Laserfiche WebLink
APPLICATION FOR <br />FIEve <br />CITY OF EOFfgwn CONSTRUCTION <br />everett PERMIT <br />DFPT OI COMMUNITY DEVELOPMENT SERVICES <br />CITYHALL 259.8745 <br />Zeretl <br />�e <br />EVERETT, EVA 98201 kcwMLINATION ❑ BUILDING I❑MECHAN:CAL ❑PLUMBING PERMIT NO. <br />OWNER MAIL ADDRESS ,� CII1 ZIP PHONE <br />YyT %Y7.ur3 23L <br />0.wk -a 1t <br />AP/lllll CI OR DE SIGNER <br />IQ Gi 1-c s <br />r %A 1 v <br />MAIL ADDRESS � CITY <br />) VtA�K�< . )F'l, 3tC� Au5 <br />ZI. <br />,.HONE <br />h1NIRAL CC1NTRM TOR <br />\CL <br />MAIL ADDRESS CITY <br />Cle ul-c Itr f �cIWI4- <br />ZIP <br />SJFo'� <br />PHONE LICENSE E <br />7)�YCTZCDCLIfJF <br />dY <br />MICIIANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE 7R7 LICENSE <br />clE—� <br />V I& k. C+ uA <br />R UMIIIVC I LINl 4ACIOR MAIL ADDRESS (IIY ur rnvnr .•..••-•- <br />4q + V LC �� Lo <br />KNEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE LJSIGN LJGARAGE LJBUILDING RELOCATION <br />VAIL!AIION OF P.Q —71Z, 0OV-'2 <br />r)_ <br />r L_IV <br />rug aDOst rn Rm(DINc Lr <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />_ (-'`7L, Q L? - '`.. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />ALAI III SORIPDOY CH PROPIRIY ISHOWN BELOW UN SII (H <br />IUUR CONE I <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />/L��jS <br />2 RIOCKQ��,OF <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />IDI <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 />E !�/7 — <br />51(. MUST OF CONTRA R OR AUTHORIZED AGENT DATE <br />�i�-- S jG <br />IUH AUURF SS <br />PLUMBING <br />E HANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ITOLIETI <br />U <br />AIRCOND UNITS -HP EA <br />REFRIGERATION UNITS-H P EA <br />9ATHIUR <br />) <br />BOILERS -HP FA <br />�B <br />7i <br />LAVATONY IWASH BASIN) <br />GAS FIRED AC UNITS -TONNAGE EA <br />SHOWFR <br />FORCED AIR SISIEMS-B T U M EA <br />E <br />'L <br />KITCHEN SINK 8 DISP <br />WALL HEATERS-B 7 U M <br />DISWASHER <br />UNIT HEATERS -BTU M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />Z <br />COOTIIES WASHER <br />Z, <br />CLOTHES DRYERS <br />Cl <br />N ATFR HEATER <br />VENTILATION MN <br />L <br />URINAL <br />RANGE HOOD <br />C{ <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C F M <br />- <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS -RAINLEADIRS <br />MEIAL FIREPLACE A CHIMNEY <br />SINK (SERVICE -BAR. ETC) <br />SUB TOTAL IT <br />3o <br />Ew <br />SUB TOTAL <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />S <br />°EI <br />TOTAL FEE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YAR05F}IEA[K <br />PLA IICL�MBER <br />PLA <br />NRECUSE <br />CHECK FEE <br />TONE <br />LOT AREA <br />VACANT SITF <br />FEES <br />FEE <br />I}MES ❑NoTYPE <br />OFIE <br />of CONST <br />()CCUPkNNCY GROUP <br />NO OF DWELLING UNITSBUILDING <br />--2'4q <br />SIZE OF BIDG <br />NO OF STORIES <br />MAX OCC LOAD <br />6 <br />�7 <br />5. 1 r i. r? <br />1 <br />PLUMBING <br />FIRE ZOINE <br />BASEMENT <br />HHIRLIOMS <br />TIRE SPRINKLERS <br />REQUIR[D <br />MECHANICAL <br />��qq <br />4 <br />T1YE5 CINO <br />APPROVALS <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />;lY <br />PENATTY <br />UBCSEC )ORaI <br />2 UIRT DING NS <br />TOGL <br />HYDRAN <br />FINT HYDRAN7 <br />a TIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED TIN THIS SPACEI THIS IS YOUR PERMIT <br />S GNAOINGIIXCAVA7IONACLEARINGIGRUBBING <br />6 11PAINMA <br />7 ENVIRONMENTAL IMPACT STATEMENT r <br />B HEALTH DISTRICT <br />APPLICATION ACC-. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE <br />BY <br />ti r1.1 ri1 <br />9.1 79 <br />