Laserfiche WebLink
,�.Ew,,,�� APPLICATION FO1�_ ���,�„ <br />°�TM°F :.ONSTRUCTION e <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-87�5 <br />EVERETT, WA9B201 ❑COMPINATIJN ❑ BUILDING ❑MECHANICAL ❑PLUMlING PERMIT NO. <br />OW4ER M�II �OONFSi CITY 21P YNONf <br />MICN�NIUL CONTRACTOR MAII �ODNFSS CIiY LIP iMONE IICENSE 1 <br />PWMflING CONtR�CTOR M�II �UORE55 CIIY ZIP PHONE IICENSE I <br />CUSSOf WOPIt <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMULITION ❑FENCE .�SIGN ❑GARAGE ❑BL'ILDING RELOCATION <br />V�WAiION OF WONK <br />f <br />ORCRI9F WORK <br />_i,//_�_ , n. , /' L �_ � /_ � _ _ _.. � ---� 1 _, � _ � _i� _ . . n . <br />lfG�l OESCPIPTION OF PROPFNTY ISHOWN BFIOW OR �LT�CH {OUR COPIE51 <br />lOi � BIOCK � Of <br />�LUMtING <br />NO. TY►E OF fU{1 <br />WATER CLOSET (TOIIETI <br />B�7HTUB <br />UVATORY IWASH B�SIN) <br />SMOWER <br />K�TCHEN SINK 6 DISP <br />DISWASMER <br />UUNpRY TRAY <br />CLOTHFS WASHER <br />W�iER HEATER <br />URINAL <br />DNI`lKING FOUNTAIN <br />FLOOR DR�IN <br />� VACUUM BREAKERS <br />ROOF DNAINS—RAINIEAD <br />� SINK6ERYICE—BAR.FiC� <br />SI�F YARD <br />OF <br />LOT AREA <br />OCCUPAIJCV GRC <br />NO. OF STORIES <br />BASEMENT 9F <br />ARIIOVALS <br />1. ENVIRONMFNTAL CMECK lIST <br />I BUILDING PUNS <br />7 FIR[ MYORANT <br />� FIRE PROTECTION SVSTEM <br />S GRADINLIE%CAVATION6CLE�RINGIGRUB9ING <br />6. O0.AINAGF <br />L ENVIRONMENTALIMP�CTSTATEMENi <br />E HEALTH DISTRICT � <br />APPLICATION ACC BY PLM15 C fCK D BY <br />� �;� .� � <br />FEE <br />�f <br />REAR YA0.D $EiB <br />VACANT SITE <br />OVES ❑NO <br />VC OF DWELLINi <br />MAX.00C IOAD <br />FIRE SPR�NKlERS <br />REOUIRfU <br />I HEREBY CERTIFY THAT I HAVE RE/ID AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />UR NOT. THE CRANTINC OF A PERMIT DOE$ 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 />SIGNATURE OF CONTRACTOR OR AUiHORIZED AGENT D�jE <br />MECHANICAL <br />NO. T1'►E OF EQU <br />AI0. COND UNITS—HP. EA <br />BOLLERS—HP.EA <br />GAS FIRED AC. UNITS—TONN�GE EA <br />FORCEDAIRSYSTEMS—B.T.U. N <br />WALL MEATEftS—B.T.U. M <br />UNIT HfATERS-8.7.U. M <br />EVAPORATIVE COOLERS <br />�IR HANOLINC UNIi— C.F.M. <br />IAETAL FIREPLACE 8 CHIMNEY <br />PUN CH[CK NUMBER <br />fEFs <br />BUIIDING <br />PLUMHING <br />MECMANIUL <br />�Y I DATF 1 OTMER <br />PENALTY <br />TOTAI <br />SU�iOTAI f <br />►FRMIT { <br />tOTRI iFF � <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />VALUATION itt <br />s �B�` <br />u.e c. <br />SEC. 3a31+1 <br />►E�MIT VAlIDA710N <br />WMEN PROPERIY VAIIDAiED �IN THIS SPACE17MI5 IS YOU0. YENMIT <br />tm-15--�0 ��,� <br />/�Gif E-2�7,Zf�(� <br />BY <br />