Laserfiche WebLink
AP��_ICA1'ION FOR ���.�n <br />'°.F"`°`"" CUNSTRUCTION ' � <br />cin oF <br />everett PE RM IT <br />DEPT. OF COMMUNITY OEVELOPMENT SERVICE$ . . <br />CITY H.1LL 259-8745 h ?ERMIT NO. <br />EVERETT, WA98201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMB�tk_ <br />n�.,�oo MAILnODN65 ��T7 ZIP � PHONE <br />MECH�NIUI CONIRACtOF MMl AOOPESS ��TY 11P PMONf IICENSE I <br />PIUmBINGCONtR�CiOR MAIIADORE55 ��TY ZIP PNONE IICEN5E1 <br />CU55OF WORK <br />I—INFw ❑�oDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE SIGN ❑GARAGE BUILDING RELOCATION <br />V�IWTIONOPWORR n <br />� �nn� <br />Df5/CR�I8E WO,`RK��, <br />��V �`(� <br />PROPOS[0 USE Of 9UIlDINL <br />♦ <br />lE WL DESCRIPTION Of PPOPFRTY ISHOWN BEIOW OR AITACM fOUR COPIE51 <br />iot _ owca _ ov <br />108 n000.! 55 <br />PWMBING <br />NO. TYPE OF FIM <br />WATER CLOSET ITOLiET) <br />PATHTUB <br />LAVATORYIW�SH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />DISWASHER <br />LA�f+OR1' TRAY <br />URINAL <br />DRINKING FOUNTAII <br />FLOOR DRAIN <br />VACUUM PREAKERS <br />ROOF DRAINS—HA�� <br />fUlTOTAL <br />►ERMI7 <br />TOTAI FFE <br />ilOf YARO 5[TOACK STNEET SETOACK <br />USF ZONF LOT AREA <br />TYPE OFCONST. OCCUPANCYGROUP <br />512E OF BLDG. NO.OF STORIES <br />fIHE ZONE OASEMFNT BFDR <br />APIIIOVAlS <br />t. ENVIRONMENTALCHECKLIST <br />2. BUILOING PLANS <br />3. FIRE HYOR�NT <br />�. FIHE PROTECTION SYSTEM <br />S GRADINGIIXC��'ATION6QEARINGIGRUBNING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATFMENT <br />B. MFALTM DISTRICT <br />APPLIUTIOM �CC 0Y PLAN/SMES�[EC <br />rin, r <br />J <br />FEE <br />�s <br />REAR YARD SfTOACN <br />VACANT SITE <br />❑vE5 ❑NO <br />NO.OF DWELLINf, U <br />MAX.00C.LOAD <br />FIRE SPRINKLERS <br />NEQUIRED <br />OYES ❑NO <br />�Y DATE <br />APPR. iOR ISSWNCE BV <br />I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />r^ROVISIONS Of LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE CUMPLIED WITI1 WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOE$ NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT UATE� <br />r.� <br />BOLLERS—H fl EA <br />GA$ FIRED A.C. UNITS—TONNACE EA <br />fORCED AIR SYSTEMS—B.i.U. M EA <br />\yALI HEATERS-8 T.U. M <br />UNITMEATERS—�TU M <br />cvevnR�Tlb�[ COOlERS <br />�TION iAN <br />MOOD <br />AIR <br />METAI fIRFPiACE 8 CHIMNEY <br />3 <br />TOTALFEE SI <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />FEE I FECEIPT NO. <br />.... vuu�noN FEE <br />OUILDING 54ti��i•� �! <br />PLUMDING <br />MECHANIUL <br />OTHER <br />U B.C. <br />PENALTY SEC. JOJ(al <br />TOTAL �� <br />1FIIMIi VALIDATION <br />WHEN PROPERLY VALIUATED (IN THIS SPACE) 7h15 IS YOUIt PERMIT <br />,s- � - �r �� � <br />= %y/Bi,�C ���.��_ <br />� <br />� �: -,..aei�� <br />