IV �` � <br />an o� <br />ever�tt �[RMIT <br />DEPT. OF COMMUNITY UEVELOPMENT SERVICES . <br />CITY HALL 259�8745 <br />EVERETT, WA90?Ut ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERM17 RIO. <br />OWNEF <br />M�IIAUDN[55 CITY ZIP PNONE <br />' - - - . L s. t/- 7 �/3 •/ _ <br />MAII <br />G[NENALCOYiRAC10R MAIL <br />MECHANIUI COHTRACtON Mnll ADORF55 CITY LIP PHONE IKENSE I <br />PWMN�G:ONt0.AC10R M�I1e000.F55 ❑fY 21P PNONE IICEHSEI <br />I�JNEW ❑ADD!TION <br />ynl W � I ON Oi W ORK <br />� � <br />f �`�': <br />CESCXI�E WOAK <br />5��.�s � <br />PROPOS[D USE Of PUILOING <br />❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE L7SIGN ❑GARAGE ❑BUILDING RELOCATION <br />IEGAI OFSCRIPLION Of YROPFRLY�SMO'�4� OFIOW UR �LIACH fOURCOPIF51 <br />lOi � fllOCk � Of <br />IOB nooNtsi <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />WATER ClOSET ITOLIETI <br />OATHTUB <br />LAVAiORY(WASN �ASIN� <br />SHOWER <br />KITCHEN SINK 6 OISP <br />OISWASMER <br />UUNORY TRAY <br />CLOTMES WASHER <br />1YATER M[ATER <br />URINAI <br />ORINKING FOUNTAIN <br />FIOOR �RAIN <br />VACIJUM OftEAKERS <br />ROOF ORAINS—RAINLEADERS <br />SINK 6ERVICE—BA0., ETCI <br />SU! TOTAL <br />�ERMIT <br />TOTAIFFE <br />SIDE YAR� SET[fAGK STRfFT SETOA <br />USE ZONE lOT AFEA <br />7YPF OF CONST OCCUPANCY ( <br />SIZE OF 9LDG NO OF STORI <br />��or �nur 9ASEMENT <br />APPIIOVAIt <br />1 ENVIRONMENTAL CNECK LIST <br />2 OUILDING PLAN$ <br />J FIRF HYORANT <br />� FIRE PHOTECTION SVSTEM <br />5 GNADINGIIXCAVATION6CLURINGGRU811WC <br />6 �RAINAGE � <br />L EHVIRONMENUI IMPACT STATEMEN � <br />e Ncn�n� visraicT <br />APPLIUTIONACC.BY ��NSCH� EDH� <br />/ � /i <br />. /LI,Il:C/C_;�L <br />q.i-79 <br />I HEREPY CERTIFY THP,T I HAVE READ AND EXAMINED THIS AP- <br />PLICAT�ON AND KNO\Y THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE <br />OF WORK WILL 6E 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 />A�Y OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFOHMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTMORIZED AGENT DATE <br />.. � . � �_ � �D � _ �,� P/ <br />MECHANICAL <br />EQU <br />FEE <br />ftEFRIGERATION UNIiS—H.P. EA <br />OOLLERS—HP.EA <br />GAS FIRED A.C. UNITS—TONNAGE EA <br />fORCEDAIRSY5TEM5—B.T.U. MEA <br />WALI HEATENS—B.T.U. �• <br />UNIT MUTCftS—UT U M <br />EVnPORAiIVE COOLERS _ <br />AIR MANOLINI. U�'+��— <br />510VE <br />METAI FlREPUCE 6 CH <br />3 <br />RUR YARD SETBACK PUN CHLCK NUh' <br />VAUNT SITE {fE5 <br />OVCS ❑NO <br />NO OP OWELLING UNRS <br />iY I DATE <br />fOR <br />or <br />ouuoiNc <br />PLUM[iINC <br />MFCHANIGL <br />OiHFR <br />PEM1ALIY <br />M. <br />SUBTOTAI <br />�ERMIT 3 <br />TOTAI F[E f <br />PLAN CMECK FEF <br />FEE RECEIPT NO. <br />VAlUAT10M FFE <br />3l�i�.' �S <br />U.BC <br />SEC )OJ(al <br />TOTAL I I <br />►ERMIT VALIDAiION <br />WHEN PROPERLY VAIIDATED (IN TNIS SPACEI THIS IS YOUR PERMIT <br />\(''� i� /1�> <br />_J `�J• LY� ' l ✓� <br />_1 <br />1 <br />s,'�%( ����� <br />��Utit � LLC-�ri'(c: a-C, <br />