Laserfiche WebLink
A <br />Vo <br />&I <br />Ine 6eryleu; y. 4up v rr ' I► everett <br />GITY OF C.ASTRUCTIOR� <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 354�8745 <br />EV/E�yR((/SETT, 259-81`20,1{n ❑'1COMBAINATION El BUILDING ,NMECHANIICALu-�C`❑PL/U�MBIIN�G� PERMIT NO. <br />OWi7c 4Y J- AA,r AIIAO11J^ I�.91)I �OAl jf�&/L_Xe 1' DRESS CITY Z17'P ram. PN075-5-51 pD- <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRE55 <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />i ZIP <br />PHONE <br />LICENSE I <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />CLASS OF WORK <br />❑MEW ❑ADDITION ❑ALTERATION' ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION OF WORK <br />00 <br />DESCRIBE WORK I ' <br />L L A,t A•e L sill e r 1'm c rA< L 1-31sLL-G/U-c <br />PROPOSED USE OF BUILDING - <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO UE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMATCE OONSTRUCTION. <br />SIGNATUREOFCONTRACNRAUTHORIZEDAGENT DATE <br />X <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) <br />LOTBlocK_oF _ lC,DUi2 T S- <br />_ <br />• T. ti ' 11 ik4 _# L- P L- A U'D Ai <br />U CVC, • fL. <br />fF <br />LOB AooaEssLL� <br />h <br />IiLb <br />- /T uA a. Ste' <br />PLL'MBIN FS MN-D!J/N <br />M ANICAL IF <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOLIET) <br />AIR COND. UNITS—H.P. EA <br />BATHTUB <br />REFRIGERATION UNITS—H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS—H. P. EA <br />SHOWER <br />GAS FIRED A UNITS —TONNAGE EA <br />KITCHEN SINK & DISP <br />FORCED AIR SYSTEMS—B T U. M EA <br />DISWASHER <br />WALL HEATERS—B T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS—B T U M <br />CLOTHES WA5HER <br />EVAPORATIVE COOLERS <br />WATER HEAIFR <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C.F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAI145-RAINLEADERS <br />METAL FIREPLACE IS CHIMNEY <br />SINK (SERVICE -BAR. ETC 1 <br />SUB TOTAL <br />SUB TOTAL f <br />PERMIT <br />f <br />PELIMIT f <br />TOTAL FEE <br />f <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />S <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX. OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />BEDROOMS <br />FIRE SPRINKLERS <br />REQUIRED <br />DYES ONO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />i. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 308(a) <br />2 BUILDING PLANS <br />TOTAL <br />B FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VAUDATEC UN THIS SPACE) THIS IS YOUR PERMIT <br />5 GRADINGIEXCAVATION A CLEARINGIGRUBBING <br />6 DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8 HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />VF V <br />9-1-79 <br />