Laserfiche WebLink
.� <br /> ,�.E,,,,,,,� A P P L I C A T I O N F�� ���,�„ <br /> ��ry�F �ONSTRUCTION � <br /> everett PE RM iT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES -� <br /> C1TY HALL 259�8745 <br /> eveaEtT, wnvezoi ���MBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWFIX � M�II eU[JNI55 UtY , ZIP PHOHE <br /> \�: �iG�o��� ��i uh_t� �j . y-tl �,.¢. /�:�.,�d� �Gep� ,�i i%:1 j <br /> nR('Hrt[ti Oq D[ACMR MnR�ODRFSS Cllr ZiP pHONE <br /> CFNlR�ICUNI0.A(lOR n1AItAUORF55 OlY LP PNONE UCFNSEII <br /> MICHANiC�I COYINACtOH M�IL�DpN[SS llil JIP PIIONF IICENSE I <br /> PlUMI1WGCU!:iReQOR MnIInODNf55 C�iY ZIP PHONF LICENS[i <br /> l l�fl OI\':OXN <br /> ❑NR�' ❑ADDITION ❑ALTERATION ❑REPAIR � EMOI.ITION ❑FEhCE ❑SIGN ❑GARAGE ❑BUILDING RELOGTION <br /> c�wnrinvorwaa:. ^ <br /> f <br /> otueme wou� � � i <br /> ��j'1.�/U`i�'��. . � <br /> '� - ��i;' ,v v J <br /> vxorostovs� or nwiuivc ' I HEREBY CERTIFY THAT I HAVE RE/�D A.ND EXAMINED TH". AP- <br /> PLIC�TION AND KNOW TI1E SAME TO BE TRUE AND CORRECT ALL <br /> itui o�scaivnoNor reor�atrivwwn nuowae niuo�iuNameits PROVISIONS OF LAW$ AND ORDINANCES GOVERNING THIS TYPE <br /> l ' � - �i/ i � OF WORK WILL �E COMPLIED WITH WHETHER SPECIFIED HEREIPI <br /> ,� ioi •� � niocK 7_'� or �'�1!.'r_Jt �� !�� - OR NOT THF GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> ' }L � GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> i��Y�,d-l" �ycl , ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF �ONSTRUCTION. <br /> 9GNAiUNE OF CON�1CCT�R O �(UTMORIZE/D/}G ENT OAiE <br /> iox�w�ss � _/� c.7f-Ztf� �i� / <br /> � � J( _ L i-GLL._ G' <br /> j � , , ., r�-, � ,; r� "��'" <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPME iT FFE <br /> WA1EH CLOSET IiOUEII AIR CONU U4175—H P U <br /> BA7HiUf1 NEFRILERATION UNITS—H P EA <br /> U1'AiORY�\VASH f1A51N) flORLftS-11 P EA <br /> 1HOWFR GASFIRF[J�C UYI�$-70NNAGEEA <br /> KITCHFN$INK 6 DISP iORC(D AIR SYSi[M$—B T U M EA <br /> D1511'ASHER \YAIL HtAiERS—U 7 U M <br /> IAUNDRYTNAV U^+IiHf.AilBS-11iU M <br /> CLOiNES WASHER f\'APUNAIPo'F COOLERS <br /> WAifk MUTER CLOTMFS DRYtRS <br /> URINAI VINiILATION FAN <br /> ORINKLY(; fOUN1AIN NANCf MOOD <br /> 1LOON DRAIN AIR HAI:DLING UNIT— C F M <br /> V�NUM OHEAKERS S70VE <br /> ROOF D4AIN5—RAINLEA�ERS ��1FUl FlREI'LACC 8 CHIMNEY <br /> SINK�SEH\9Cf—OAR.ETC 1 <br /> SUB TOTAI SUE TOTAL b <br /> PFRMIT 3 PERMIT S <br /> TOTALiEE S TOTALF[E S <br /> 9DF ��RD 5(iflACK SiNECT SRMO; RIAN YAN�S[iBACK PUN O1ICK NUMOFN PLAN CHECK FkE <br /> FkE RECEIPT NO <br /> USF ZOY[ LOi ARFn y�UNT SRf <br /> CVES ❑NO FEES VAWATION FEE <br /> TYPF OF CONSi OCNPAN�Y CHOUP NO Of DW[LLINC UNI75 <br /> HUILDINC <br /> SIZE OF ULDL Np OF ST00.1E5 �•��K OCC lOn� <br /> vw,��niuc - <br /> fIHE ZO"1F I4A5[MENT ❑lUNOI1Vt FIRE SPflINKlFRS <br /> BEQUINEO MFCHAMUL <br /> '!Y[5 :1N0 <br /> AP�IIOVALS SY DAiE OTHEIt <br /> 1 CNVINONMENUI CHECK lIST U OC <br /> PfNAITY SEC )Ol�a) <br /> 2 �UIIDINC PUNS <br /> ] RNF HYDRANT T07A1 1 <br /> i flRf PBOTEC.TION SYSTLM �CIIMIT WLIDATION <br /> Rilf N I'NOPFRLY VAI�DAiCD I�M1 1H6 SPAC[�7111515 YOUH PfRMIT <br /> 5 GRA�ING4XUVAilONBCIURINGGRUNBING <br /> 6 DRAINAGE <br /> 7 fNVIRONb1ENTALIMPACTSTATFM.ENT <br /> e MEAUM DISTRIC7 <br /> APPIIUTION ACC BY PLANS CHFCK[D BY �PPR FOR ISSUANCF I1Y <br /> !' j ,1� <br /> � <br /> ��.7n <br />