Laserfiche WebLink
- APPLICATION F�R everett <br /> tne Evergreen C O N 5 T R U C T I(��y O <br /> cin oF <br /> everett PERMIT <br /> DEPT OF COMMUNRY DE\'ELOPMENT$EPVICE$ <br /> CITY HALL 259�8745 <br /> eveserT,wneezoi �COMBINATION I� BUILDING ❑MECHANICAL �PLUMBING PERMITNO. <br /> ON'f:tN MML AODX65 CI1Y ZIP PNO.E � <br /> �\1CF " V�4��l2Tri � � 30'� 1-1c�a��1G,2 R� Eu�acrr �S�i--�;?.Sc., <br /> ANCIIRECI OR U[SIGM1fR MAIL�00R155 ��TY ��P P�� E <br /> GLNfPAL CONIRAQOR MAII ApDRf55 C11Y 21P PMONE IICENSf 1' <br /> ' � � 9P270 CnS�{�,4�9 ��mm`ESe'1&1Sk <br /> C��n;mt. Si�F���� �eHsi � IS��o ti�s''DQ,M,�� , m,1RYs���« <br /> n�tO1nFIUl CONIRAQC4 � MAII AOOR6S ULY 11P PHON[ LICEVSE N <br /> 1'IOn1111tiG CONiNACt00. MAII AOON[55 ❑tY 21V PNON[ LICENSE/ <br /> `' ��V) <br /> RASS Of N�00.1( <br /> ❑NEIY ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION LJFENCE ❑SIGN ❑GARAGE ❑BUILDING RELOGTION <br /> V�WyAiION Of NO0.K <br /> 3-(���000 t1(l <br /> oes<uiat �oxn <br /> ��l�lZ10N D(' 1��`1�4� l,Ff��F, ST�GR4F � 111 — <br /> rxuvosco usr or xunomc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> S PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT/1!L <br /> ieC�21IIPilONOfP0.0P[0.iY5NOWNPFIOR'ORAIi�CN10UNCOPR51 PROVISIONSOFLAWSANDl7RDINANCESGOVERNINGTHISTYPE <br /> , C7 OF WORK WILL BE COMPLIED WITH WHETHER SPECIFItU HEREIN <br /> ioi y�x�oa�or '�T� OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER ST�TE OR LOCAL LAW REGUUfING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF CONTRACTOR Oft AUIMORIZED AGENT DATE <br /> IONeUDF65 � � �1 �� O <br /> ;� =i c:R U�Rc 1 <br /> X ^�V <br /> PLUMBING MECHANICAL <br /> NO. iYPE OF FIX7URE FEE NO. 7YPE OF EQUIPMENT FEE <br /> WATEH CLOSkT ITOIIFTI AIR CONO UNIT$-!1 P kA <br /> IIATHTUB REFRIGERATION UNITS-HP.lA <br /> U\'ATORY(WASH UASIN� 901LER5-H P CA <br /> SMOH'ER GAS FIRED A C UNITS-TONNAGE EA <br /> NITCMEN SINK b OISP FORC(O AIR$VFEM$—BSL M EA <br /> DISWASMFN \YALIHEAT[R$—UTU. M <br /> LAUNDRY TRAV UNIT MkATERS—D.T U. M <br /> CLO7M6 WASHER f\'APORATIVE COOLERS <br /> R'AiER HEATER CLOTMES DRYFNS <br /> UHINAI V[NTIUTION FAN O <br /> DRINNING fOUN1AIN RANLE MOOD <br /> GIOOR ORAIN AIR HANOLING UNIT— C.F.M. <br /> VACUUM BRFAKlRS S70VE <br /> NOOV'�RAINS—RAINLUDEflS h1FTAL FlHEPUCE b CHIMNEY <br /> SINK 6CRVICE—NAR,ETC I <br /> SUlTOiAL O SUBTOTAI 3 d <br /> ►ERMII f PERMIT s <br /> 707A1 iFE f [Q 70U1 iFE s <br /> SIDf YAftO$LLUACK SBFET 5[TBACK ftUR YARD SfTOACK PUN CIICCR NUAIOER PUN CHKK fEE <br /> CQ 'ZO.� Zm�7 �.3 �.25�� vtes�� neceiar ��s <br /> USE ZON[ LOT AR[A yACANT SITE , FEfS � VAWAiION FEE <br /> /��. ❑YFS T4'10 <br /> /G <br /> TYPE OF CONST OCCUPANIY GROUP NO OF OWELLING UhliS <br /> ounoiNc 'l�, Q'D <br /> SIZE OF NLUC NO O�STORI6 AIA% OCC IOAU <br /> i'LUM111NG � <br /> fIR[20NL 6A♦SE�MENT IIIIIftOOn11 k QUIREUKI[NS MECHANIUI Q <br /> �yC� I��O CIYK ❑NO <br /> -- AtIROVAlS BY OA7f O7NER <br /> 1 ENVINONn1ENiALCNECKLIST pENAUY U.BC. � <br /> SEC.]O7(a) <br /> I OUILDING YLANS �� S� <br /> TOTAL <br /> 7 FlFE HYDRANT <br /> a iIRE PRO7EQION SYSTEM PEIIMIT VAIIDATION � <br /> WHEN PROPERLY VAIIDATED IIN TNIS SPACF)THIS IS YOUft PERMIT <br /> 5 GNAUING!%UVATIONbQEAHINGIGRUHflING <br /> 6 ORAINAG[ �P�C-� TO ��J� uZ_(LIZ�.Y—� I <br /> 7. fNVIHONMENTAL IMPAC7 STATEMENT `��� ��C.���Z��L �u�,.n�� <br /> �)� <br /> B MFALTH DISiRICT O�Ly' <br /> APPIIUTION ACC BY PLANS CHECKEO BY APPR.FOR ISSUANCE BY <br /> /—�, 2'xj Pj G � G . /�sU 8C/5�Nff�s TO i3C <br /> G fJ G'Ca(/.o(:.�L=7crd d,C.� P•2l7�//<c3trS , <br /> g4-7H <br /> I <br /> � __ <br />