Laserfiche WebLink
the Evergreen . 2 P L I C A T I O N F O L CY <br />CITY OF CONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />EVERETT, WA98201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL OPLUMBING PERMIT NO. <br />OWNER MAIL ADDRESS 111\ ZIP Ynorv[ <br />ARCHITECT OR DESIGNER -AIL ADDRI SS CUM ZIP PHONE <br />GENERAL CONIRACLOR MAIL ADDRESS COY ZIP NON[ LICENSEE <br />SErnEe �,Lcw [e�=('• 'i--j(I) uFSiht E� 9b'.4, �- (� �H�cs_z1apS <br />AIICHANICAI CONTRACTOR <br />ADDRESS <br />PHONE <br />PIVMRINC CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br />CI US Of WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE M<GN ❑GARAGE ❑BUILDING RELOCATION <br />SMOAIION OF WORK <br />.1),600 GCS - <br />III Y(RIBI WORK <br />N)(jt}— lLL,vFIA F <br />PROPOYID CM Cl BUILDING <br />I HEREBY Ct RTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />LICIt DjWRIPIION 01 PROPERTY (SHOWN BELOW OR A-ITACH FOUR <br />CONESI <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />101 —Of <br />OR NOT. THE GRANTING CT A PERMIT DOES NOT PRESUME TO <br />_BLOCK <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION, <br />SIGNATURE/OFF CONTRACTOR OR AUTHORIZED AGLNT DATE <br />I �� - � II2� �Y( <br />u IIl Afln0.155 <br />3030 ��T A. <br />= <br />x <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FI%TURF <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WAFER CLOSET(TOLIIH <br />AIRCOND UNITS -HP LA <br />REFRIGERATION UNITS -HP EA <br />BAIIIII-11 <br />I AVATORY("'ASH BASIN] <br />BOILERS -HP EA <br />{-- <br />1 <br />GAS FIRED AC UNITS -TONNAGE EA <br />SHOWIR <br />FORCED AIR SYSTEMS -BTU MEA <br />KIICHLN SINK A DISP <br />_ <br />WALL HEATERS -BTU M <br />DISWASHER <br />LAUNDRY TRAY <br />UNIT HEATERS -BTU M <br />EVAPORATIVE COOLERS <br />CIOTMES "'ASHFH <br />WATER HEATER <br />CLOTHES DRYERS <br />VE NTILATION FAN <br />URINAL <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />AIR HANDLING UNIT— C F M <br />I I OOR DRAIN <br />VACUUM BREAKERS <br />S10Vf <br />ROOF DRAINS-RAINLEADERS <br />ME TAL FIREPLACE A CHIMNEY <br />SINK (SFRVICI -BAR. ETC) <br />- <br />SUE TOTAL 3 <br />SUBTOTAL <br />PERMIT <br />3 <br />PERMIT 3 <br />TOTAL FEE <br />3 <br />IOTA( i(E $ <br />SIDE YARD SF TRACK <br />SiR7(I SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />tit ! <br />CHECK FEE <br />RECEIPT NO <br />USE ZONE <br />LOT ARIA <br />VACANT SITE <br />FEES <br />VAIUAi ION <br />tit <br />OYES GNO <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO Of DWELLING UNITS <br />BUILDING <br />��((- <br />S/ , Cc ' <br />O <br />SIZE OF BLDG <br />NO Of STORIES <br />MAX OCC LOAD <br />PI UMBING <br />FIRE ZONE <br />BASEMENT <br />HIUR(R)MS <br />FIRE SPRINKLERSREQUIRID <br />MECHANICAL <br />l Y1S :'NO <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECKLIST <br />PfNAL1Y <br />UBC <br />SEC 70RE) <br />2 BUILD114C PLANS <br />TOTAL <br />p <br />f <br />lec <br />7 FIRE HYDRANT <br />PERMIT VALIDATION <br />4 FIRE PROTECTION SYSTEM <br />WHEN PROPERLY VALIDATED (IN HIS SPACFI THIS IS YOUR PIRNIII <br />It <br />S GRADINGII KC AVAT ION& CLE ARINGIGRUBHING <br />& DRAINAGE <br />7 ENVIRONMENTALIMPACT STATEMENT <br />B HEALTH DISTRICTRICT <br />DISTRICT <br />APPLICATION ACC BY <br />PLANSCHICKI BY <br />APPR TOR ISSUANCE NY <br />