Laserfiche WebLink
APPLICATION FOR everett <br />the C11yol,�.�"' LONSTRUCTIG.4I e <br />cn Y of <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />EVERETT, WA98201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />PHONE <br />G[NERAL CONTRACT00. MAIL ADDRESS CITY ZIP PHONE IICENSEN <br />CIIY LIP PHONE IICENSEN <br />MECHANICAL CONTRACTOR MAIL ADDRESS <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />CITY LIP PHONE LICENSE N <br />CLASS OF WORK <br />❑NEW ❑ADDITION <br />VALUATION OF WORK <br />DESCRIBE WOISE / <br />❑ALTERATION ❑REPAIR Xt DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />,./ ,f » / E P <br />-- <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS P,P- <br />PROPOSED USE OF BUILDING <br />PLICAI ION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUBfiOPIE51 <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />�� Q /` L ✓c-y, <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />LoTI�BLOCKoF <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />/. <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />v � // <br />l/ <br />A <br />LOB ADDRISs /A _ ��} <br />— / <br />( <br />A ^ / <br />PLUMBING <br />MECHANICAL <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />NO. <br />TYPE OF FIXTURE <br />WATER CLOSET JOLIET) <br />AIR COND. UNITS—H.P. EA <br />- <br />REFRIGERATION UNITS—H.P EA <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />BOILERS—iLP. EA <br />GAS FIRED A.C. UNITS —TONNAGE EA <br />SHOWER <br />FORCED AIR SYSTEMS-11. T. U. AT LA <br />SINK <br />KITCHEN SINK & DISP. <br />DITCHEN <br />WAL3. HE ATERS—B.T U. N[ <br />LAUNDRY TRAY <br />UNIT 11C ATC RS—B.TNiU. <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />p <br />I- <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />:.I. <br />RANCE HOOD <br />_ <br />FLOOR DRAIN <br />'q <br />F <br />AIR HANDLING UNIT— C.E.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS—RAINLFADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE —BAR, ETC <br />CT <br />SUB TOTAL f <br />SUB TOTAL <br />PERMIT f <br />PERMIT <br />f <br />- <br />TOTAL FEE <br />f <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />STRF EI SETBACK <br />REAR YARD SF FBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FCC <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />DYES ONO <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />lURDING <br />S <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX OCC. LOAD <br />PI UMBING <br />FIRE ZONE 13ASIMENT HI IIROOMS <br />FIRE SPRINKLERS <br />REQUIRED <br />MICHANICAL <br />�.. <br />DYES ONO <br />DATE <br />OTIII:R <br />APPROVALS <br />1, ENVIRONMENTAL CHECK LIST <br />I'l NAI TY <br />U13C.� <br />SEC. JDJ(a) <br />2. BUILDING PLANS <br />FBY <br />TOTAL <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />5 GRADINCIIXCAVATION&CLLARINGIGRUIIIIINC <br />fir, <br />6 DRAINAGE'.? <br />7. 1 NVIRONNB NTAL IMPACT STATLMI. NT <br />B. HEALTH DISTRICT <br />APPLICATION At-( HlIt) <br />APPR FOR ISSUANCE By <br />