Laserfiche WebLink
AIDLICATION FOR <br />clTr of <br />CONSTRUCTION <br />everett <br />PERMIT <br />DEPT OF COMMUNITY <br />DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT, WA98201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBIwG <br />PERMIT NO. <br />OWN( <br />/I� ly'ei f � <br />MAIL ADORE SS CITY n 71P <br />/ � %. Fa iS12 5. 13A1911"w"y [v. ! a. <br />SGeiArFt—1�_._.� <br />PHONE <br />9 i <br />In 1 � n.P7la <br />vt� r nA n7Ni� <br />CITY ZIP <br />ONE <br />PHONE <br />ARCHITECT ROf SIGMR <br />nn MAIL AUD0.I SS -� <br />7FS Li362 DialHNU✓.FiavS7,'1AtIDPIVF STID/I <br />i <br />KFNNFTHBAK7/;; <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />IICF $E <br />CENTRAL CONTRA(TOR <br />�)A vADfA7f vT <br />l ESQJ�F SYlYf/✓1 S L P <br />PHONL <br />C[N$[ <br />MICHANICAL CONTRACTOR <br />MMl ADDRI SS <br />Iq(rMRiNC CONTRACTOR <br />MAIL ADIIRISS CITY ZIP <br />0.10N[ <br />IICENSF <br />II�Z <br />Ass OF1 WORK <br />Ofy�� <br />NEW ADDITION ❑ALTERA1 ION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAF.AGE ❑BUILDING RELOCATION <br />V nl l'AIrOA III W Rj�K� � <br />11111 KITH S10k1 �L <br />'fPNOV Rf ON(AW��G.',v'zcw ga(47// /- *A/# l0 TIPHLREB <br />rxOFDstOPv of xwunNc Y CERTIFY THAT I HAVE R=AD AND EXAMINED THIS APLICATION AND KNOW THE SAME 1.0 BE TRUE AND CORRECT ALL <br />NOES GOVERNING THIS TYPE <br />ItC 11 DISCRIPTION C I PROP( RTY ISItOWN III un+.� II��.+'� .•-..--, <br />1'.H_�RLO"e�—OF FvF':tr /r�fVL <br />IUx AOPRts, <br />I `toz SOvrtf �{ <br />PLUMBING <br />NO. TYPE OF <br />WAIT R CLOSE T DULIE <br />BATHTUB <br />I AVATORY (WASH IUSINI <br />S14 WIR <br />,,ITCH[N SINK A D15P <br />DISWASHER <br />LAUNDRY TRAY <br />CTOTHI5 WASHER <br />WATER HI ATER <br />URINAL <br />DRINKING FOUNTAIN <br />f LOOR DRAIN <br />VACUUM NRE AKERS <br />ROOF DRAINS—RAIn It AOE RS — <br />_— <br />SINKISERVICI —BAR LTC) <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />51TJIACK cTRf EI SEj A'. <br />USE ZONE LCI AREA <br />G—/ <br />TYPE OF CON5T OCCUPANCY GROUP <br />�, I fij- <br />3 I32 <br />SIZE OF BLNO OF STORIES <br />FIRE ZONE <br />BASEMENT III URUUMS <br />APPROVALS <br />1 ENVIROCIiECK LIST <br />Z BUILDII- FIRE HY <br />4 FIRE PROTECTION SYSTEM <br />S GRADI NC,II %CAVAT ION L CLI All INGIGRDBBI NG <br />6 DRAINAGE _ <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />ACC E'Y <br />PLANS CHECKED BY <br />ttUl r,'f <br />PROVISIONS OF LAWS AND ORDINA <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT THE GRANTING OF A FPRMIT DOES NOT PRESUME TO <br />GIVE ANY OTHER STATE PROVISIONSTY TO VIOLATE OR CANCEL THE <br />ATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT DATE <br />n ,i/w/ I5-�6 -.yo <br />FEE <br />NO. <br />TYPE OF EQUIPMENI <br />T <br />AIR <br />D uNITS—HP LA <br />REFR <br />-ERAIION UNITS —HP EA <br />Q <br />BOILERS --TIP EA <br />GAS FIRED, C UNITS —TONNAGE EA <br />IORCI D AIR SYSTEMS —BTU M <br />WALL HLAIERS—B T U M <br />UNIT HI ATERS—BTU M <br />I VAPORATIVE COOLERS <br />00 <br />CLOTHES DRYERS <br />VINFILATION FAN <br />RANGE HOOD <br />(�fv <br />_ <br />AIR HANDLING I -NIT— CFM <br />STOVE <br />%II IAL FIREPLACE A CHIMNEY <br />I �y:w7 <br />REAR YARD 51111Af,<YAR Dye 5— 1111AC�< <br />VACANT Sill <br />'YES <br />8AO <br />NO OF DWELLING UNITS <br />BY I DATE <br />APPR TOR ISSUANCE BY <br />PLAN LMLK NUMIIIR <br />SUBTOTAL j <br />PERMIT S <br />TOTAL FEE S <br />rl AN CHECK FI <br />fF��I-70 RECEIPT <br />nloT <br />VALUATION <br />FEE <br />BUILDING <br />LO <br />PI UMBING <br />MECHANICAL <br />OTHER <br />UNC <br />PENALTY <br />}I( i011s1 <br />l'�Z <br />TOTAL <br />PERMIT VALIDA`,ION <br />WHEN PROPER- VALIDATED <br />(IN THIS SPACE( THIS IS YOUR PERMIT <br />