Laserfiche WebLink
,�.Ew,o,,,� A P P LI CAT I O N FO R ���,�„ <br /> CITYOF ;,ONST'RUCTIO�! e <br /> everett PERMIT <br /> DEPT OF COMMUNITY DE\'EIOPMENT SEItViCES <br /> CITY HA!1 259�0745 <br /> -- - - - "'`E�'ETF��'��"" ❑COM8INATION ❑ BUILDING ❑MECHANICAL ❑PLUMB�NG PERMtT NO. <br /> OWNkR/ � / MAII AO�O�MFSS ❑tY �y ZIP PNONE <br /> CrZ:(��� �//- U� i.� %Z V>�.1'/ ��.-f ,j7/— �,S�.O/ -.y�o- / ..��� <br /> ARCHRlC101(OFSICHlR 'Me�l.A�ORFSS CIiT ZIF PMONE . <br /> GFNIRAlCOY1N�(100. MMI��PRESS UiY ZIV PHONF IICFNSF/ <br /> M�[CMIAhIC�.t CONIR;C100. M�IL AOpR[55 CIiV LIP PNONE IICENSE I <br /> ( �� /i �y <br /> PWn�N�vG(OviqeCiON Mell n�OFESS C�I; ZIF PHOrvF UCENSF i <br /> ❑�55 OI NDXI( <br /> ❑NEw ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GANACE ❑BUILDING RELOCATION <br /> tAlU�iIOHOi WORK <br /> 1 <br /> U15C0.19!WOP� <br /> I <br /> 1�.�i � ,. ,< <br /> vaorosmust o� euxvwc % I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> 'i_.i.»�.: PL�CATION AND KNOW THE SAME TO BE TRUE ANDCORRECTALL <br /> lFGhlpF5C0.1PilOvO{P0.0PINIYISMOWNB[lOM'OR�iTACHfOURCOP1f51 PROVISIONSOFUWSAPiDOHDINANCESGOVERNINGTHISTYPE <br /> ioi,��eiocK�or �L- �.��v�.�- � �F WORK WILL �E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> - . . OR NOT. THE GRANTING OF A PERMIi DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ��f/Y�� / ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. / <br /> ,.f / L� F •d—`'.� SICNATUR[Of CONTRAROR ON AUTHORRfO AGFNT DATE��J ' �� <br /> L <br /> �Otl npORlSS� 2 / <br /> / <br /> Xr� a/c, iy���-'. <br /> PWMBING MEC�IANIUI <br /> NO. TYPE OF FI%TURE FEE NO. TY�E OF EQUI►MENT fEE <br /> \YATER CLOSET�TOIIET) AIH COND UNITS—N P FA <br /> P�TMTUB 0.EfRIGFRATION UNITS—MP FA <br /> LAVA70RY�WASH BASIN) BOILENS—M P EA <br /> SMOWFN GAS FIftfD AC UNITS-10NNAGE FA <br /> KITCMEN SINK 6 DISP FONCID AIR SYSTEMS--B 7 U M EA <br /> DISWASMER WALI MkATERi-8 T U. M <br /> UUND.^.YTNAY UNI7MFATERS—BTU M <br /> ClO�M6 WASHER EVAPORATIVE COOlFkS <br /> WAiER MEATER �LOiHFS DRYERS <br /> URI4AL y[NTIUTION FAN <br /> pRINKING FOUNTAIN ftANGI MOOD <br /> fLOOR ORAIN AIR HANOLINL UNI}— C.FM <br /> VANUM 9NGKCNS � /' $TOVE <br /> XOOF ORAINS—Rn1NLfADENS MFTAL Fl4EPUCf A CHIMNEY <br /> S�NK�SERVICE—BAR,ETC 1 <br /> SU�iOTAI SU�TOTAL f <br /> �FRMIT f rFI1M1T � <br /> TOTAIf[E S TOTALiEE f <br /> SIDF YAR�5[TOACK $TREET SCTOACK N[AR YAND SETUACK PLAN�MECK NUMtlER PUN�MFGK fEE <br /> [EE RKEIPT NO. <br /> USE ZONf LOT AREA y���Ni$li[ <br /> ❑Y[5 ❑NO FEES VAIUATION iFE <br /> TYPf Of CONSi OCCUPANCY GROU� NO OF OWFIIING UNIiS <br /> BU�LDINL s <br /> 512[Of BLDG NO Of$TORIfS MA% OCC lOAO <br /> PlUM91NL <br /> FIRF ZONf 9AS[MENT f1tONOOMS FlNF SPRINKlfflS <br /> REQUIRED MKIIANIGL <br /> ❑YLS ❑NO <br /> A���OVAIS �1' �ATE OTHER <br /> 1 [NVI60NMENTAICNECKLIST UBC. <br /> PENALTY SFC JOJ�a� <br /> 7 BWLOING PLANS <br /> 7 fIRF IIY�HANT TOTAI <br /> 3 fIR[ PROTFCTIOn iT)IfM ►GMIT VALIDATION � <br /> 5 GR�UINGf%CAVATIONb QfARINLILftUtlNING H'NEN PROPERIY VALIDAiED(IN THIS$PACE�TMIS IS YOUR PFRMIT <br /> 6 ORAI!!AG[ <br /> 7 EdV10.0NMENTAIIMPACiSTATEMFNT <br /> � <br /> E HFALTM DISTRICT <br /> APPLIU710N ACC 9Y PLAN$CMECKFD BV APPR fON ISSUANC[ BY <br /> � <br /> j•. — . <br /> 91i9 <br />