Laserfiche WebLink
` . <br /> fh�EvoprNn A Q P L 1�AT I O f� F O R ��e,�n <br /> ��TM�F ..OIVyTft�1C7'I�f� � <br /> evere�:t P���11�' <br /> DkPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259-8745 <br /> EVERETT. NA90201 �COMBINATION ❑ BUILDING ❑MECtIANICAL �PLUMBING PERMIT NO. <br /> OWhIH _� MnR nppVtSS UiY ZIP PHONF <br /> � � /� ��i'-r = ��- � -" //�%C /,.r,e�.r �,� //.�"��r��/./t ��;aT7rr =' BrZ:�_ <br /> �NCMIIECiORD61GHFR buItAOURESS ❑TY � 2tP VMOHf <br /> GININ�I COY/IPAQON M�II ADOME55 OiY ZIP YHOVE IICENSE I <br /> ��. (,�. � �� /�/%%' •. . � )•� <br /> nl[CM�NIUI CONtpAC10R M11All�O�RF55 CI1V 11P PMOFf ���ENS[t <br /> PIUM�IFLCUNiN�CiOR MAllA0pR65 ��1Y ZIP PMOVE l��/F'f`S�� ���FNS(� <br /> ,� � 'J <br /> ��yF' f �' .!� % ri' r�l�//!' - �i �. � �.S .C. S�X�/�r'f�'�� r��C•6G-r� �/1E/<-f <br /> c�ess oi wbvK ' <br /> �NFW ❑ADDITION ❑ALTERATION ❑REP�.IR ❑DFMOIITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> YAWAIIO��v Of K00.N � <br /> � �C �Cr ' <br /> Of5C41Nf��aRK . � / <br /> r,LAlI�S���r'(-� .L�.,( QTtCN � � 7�e� �i <br /> rWuvosto use or nunoiae I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS �P- <br /> PLIC�TION AND KNOW THE SAME TO BE TRUE AND CORRECT AI.L <br /> ucniotscxirnovorvxor[atv�viov;nxuo�ronnrrnonouemri[si PROVISIONSOFLAWSANDORDINANCESGOVEP.NINGTH�ST'iPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPEC�FIED HEREIN <br /> ioi _eiocx_ov OR NOT. THE GRANTING OF 4 PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO V�OLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STAfE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE I'ERFORMANCE OF CONSTRUC710N. <br /> SICNATVNFOFCONiHACTORORAUTNORIZEDAGFNT DATE/�.��,�'�.� <br /> IOH nUORf 55 � � "" <br /> (� l , x ���«•���`�i✓,-�_-, << _ <br /> �G�/(J �F � /j rt'c. c -� .o.� � <br /> PLUMBING MECHANICAL <br /> NO. iYPE OF FI%7UNE FEE NO. TYPE CF EQUIPMENT FEE _ <br /> N'MFR CLOS[TllOIIET� �IR CONU UNITS–H P EA <br /> N�7�{T�B 0.EFRICERATION UNITS–H P EA <br /> lA\UTOR\fWASH BASIN� BOILERS–H P EA <br /> SHOW[R CASFIREDAC UNRS–TONNAGf EA <br /> FITCHEN SINK 8 �6P �nH�EO AIR SYSTEI.15–U T U M EA <br /> U6WASHER H'�ll MEATERS–�i U M <br /> LAUNUHI'7NA1' UNII MEATEHS-0 T U M <br /> CIOiMES H'ASHER kV'APORATIVE COOlERS <br /> WATER MEATEN CLOTHES�RYfHS <br /> URINAI VENTILA710N f�N <br /> DRINKII:G FOUNTAIN R�NCE HOOD <br /> FIOOR OftAIN �.IR HAN�LING UNIT– C F 61 <br /> VANUM fiREAKFRS SiOVE <br /> ROOf DRAIhS–RAWLEADERS .���T�l FlRFPLACE 8 CMIMNEV <br /> SINK�SERV�CF–BAR, ETC 1 <br /> ,�p/:fiL ` C {tY� -�.?CU:' <br /> SUB TOTAL SUE TOTAL L <br /> PEaM1T f P[RMIT S <br /> TOTAL FEE S TOTAL FEF S <br /> 51DF YARU Sf T[11U: STRkET SCiIIACK RUR VARU SEtpACK PUN[HECK KUAtUEN PUN CMECK FFE <br /> FEE RFCEIPT NO. <br /> USE ZONL ��T �ftF� yAUNT SIiE VAIUATION FF[ <br /> ❑YES GNO FFES <br /> T1NL O� CONST OCNPANCY GROUP NO OF �WEIUNG UNIiS <br /> I1Wl�IFG S <br /> SIZ( Oi IILDG NO OF STORIFS MA% OCC IpAU <br /> PIUMpIKC <br /> HN[ ZONE OASEMENT OffJROOMS FIRLSPN�HKLER$ <br /> NFQUIHfD MECHAWUt <br /> ��IYfS f7N0 <br /> APPIIOVALS !T DATE OiHER <br /> 1 FNVIRONMFNTALCHECKLIST rEh^�iY �f1C <br /> SFC lU](a) <br /> : [3UIlO�NC Pl�NS <br /> TOTAL <br /> J fIRF HVpRANI _ <br /> .1 IIRE PROTECTION SYSifM f[RMIT 4AlI0ATiON <br /> WHFN PNOPi I11Y V'AI If'AL!J p;+ 11115 SMCE�7H6 6 YOUft YEH��t1T <br /> 5 GNnUINCIk%UVAiIONECIFARINCICRUNBINC <br /> 6 DRAINACF <br /> 7 ENY�kONMfNTAI IMPACT STA7EMENT — � <br /> B HF�L1H DISTftICT <br /> ��— <br /> APPL���TION ACC 0Y PlANS CNECKE� BY APVft fOR ISSUANCf dY <br /> q ' '') <br />