Laserfiche WebLink
APPLICATION FOR everett <br />�TM�ro'°°^ :.ONSTRUCTIOlV e <br />everett PE RI�11T <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />�:ITY HALL 259�8745 <br />EVERETT, WA98201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />n�y�;�p MAILAOUN65 -� Cliv 21P PIIONh <br />_ . - - -- -- -- .. �..,. ., i �- r� _ �n,t.er,y.�ei_ ) 909. s.c. c/ic'�4ii i�?iPeL iriP, <br />SIG� �P MAII <br />MAII AOD0.L55 CIiY ZIP PHONE IICENS[ Y <br />GENFRALCOMiRhCiOF �_ ��� ��„� <br />Llr <br />PtUM91�L LONiR�CiOR <br />MAII ADDMf55 ❑L4 ZIP PHON[ LICINSE I <br />:USSOf wORK <br />❑NEW ❑ADDITION ❑ALTEftATION ❑REPAIR ❑DEMOLITION ❑FENCE CSIGN ❑GARAGE ❑BU�LDING RELOCATION <br />V'AWAiION OF N'URK <br />, /Z.GC�j, O° - <br />ut x u� m�� oxn <br />reovos!uust or nunDm'c <br />LFGAI UFSCRIPIIO40f PMOPfNIY �SMON'N pEION' 00. �TiACN fUUR WPIf51 <br />io� __nwcr:_or <br />ION <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />I \YA7ER P cT ITOLIET) <br />UVATORY I�4ASH UASIM <br />SfIOW(R <br />AIICMEN SItiK 6 D!51' <br />D6WASH[R <br />IAUh�RY TRAY <br />Q07HLS VdASMFR <br />N'A7(R HEATEH <br />UI2INAL <br />pNItiKING FOUNTAIN <br />FLOOH DNAIN <br />vnCUUh1 RRUKFRS <br />RGOF �RAINS—RAINLEAD <br />yINK (SE NVICF - UAR ETC ) <br />SUBTOTAL <br />TOTAL <br />VARf] <br />ZO�+E � LOT ARkA <br />iYPI OF CONST OCNPANCY GROUP <br />�' � �J�� '" '_" <br />s¢c o� moc rv0 OF STORIfS <br />� — � <br />�� r.1tj)'I .'=�� .. <br />FIR[ 7.O�vk OASEAt[NT 11fUHOU� <br />APPROVAlS <br />1 ENVINONMENTAL CHECK LIST <br />z nuaoinc rurvs <br />J (18E HYDNANT <br />i FIltf F'N�JTECTION SVSTEM <br />5 GkADINGl1%U\'A710N8QkARINCIGftU11NING <br />6 DRAINAG[ <br />7. ENVINONMENiAL IMPACT $TATEMINT <br />B MFALTH GISTRICT <br />APfIICATION ACC. tlY PLANS CMFIXfD 6Y <br />y.7.; � <br />�S <br />2CAH YA0.0 SF <br />VACANT $IIf <br />❑YFS GNO <br />JO.OF DWFLL <br />nux occ �o <br />FIRE SPRINALI <br />HFQUIRlO . <br />nves �no <br />BY <br />APPR FOR <br />I HERF(3Y CERTIFY THAT I HAVE READ AND EaAMINi.� THIS AP- <br />PLICATiON AND KNOW THE SAME TO BE TRUE AND CORRECT P.LL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL l3E C.�MPLIED WITN WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT D6E5 NOT PRESUM"e TO <br />GIVE AUTHORITY TO VIOLATE OR CANCLL THE PROVI5�0�5 OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONS7RUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SICNATUHE OF CONTftACi'OR OR AUTHORIZED AGENT DATE <br />x �/"l�u.0 !L' /'i/'l'vr�v �%-•'?-fiZ- <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />>IRCONU UNIT$—HP EA <br />REFRIGERATIONUNITS—HP fA <br />OOILERS—MP EA <br />GAS FlRED AC UNIT',-70NNAGf :A <br />FORCFDTIR�VSfLM$—pTU MEA <br />N'ALLHfLfENS—I1TU M <br />UNITHfAiEkS—�T� �`� <br />CLOTHF$ �HVERS <br />VE"1TILAiION fAl. <br />RANGEMOOD <br />AIR HANDLIYG U1 <br />S70VE <br />MRAL fINEPIACE <br />Y. 'lAN U1[Cj <br />� % <br />� �/ <br />UNI75 <br />OUIIDING <br />PtUh1[iINL <br />— CFM <br />IMN[V <br />PfRM1T � <br />TOiAI ff � <br />NUhtUCR PLAN CHKK FEC <br />I�b�n FEE6o �� HsEq� �d <br />vos< VALUATION iF[ ._ <br />MkCHANIUI <br />DAfE OTMFR <br />AY <br />PENALTV <br />5 ;� <br />UBC <br />SEC 31DIa1 <br />i <br />TOTAL I I <br />PERMIT VAIIDATION <br />11'HEN PNOPERLY YAIIDATCD �1N THIS $PACE) THIS IS YOUR PERMI7 <br />f <br />