Laserfiche WebLink
the EvCIT of 0 r;ONSTR.UCTION 0 <br />everett PERMIT PERMIT NO.06862 <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 ❑ COMBINATION 12 BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />.7aBt1a B 1.o. yt 2222 swzelt "203 355-17M <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE R <br />Bkest OB"lspss+Lt CB. na. <br />MECHANICALCONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR DEMOLITION ❑FENCE DEIGN ❑GARAGE <br />S <br />Dmmoilr sla0u lzdly L�olA�aw <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND : XAMINED THIS AP - <br />PLICATION AND K14OW THE SAME TO BE TRL - AND CORRECT. <br />LEGAL DESCFIIPTKIN OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />�BLOG�OF ��� <br />ALL PROVISIONS OF LAWS AND ORDINANCES L... "ERNING THIS <br />LOT_ <br />TYPE OF WORK WILL BE COMPLIED WITH WHETH, I SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT ODES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION,O)l THE PERFORMANCE OF CONSTRUCTION. <br />JOB ADC NESS <br />AA <br />SIGNATUR'/.NigA[TOR OR AUTHORIZED AGENT DATE <br />�09/ , <br />SSPIMA" <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY ASH BASIN <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A C. UNITS — TONNAGE EA. <br />KITCHEN SINK 6 DISP. <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />DISHWAS,iER <br />WALL HEATERS —13.T.U. M <br />eiwnor row <br />UNIT HEATERS — B.T.U. M <br />SIDE YARD SETBACK I STREET SETBACK <br />USE ZONE <br />OCCUPANCY GROUP <br />FIRE ZONE <br />OYES UNO <br />R- <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3 FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6 DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION AOC. BY PLANS CHECKEDISY APPR. FOR ISSUANCE BY <br />CFM. <br />PLAN CHECK FEE <br />FEE I RECEIPT NO. <br />BUILDING S 00 as <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY U TIC <br />SEC. 303 (a) <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACQ THIS IS YOUR PERMIT <br />CV., <br />CO <br />CO <br />to <br />C3 <br />STATE AUDITOR <br />