Laserfiche WebLink
1heEvergreen � ��STRUGTION • • <br />CITY Vi <br />everett PERMIT pERMIT NO. 0�650 <br />CITV HALL 259�8745 <br />eveaerr.wr, �ezo� ❑ COMBINATION � BUILDING ❑ MECHANICAL PLUMBING <br />ovrt�ea uni� nooa�cs on ziv ei�or�e <br />wA 9azoi 252-6114 <br />FRCHrtECT OR OESIG ER MaL AD�RE55 CIiY ZiP PnONE <br />.,E:LRALLONiPnCiOF MAII.aDC�E55 CITY 21P PNONE LI�F.NSEI <br />�![.��r�ANICPLLONi{uCIOA MAILADDRE55 LITY ZiP PHONE IICENSE� <br />PW�ABINGCONTRACTOR MaILADDRE55 CiN ZIP PNONE I�CENSE� <br />CLA55 OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION OS7EPAIfl C�DEMOLITiON ❑FENCE ❑SIGN ❑GARAGE <br />VAWAi10t1 OF WORK <br />E 500.00 <br />o�scaise woaK <br />Composition rouf <br />PROPOSED USE OF �UII�MG <br />Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMIN[D THIS AP� <br />imA� oescAi�noN oF vuo�earr �sr+ow oe�ov: oa nnncN Foua covies� PLICATIGN AND KNO`N THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS UF LAWS AND ORDINANCES GOVERNING THIS <br />ia, '11 �i�..,. 48�p Everett TYPE OF WORK WILL BE COMPLIED WITH WHFTHEH SPtGIFIEG <br />OF P PERMIT DOES NOi <br />�o�a ncuWrss <br />2221 Hovt Everett __— <br />PLUMBING <br />un. TYPE OF FIXTURE OR ITEM FEE <br />lAl1NDRY TPAY <br />CLOTHES b'JASHEI <br />WATER HEAiER <br />URINAL <br />DRMKING FOUN7 <br />FLOOR DRAIN <br />l'ACUUAI BREAKE <br />ROOF DRAINS — <br />SiNK �uERNCE — <br />YARD SETB�CK <br />?ONE <br />OF GOIJSi. <br />OF OLDG <br />ZONE <br />STREEi '.lE � t3ACK <br />N0. OF 5T( <br />BASEMENT <br />qYY1� V YMLJ <br />1. ENVIRONMENTAL CHECIC LIST <br />2. �UILDINGPIANS <br />3. FIRE HVDPANT <br />4. FIRL PROTECTION SVSTEM <br />5 GPADING <br />6 ORAINAGE _ <br />7. ENVIRONMENTALIM?ACiSTATEMENT <br />6. HEALTH UISiRICT <br />APPLICATION ACC. BY I PLANS CHECKED BY <br />REAR 1'FRD 5 <br />VACFNT SIT[ <br />i ]vES :7N0 <br />N0. OF OWEL <br />IAAX. OCC. L( <br />qPPR POfl ISSUANCE BV <br />HEREIN OR NOT. THE GRANTING <br />PRFSUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF NNY OTHER STATE OR LOCAL LAW REGUTATING <br />CONSTRUCTION OF iHE PERFORMANCE OF CONSTRUCTION. <br />seu�iur�rnFco•+��+Fcrqa��' a�u y�izeo��c/,njn /��% ontE <br />Y/,'�. ,�71i'l/;�/!� / l/,9..,n,iFl(.,�t!'�s�zs�So <br />MECHANICAL <br />TYPE OF EQUIPMENT <br />nia coNo. uNits — N r En <br />REFRIGERATION UNITS — H P. EA <br />BOILFFS—��P EA <br />GAS FIRED A G. UNITS — TONNAGE EA. <br />FOH.EDA�RSYSTEMS—�TU M <br />WALL 11EATERS — B.T.U. M <br />I INIT i�FATERS — B T.0 �� <br />VENTIlA710N FAN <br />PANGEHO00 <br />FIR NANDLING UNIT — <br />STOV[ <br />METAL FIREPIACE 6 Ch <br />BUILDING <br />�L FEE <br />PIAN <br />FEE <br />S <br />MECHANICAL <br />OTHER <br />PENA�TY UBC <br />SEC. 303 (a) <br />TO7AL <br />PERMIT VALIDATION % <br />W HEN PROPERLY VALIDATED pN ?HIS SP�CE) <br />.;DDR[SS FILE <br />RECEIPT NO <br />� 5 �� <br />iS IS YU P �R <br />� <br />YOUR RECEIP� <br />� � inNr. Yc�uo <br />28�nY80 <br />ir■ <br />