Laserfiche WebLink
m.e�.ror..� APPLICAT�O�I �OR <br />CITYOF L�NS�RU��ION <br />everett �E �� �� <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />EVERETi,WA98201 �COMBINATION BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />r� MAII AO�N65 UtY ,� ZIP ) IPHONF <br />ow 1 p _ . � , . / _-. . � �fi'U, r V =�f1(_�l L Ji�}' _ <br />. i � _ . �� � _ .. . ^7 /_ � I � i . rl.^� /.'?li--iJ t �- <br />os <br />�....�l.r}'S1? � <br />-:3 <br />PMONF <br />everett <br />� <br />IICENSf 1 <br />Z�%� <br />M[CII�NIUI CONTN�CLOR - MAII ADORf55 ' �1 <br />/.�U ('� 1 �/�11-� � •r- <br />� UIY ZIP PMONE �dFVSF� <br />PIUM1�A�M1��ONIFACTOR MAIIA��R[SS <br />CLASS Of W00.K <br />❑NEW UADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑OUILDING RELOGTION <br />V�IWiION OF N'ORR <br />s DT� <br />ois�uinE woxn r-. <br />�-r�—Lc�� ��G�, L4��r, v!�—tZ <br />rnorosm usF oi ewioivc I HEREBY CERTIFY THAT I NAVE RFAD AND EXAMINED THIS AP- <br />PLICATION �ND KNOW THE SAME'�O BE TRUE �,JD CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES G(iVtRNING THIS TYPE <br />IEWL �ESCRIPfION Of PROP[RIT (SMO�YN OIICW OX AiTACH {OUR COPI[$1 OF WORK W ILL BE COMPLIED WITH WHEl HER $PECIf1ED HEREIN <br />�p� �_BLOCN�_Of OR NOT. THE GRANTING OF A PERMIT �OES NOT PRESUMf TO <br />ANY O HEROSTIATE OR LOCAL LAW REGU ATING CONSTRUOCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGDIATURE OF CONTRACTOR OR AU7HORIZFD AGENT DA7: <br />IOPA ORISS <br />7�01 <br />PLUMBING <br />NO. I <br />�2_-��.1 (�%� C <br />TYPE OF f171 <br />R CLOSET �iOLIETI <br />iUB <br />TORY (W�SH BASIN� <br />ti[R <br />�f N SINK 8 DISP <br />LAUNORYTNAY <br />CLOTHES��' <br />1VATER HEA� <br />URINA� <br />pk11:KING F� <br />fLOOR ORAIN <br />���� <br />VACUUh1 IIA� <br />ROOf DRAINS—RAINLEAO <br />SINK �SERVI <br />�� <br />SUB <br />SIOE YARD SETOACY. <br />USf ZONE <br />TYPE OF CONST <br />FIRE <br />$TRfET ;CTO�CK <br />IOT AREA <br />AP�ROVAlS <br />L ENVIHONMENTAL CHECK 115T <br />3 [1UILDING PLANS <br />J FlRF H1'DRANT <br />1 FIRF PROTECTION SYSiEM <br />5 GRAOINGIf%GVATIdNdQEARINC�GRUBBING <br />6 DRAINAGE <br />7 ENVIRONMENUL IMPACT 17A1EMEhT <br />E. HFALTH DISTNICT <br />•om iMTION ACC PY P,4A�5 ChI�CKER 8Y <br />FEE <br />�f <br />RCAN YARD SETGACK <br />VAGNT SITE <br />❑YES ❑NO <br />NO. OF DWFLLING UNIT$ <br />MAk OCC <br />er � DATE <br />NO. <br />BOILFRS—HP EA <br />GAS FIRED A C IJNITS—TONNAGE EA <br />fORCFO nIR SYSTEM$—B T U M EA <br />\yALL HEATERS—� T.0 M <br />UNIiHEATFkS—BTU. M <br />EVAPORATIVE COOLERS _ <br />ItANGE MOO� <br />AIR HANDLINC UNI7— C.F M. <br />SiOVf <br />MFTAL FIREPLACE d CHIMNEY <br />SUBTOTAI =I <br />�ERMIT s <br />iOTAIFFE s <br />CHECK NUh1AEN PLAN CMiIX FE[ <br />FkE RECEIPT NO. <br />_'__ ...nunnu FEE <br />13UIlDING s ��0�• � <br />PLUMOING <br />MFCMANIUL <br />OTHE�` <br />l,. B C. <br />PENnLTY $EC. 70J(a) <br />TOiAL I <br />�ERMIT VALIDATION <br />WHFN PROPERLY VAL10�7EO IIN iM15 SPACEI TMIS IS YOUR PE0.MIT <br />7 <br />'C.�IS ��.cGT('�CGl� <br />4/�/h ; <br />