Laserfiche WebLink
AP&LICATION FOR 10 c.- P F <br />CITE"'°"'" <br />CITY OF CONSTRUCTION 11E <br />everett PERMIT <br />DEPT OF COMMUNITY UEVELOI'MENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT, WA96201 EICOMBINATION ❑ BUILDING ❑ +ECHANICAL hPLUMBING PERMIT NO. <br />OWNLR MALL ADDNFIl <br />- (II) LIP PIIONI <br />Fi-cd C' a, is !C ()lelyo� Fc 'e ,tf CITY A4.4ZIP PHONE <br />CC <br />ARCHITECT OR DISIONIR MAII ApUR151 <br />MAIL ACURI SS CII <br />Ell' PHONE LICENSER <br />CI NI RAI (ONIRACIOR <br />NAIL ADURFSS 1 III IIP PHONE y LICENSE R <br />All CIIANICAI CONTRACTOR y <br />f I'(aC�G�riy"� sTC% fL J/ice/'j- �CC7 Lp (l M-'[ LICENSE F <br />__._ II'y by PIIONI <br />L'+IBINf. <br />MAIL <br />I All OF WORK <br />[]ALTERATION FIREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE CBUILDING RELOCATION <br />❑NEW ❑ADDITION <br />SMLATIIOO'NSOI WOO,R/K. <br />F <br />IIIS(RI HE WORK <br />CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />ruoroslD HM or Buu DI. r, <br />I HEREBY <br />KNOW THE SAME TO BE TRJE ANDCORRECT ALI. <br />PLICATION AND <br />OF LAWS AND ORDINANCES GIVERNING THIS TYPE <br />LFC, pl SL RIPTION Or PROM RD (SHOWN FIE oa nnnon ova cores 5l <br />PROVISIONS <br />OF WORK WILL BE COMPLIED WITii WHETHER SPECIFIED HEREIN <br />GRANTING OF A PERMIT DOES NOT PRESUME TO <br />LOT __n1ocK�o1 <br />OR NOT. THE <br />TO VIOLATE OR CANCEL THE PROVISIONS OF <br />GIVE AUTHORITY <br />ANY OTHER STATE OR LOCAL LAW REGULA:: ING CONSTRLICTION <br />OR THE PERFORMANCE OF CONSTRUCTION, <br />SIGNATURE OI CONTRACTOR OR AUT IORIZED AGENT DATE <br />/ <br />-7 ��F <br />IO(l II ,I1Ri 51 <br />X �/T1- f��`'L_ <br />MECHANICAL <br />PLUMBING <br />NO. TYPE OF EQUIPMENT FEE <br />NO, TYPE OF FIXTURE <br />FEE <br />AIR COND UNITS -HP EA <br />W nTER CLOSET (101 <br />H111UR RATION UNITS-H P V. <br />❑Ai111UB <br />BnILER$-HP CA <br />I AVATORY IW'ASH BASIN) <br />'.-.AS FIRED AC UNITS-IONNAGf EA <br />SHOWER <br />IORCfD AIR SVSTCMS-BiU MIA <br />KITCHEN SINK A DISP <br />6ULL Hf MLNS-HTU M <br />DISWASHEH <br />UNIT 11E ATF RS-H I U M <br />LAUNDRY TRAIT <br />FVAPORALIVE COOLERS <br />_ <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER HEATIR <br />VINTIIATION FAN <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIV HANDLING UNIT- C F M <br />FLOOR DRAW <br />S1OVE <br />VACUUM BRLAKFRS <br />♦,i lAL IIR[PL ACI A CHIMNEY — <br />ROOF DRAINS - RAINLE ADERS <br />- <br />SINK ISFRVICt -BAR. ITC 1 <br />SUBTOTAL S <br />SUB TOTAL <br />PERMIT s <br />-4 <br />PERMIT <br />$ <br />TOTAL FEE S <br />IOTAL FEE <br />STREET SETRACK <br />S <br />REAR YARD St TRACK <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />RECEIPT NO. <br />SIDE YARD SETBACK <br />FIE <br />USE ZONE JOT AREA <br />VACANT SITE <br />FEES VALUATION FEE <br />DYES CNO <br />TYPE OF COAST OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />--����yN,��l�e,.� J Q <br />SGA'.T(:J <br />HUIIDING <br />SIZE OF BLDG No OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE HASIMENT 1{I ONOOMS <br />REQUIRED KIE RS <br />MECHANICAL <br />F1YES ONO <br />APPROVALS <br />BY DATE <br />OTHER <br />UPC <br />1 ENVIRONMENTAL CHECK LIST <br />PENALTY SEC NEAL <br />BUILDING PLANS <br />TOTAL V[ <br />!. FIRE HYDRANT <br />PERMIT VALIDATION <br />D(IN THIS SPACE) THIS IS YOUR PERMIT <br />A FIRE PROTECTION SYSTEM <br />WHEN PROPERLY VALIDATE <br />5 GRADINCII X(.AVATION A CIE ARINCIGRUP.HINC <br />DRAINAGE <br />i h F �I J Co i%A <br />6 <br />7 ENVIRONMENTAL IMFACT STATEMENT <br />_- — <br />8 HEALTH DISTRICT <br />APPLICATION ACC BY PIAE-S CtIECK;D HY <br />APPR F00. ISSUANCE BY <br />9.179 <br />-- <br />