Laserfiche WebLink
,„oEw„„,� 4PPLI�CATION FOR ���,�„ <br />°�^�°° CON�TRUCTI(�n � <br />everett PERMIT <br />DEFT. OF COMMUNITY DEVt:OPMENT $ERVICES <br />CITY HrLt 259�8745 . <br />EVERETT, WA99201 �COMBINATIOW ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWf:EN MAII �OOXfSS ❑LY ZIP PMONE <br />�ta�a r—�-cren �r `I o 9 s. ��o,a-nw,rY c✓T <br />AflCMRIRORUF5IGNFR MMLn�ORFSS CItY I'P PHOHE <br />GLN[NAICONIRAC100. NAIIA�ORE55 Cliv ZIP pHONE IKENSC/ <br />�$F.,G,�. .T �j p <br />E`Rrt N���ni �v �we. i ia�z� ra r�' w. Ly.v.✓, r.�..,0. 9Y09 C 77G, �Hxo S 4�Sb'QRYN Z�7� <br />MI(nnMUl(ONINACIOR MnilA00F[55 ❑iv tiP PMONE IICENSEt <br />P��iMpINLCONiPAC10R MAll�00R65 UIY � ZIP PHONE IICENSE/ <br />Cl A55 O! N ORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEA70LITION �FENCE �SIGN ❑GARAGE ❑BUILDING RELOCATION <br />\A1W110N04 WORt <br />' �lo/�..o <br />oescRin� woRK <br />�'RRL c7' 3 d"xl 4' � vrt Zzc �Ni :L6.•/r <br />raoroao us� or xw�ui�c I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />G..a+ML�ACS�}v -- PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT AL� <br />tEUlO6CflIPLIONpiPRCP[ifrIS110NNflflOH'O0.AttACHiO11RCOPll51 PROVISIONSOFL WSANDORDINANCESGOVERNINGT415TYPE <br />OF WORK WILL BE iOMPLIED WITH'✓JHETHiR SPECIFIEU HERE��� <br />io� _eioca_.ov OR NOT. THE GRANTINC 6F A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STAT[ OR LUCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SICNATURE OF CONTHACTOR OR nUTMOR:ZFD ALFNT DATE <br />iou nooatss <br />�i o 9 � <br />PWMBING <br />NO. TYPE O� F�. <br />WATEN CtOSCT ��OLIE7) <br />EIATMTUB <br />LAVATORY �WASH PASIP <br />SNOWFR <br />KIiCNkN SINK 8 �ISP <br />DISWASMER <br />UUNDRY iNAY <br />CLOTH[5 KASHEN <br />WATFN HUT(R <br />URII:AI <br />DRINKI4C FOUNTAIN <br />fLOOR DRnIN <br />VACUUM ORFAKERS <br />ftOOF DRAINS—RAIN�EADfRS <br />SINk �SERVICE—BAR, fTC 1 <br />�t � PEIIMIT f <br />TOTAL{fF S <br />USE ZONE LO7 AREA <br />A►PIIOVAlS <br />1 fNVIHONM[NiALCMfCNL6T <br />7. BNLDING PUNS <br />) FIRE HVORANi <br />1 FIRE PROTFCTION SYSTfAI <br />HEFRIGERATION UNITS—MP. IA <br />DOILEHS—HP E� <br />WS FlRE� AC UN!TS—TONNA( <br />WALLIifATERS-07U M <br />kVnPORATIVE WOLERS <br />VEN7IUTION FAN <br />RANGEMOOD <br />AIR NAN�LINL UNR— C.f M <br />MfTAL FIREPUIE 8 CHIMNfV <br />VAUNT $liE `��5 <br />❑YES ❑NO �_ <br />CHOUP NU OF OWFLLII:G UNIIS <br />BWIDING <br />IFS MA% OCC IOAD <br />PWMPING <br />illnNOOM14 HRF SPHINklERS <br />RFQUBf[l MFCMANIUL <br />!�Y[S f'n0 <br />er DATE OTHEH <br />Pk KAL TV <br />TOMI <br />S CR�l11Nf.1{Y(AVItI(1NAfIVARINCILNlIN91N�. <br />6 OHAINALE <br />7 ENVIHONMFNTALIMPACTSTATEMENT <br />F HEAliHD6iRICi <br />fA <br />SUlTOTAL f <br />IERMIT f <br />TOTAL FEE f <br />PUN CHECK FEE <br />FEE RECfIPTNO. <br />VALUATION FFE <br />3/U/O, co y. <br />UBC <br />SEC. )O)�a) <br />�fI1MIT VALIDATION <br />\VH[ PkUPERLl VALIDATFD IN TMIS SPACFI THIS IS YOUR PERMIT <br />�. c������1ay� ��L�j��� <br />