Laserfiche WebLink
� <br />fhs Everprosn A P P L I CAT 1 O N F O R ���,�„ <br />CITVOF ;,Of��TRUCTIQN <br />everett PERMIT e <br />DEPT. OF COMMUNITY DEVFLOPMENT SERVICE$ <br />CITY HALL 259�8745 � <br />EVEREii,wneai0t �COMBINATION � BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />GENERAI <br />M 11l <br />M�u eooncss <br />CIiY ZIP <br />CILY ZIP <br />8i�3 .�'e, ii5'=N Gli� <br />1 <br />PlUmOinG CONi0.nCi0R MAII �DDR65 CIIY ZIP PHONE IICENSE / <br />C1A550f M'ORN <br />�NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDINC RELOCATION <br />VAWAIIONOf WO0.1f <br />� 2QGo. �� <br />oiscemF woaK � — <br />rRorosFo use or xunoiNe <br />lf WL D6CRIP110N OF PROPERiV ISIIOWN BFION' 00. AIiACM fOUR COP16) <br />l01 _ BIOCK _ Oi <br />�si� %�iT/iC'ff�Fd <br />108 DPf55 <br />Q� S,�, �vS�1T �?�1/�LG lli�;' G�'1'.r,`,-, <br />PLUMBING <br />TYPE OF FI)(TURE <br />WA7EH CLOSE7ITOLIET) <br />BATHTU� <br />LAVATOR7' (WASM BASIN� <br />SHOW[R <br />KITCHEN SINK S DISP <br />LAUNDHY TRAY <br />CLOTMFS\YASHER <br />WAiER HEATER <br />DRINKINC'OUNTAIN <br />VACUUM OqEAK[RS <br />ISFRVICE—BnR. ETCI <br />SUlTOTAL <br />USF ZO^1t LOT ARE� <br />C--� <br />TYPE OFCONST OCCUPANCV GROUP <br />y' i i'11Z B 2 <br />5¢E OF BIOG NO. OF STORI[5 <br />�� � <br />FlRE ZONf BASEMENT IIkDROC <br />AVPROVAlS <br />L ENVIftONMENTALCHCCKIIST <br />2. BUILDING PLANS <br />7 fIRF HYDNANT <br />� FIRf PROTfCTION SYSTFM <br />5 GRAOINGIL%CAVATIONbCLEANING/GRU6111NG <br />6 DRAINACF <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. NFALTH OISTRICT <br />APPLIGTION ACC. BV PlANS CHfCKED BV <br />57�� �� (i1"i i i <br />9.1�79 <br />S� <br />RUR YARq SETOAC <br />i <br />l�f� 10 <br />VACANT SITE <br />❑Y[5 �7K'6 <br />NO OF DWELUnG 1 <br />MA% OCC IOAD <br />FIRE $FI(INKLERS <br />REQUB[�D�./ <br />fJYES fBNO <br />e� o�tE <br />I. f04 ISSUANCE BY <br />L•G, <br />I HEREBY CERTIFY THAT I HAVE REnD AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNINC THIS TYPF. <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME 7C <br />GIVE AUTHORITY TO VIOLATE O�.! CANCEL THE PROVISIpNS OF <br />ANY OTHER STATE OR LOCAL LAK' REGULATING CONSTKUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SILNATURE OF CONTRACTOR OR AUTHORI7.ED AGENT DATE <br />MECHANICAL <br />TYPE OF EQUII <br />AIR COND UNIT$—H 0 EA <br />REFRIGERATION UNITS—HP. <br />GA$ FIRED A C UNIT$-10NNAGE EA <br />FORCED AIR SYSTEMS—B.T.U. M EA <br />WALL HEATERS—EI T.II. M <br />UNIT HEATERS—HTL. M <br />CLOTHFSDRYER$ <br />VENTILATION FAN <br />RA.^::�MOOD � <br />AIR MANDLING UNIT— �CFM. <br />STOVE <br />MFT�L FlREPUCE 6 Q�IIMN[Y <br />PLAN CHECR NUMBER <br />�:'/iaai� <br />fFFS <br />BUILDINL <br />PlUM01NG <br />MfINANIGI <br />OTME0. <br />"ENALTY <br />FEE <br />SUlTOTAL f <br />�FRMIT f <br />70TAL iEE f <br />PUN CMEC�C FEE <br />FEE p�7 RKEL°TNO <br />o7S'— G, /(e� <br />VALUA710N {FE <br />` 2f�1v • � <br />uac. <br />SEC lUJ1a) <br />TOTAI I I <br />�ERMIT VALIDATION <br />WMEN PROPERLY VAlIOATkD (IN 1MI5 SPACE) THIS I$ YOUR P[RMIT <br />�� <br />�� <br />r) � <br />F.� <br />