Laserfiche WebLink
fheEvergieen APPLAI'C4A[T�IQN FOR <br />cinoF �OI�S r ^UCTION <br />everett P� RM IT <br />DEPT. Of COMMUNITY DEVELOPMENT $ERVICES <br />CITY HALL 259-8745 <br />EVERETT, WA 98207 [�COMBINATION T� BUILDING <br />❑MECHAN�CAL <br />❑PLUMBING PERMIT NO. <br />ZI'� PHOK[ .iL'94 .� <br />nxiruuqUeUTACNLN MAIL�ODMESS CfIY �ZIP J PHONE <br />everetl <br />�J <br />���- <br />1'IUbllil]GCOMN�CLOR MAllA00N65 UiY ZIV PMUNF LIC[NSEI <br />5c��.1'TN CouN'7"4' � uri�BilJG <br />CUSS OI 110NK <br />❑NE\V �IADDITION ❑At?5RA710N ❑RE'AIR ❑DEMOLITION ❑FENCE GSIGN ❑GARAGE ❑BUILDINC RELOCATION <br />V�W�110YOI WOMK/� <br />� /�l QO l/ <br />Uf SCHIIiE IVONk <br />S"=-ce.vr� STO:Py A��r TioN Twc� r�Co�Poo.cns , sT✓Dr' . 3iy �il�-ia <br />raorosto uz� a xwiorvc I HERLBY CERTIFY THAT I HAVE READ AND EX ED T IS P <br />l[LAl D[ SCNIPtION Of YHOPF 0.1T �SNOW N tlE lON 00. AII�CM fOUH (OPIF 51 <br />ior 22 niocK � or ��VcRLY /��%RC. <br />,o„ <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />/ �YnTEftCLOSfTITOLIET� <br />14A7HTU0 <br />SHOWER <br />KRCHEN $INK 8 DISP <br />pRWA$HER <br />LAVhDNVTHAY <br />URINAL <br />pRINKING fOUNTAIN <br />FIOOR DNAIN <br />VACUUM HRFAKLRS <br />NOOF ONAINS—RAINLEAU[RS <br />SINK �SEN�9CF—BAR. ETC � <br />SUB TOTAI <br />TOTAL FEF <br />S�OF YAND St If1ACK SIHtt 1 Sl <br />5 r--� -z <br />USE ZONf n lOT nRFA <br />�— L <br />TYPE OF CONST OCNNApNCY GROUP <br />��'J � ����,� I 1 � <br />SIZE Of tlLDG n0 Of STORIES <br />._.. '% <br />FINF ZONE IiASfMENT IiLUNOOn1ti <br />_ _ _ � ,�>�L. <br />APPROVA:S <br />1 ENVIRONMENTA� CH[CK LIST <br />a uuaoinc rur+s <br />J FB[ MYDHANT <br />4 RRE VHOTECTION SYSTEM <br />5 GNADING'f%C�VAilONBQFANINGICHUIiNIYG <br />6 DNAINACE <br />7 ENVIRONMkNTAIIMPACTSTATEMENT <br />B HEALTII DISTRI[T <br />APPLICAiION ACC OY PUNS iHECKED OY <br />�, � ; ; <br />9.i.; v <br />S <br />AMIN H A - <br />PLICATION AND KNO�V THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS Of LAW5.IND ORDINhNCES GOVERNING THIS TYP: <br />L OF WORK WILL 6E COMPLIED \NITH N/HETHER SPECIF�[D HEREIN <br />OR NOT. THf. GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE CR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTIOh <br />OR THE PCRFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR ON AUTHOHIZED AGENT DATE <br />T x �,;.�� �.��� �-/-�� <br />R(AN YARD 5l iUACK <br />zc�r-; <br />VAUNI SIIE <br />❑vE5 C�M1' <br />NO Of DWFILING UN <br />� <br />6Y � OATE <br />AFPR f02155UANCE fiY <br />L_ . c_, <br />MECHANICAL <br />REfRIGEHATION UNITS—HP EA <br />�OILER$—M P [A <br />GAS FINED A.C. UNRS—TONNAGE EA <br />WALINETTEHS—GT.U. M <br />UNITHFATkRS—tSTU M <br />R'APOPATNE COOLERS <br />VFNTILATION FAN <br />RANGE HOOD <br />SiOVE <br />METALf <br />PUN CHCCA NUM1I�ER <br />�a /a3 �8 <br />iFES <br />liuuD�nG <br />PWMIIIRG <br />�VtCHAtiICAI <br />O7HER <br />PfN�ITY <br />SUB TOTAI s � •-V <br />PENMIT S — <br />TOTAL FEE S-- 3 C�U <br />pPLAN CHtCK FEE <br />FEE J3 ftfCEIPTNO. <br />6� 7'.zs <br />�'RIUATION FEk <br />� <br />� sr���U �U S� <br />�v L�U <br />3 00 <br />U.B C <br />SK. 301�a1 � <br />TOTAI I I I <br />PERMIi VALIDATION <br />WHk PROPERLYVALI[Jnli�pNiH155PACE)THISISYOUNPERMIT <br />��,,,f � ,� �. <br />� <br />� <br />