Laserfiche WebLink
T <br />APPLICATION FOIt everett <br />�he Evergroen � O N S T R U C T I O n � <br />GITY OF <br />everett PE � M IT <br />DEPT. OF COMMUNITY L`eVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />EVERE:T, WA98201 �COMBINATION ❑ BUILDING ❑1�1ECHAkItAL ❑PLUMBING PERMIT NO. <br />OwrvER mnll nO00.[55 CILY ZIP PHOa[ <br />� I <br />' " �-r .h t- � i'r �7 �=T i <br />APCHRICT OR �E51 N[R MAIL AUDRl55 ULY ZIV PNONE <br />GEN[RAICONIPACtOR nuIL�ODRE55 ULY ZiP PHONE JCENSf1 <br />i _ r ' _— — . _ _—r_ —, �—is n !) i i <br />MAII nDDPf55 ULY � LIP PNONE UCENSF 1 <br />PLUNf11tiC CONIftAQOR M�IL ADONf55 CItV ZIP PHONE lK[NS[ I <br />CU55 04 N'OPK <br />❑NEW ❑ADDITION I.�ILTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VAIUAiION Oi N'ORK <br />� — z s��o �"° <br />DESCNIIIF �v00.A <br />CROPOSFD USF OV NUIl01�G <br />LEGnI UFSCRIPIION Of VROPERtt �SNOWN BFlO\Y OR ALIACN IOUR COPIE51 <br />Lpl _�ICCK__OF <br />ion �ooa�ss <br />PLUMBING <br />NO. <br />TYPE OF FI%TUItE <br />EIA7HTUB <br />UVATORY 11VA5H BAI <br />SIIOwFR <br />KITCHEN SINN 8 DISP <br />DIS\YASNER <br />LAUNDRYTRAY <br />CLO7ME5 WASHER <br />URINAL <br />DRIM1KINC FOUNTAIN <br />FIOOR ORAIN <br />VACUUM I7REAY.[RS <br />HOOF ORAIN$—RAINLEAOERS <br />SINK �SERVICE—(1AR, EiC 1 <br />SUB 10TA1 <br />r PERMIT <br />TOTALiEE <br />$I�E YARD SETOnCK STREET SRMCK <br />USE ZONE LOT AREA <br />7YPE OFCONST OCCUPANCV CftOUP <br />SIZE OF �IDG NO. OF STORIfS <br />FlRE ZONE BASEMENT 11LDH� <br />� <br />APP0.0VAL5 <br />1 ENVINONMENTAL CHEIX L15T <br />2. flUILDING PUN$ <br />7 FIHE HVDHAnI <br />� RRE PftOTECTION $YSTEhI <br />5 GRnOINULXUVATIONBCLtARINGIGftU9flING <br />6 DRAINAGE <br />7. ENVIRONMENTAI IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CMfIXED BY <br />`�� <br />91 79 <br />E1� �� <br />S <br />S I <br />4UR VAHD SETDACK <br />VACANT SITE <br />�YES ❑NO <br />VO OF DWELLING UNI <br />h1A% OCC LOAD <br />BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIh <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTfiORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTjt/�CTOR OR AUTHORIZE�.AGENT DATE <br />MECHANICAL �i <br />NO. TYPE Of EQL <br />—riRcoNo uNirs-ri.r.En <br />Gn5 RRED A.C. <br />FORCED AIR 51 <br />WALL HEnTER' <br />En <br />UNIT$—iONN�CE EA <br />iTEM!-9TU MEA <br />—dTU M <br />-0TU M <br />RANGL MOOU <br />AIR MANDLING UNIT- C.F M. <br />STOVE <br />MFTAI FIHEPLACE 8 CHIMNFY <br />'LAN CMCCK NUMptR <br />pa�/i�9� <br />FEES <br />BUILDING <br />PlUM01NG <br />M[CHANIGL <br />DATE I OTNER <br />BY <br />PENnLTY <br />i/a <br />TOTAI s <br />NIT S <br />AL FEE f <br />PIAN CHECK FEE <br />FEE d3 � REC%EIP�T(NO. <br />�s 710N � �� <br />S <br />unc <br />SK )Ol�al <br />TOTAL I I <br />►EIIMIT VALIDATION <br />WHEN PROPERLY VALIDATEO (IN THIS SPACE) THIS IS VOUR VERMIT <br />� <br />1� <br />� . <br />�' . <br />