Laserfiche WebLink
�� l"� i� 1� F� LL v�. ye l a�.� �.. .' <br />,"'' `',..° CONSTRUCTIO�� <br />everett PERMIT <br />DEPL OF COMMUNITY DEVELOPMFNT SERVICES . � <br />CITY HALL 259�8745 <br />EVERETT, WA90201 ��OMBINATION ❑ BUILDING ❑MECHANICAL�I <br />PLUMBING PERMIT NC). <br />ZIP /� I'110N1 p , <br />/w�i/e� /Au� <br />GENtRAlCON1NACTON MAIt�0UPL55 <br />❑TY 21P 1'1101 �y IICIH`.11 <br />M[CIIeNIUICONLNACIOP MMlAUO0.E55 CITY LIP I'llUrvl UCIN51 � <br />...�� .nne[cc . CITY _ ZIP PIIUNI tIlIN111 <br />�Cl SSOf WONK - <br />NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑f3UILDiNG R[LOCATION <br />L <br />VAlU�710NOF W07K � <br />s <br />0 <br />� <br />DtSCPIfl[ 1YORK _ q . ', <br />,. PqOPaS[D USF Of BUILU�MG <br />. i%'� !i, ,/ � <br />�� �v IFWtDfSCNIPiIONOiPPOPERTY� <br />� .�'�'!"� t01 BLOCK��Oi <br />100/AD�DRE[S-'S� <br />�v / J <br />►IUMBING <br />I HEREBY CERTIFY ThIAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL � <br />OLIOW ORATTACM FOl1N COPIE51 PROVISIONS OF LAWS AND ORDINANCES GOVERNINC THIS TYPE i <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIfIED HEREIN � <br />OR NOT. THE CRANTING OF A PERMIT DOES NOT PRESUME TO . j <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONST�TIC;+ <br />OR THE PERFORMANCE OF CONSTRUCTION. S�6/��/ <br />SIGNATURE OF CONTRACTOR OR AU7HORIZED AGENT DATE <br />/J � ./ . , / . � <br />TYPE OF iIXTURE <br />WA7ER CLOSET (TOLIET) <br />BA7H7U8 <br />UVATORV (WASN BASIN) <br />SHOWER <br />ertfHFN SINK d DISP. <br />DNINKING iOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINi—RAINLEADERS <br />SINK (SERVICk—BAR. EiC.I <br />SUB tOTAL <br />►ERMIT f <br />iOTAi FFE f <br />D SETBACK STREET SETBACK RF <br />o LOT AREA v, <br />APPPOVALS <br />L ENVINONMENTAL CHECK LISi <br />2. BUIIDING PLANS <br />3 fIHE HYDRANT <br />�, FBE FROTECTION SYSTEM <br />5 Gft�DIP'�GItXCAVATIONBCLkARINGIGHUIIBING <br />6. DRAINnGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />9. MFAL7H D�SiRICT <br />AVVLICATION ACC. BY PLAN$ CHECKED BY <br />9�1-79 <br />BY <br />MECMANIGIL <br />FEE NO. TYPE OF EQUIPMEN7 <br />-� n AIN CONO. UNITS—H.P. EA <br />REFNIGfNATION UNITS—H.P. EA <br />� BOILERS—H.P. EA <br />GAS FIRED AC. UNIT$—TONNAGE EA <br />FORCED AIR SYSTEMS—O.T.U. M <br />� G WALL HEATERS—B.T.U. M <br />-� /. UNIT MEAiERS—O.T.U. M <br />C1071115 DRYI <br />VENIIUTION I <br />NANGEMOOD <br />STOVE <br />METAL <br />IPLAN CHECK <br />FEE <br />6 CHIMNEY <br />SUBTO7AL f <br />PERMIT s <br />TOTALFEE s <br />PLAN CMECK FEE <br />fEE RECEIPi NO. <br />VALUATION F� <br />S <br />U.B.C. <br />SEC. lOJla1 <br />THiS SPACE) TMIS IS YOUR PERMIT <br />