Laserfiche WebLink
��yf.,�4PPLICATION FOR <br /> ;:� E''`r�'' '" CC�NSTRUCTION � eVe <br /> , nti �„ . - � <br /> everett PERMIT <br /> DEPT.OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259-8745 <br /> EVERETT,WA98201 �COMBINATION J�BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> ON'N[R M�IL�DDPfSS CIiY ZIP PllOvt <br /> —f /� ry� N�c�yt / <br /> /OREn„ /Cff3—e...�.rT � ,v� 1�..' �— �/�wter — <br /> ANOIIIlCT OR D[AGNFR MAII AOD0.65 CIiY ZIP PHON( <br /> GfNlRAICONIR�CiOR MAILADDN65 � CITY ZIP PHONE IICLN5F1 <br /> S�S' .Si� � /.�/90 .�—o.vF, s�{—s rr',FJ z� .�Gr-,�'�lrv �� ' Z7a�,_ ' <br /> M[CH NIUI CONIR,IQOR MqL�DDNISS CIiY � ' LIP PNON UC[NS[1 I <br /> PWMflINGCONTFACiOR M�Il�0�FF55 �ITY ].Ip PIIONL LICLNSFI �� <br /> f1�55Of WORK '�i <br /> NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCF �SIGN L�GARAGE ❑BUILDING RELOCATION <br /> VALWLION Oy/f WrORA <br /> � / O� e✓ <br /> DQFSCRI9F WOdk I <br /> /C � i7 � <br /> a s� � �4 �=�• <br /> reoroseousc rammwe • I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL � <br /> LFGAlDfSCRIPilON0/PROPFRTY�5H0\VN6ItOWORATT�CHfOUNCOPIE51 PR0�9510NSOFLAWSANDORDINANCESGOVERNINGTHISTYPE � <br /> OF WORK WILL BE COMPLIED WITH WHE?HER SPEC�FIED HEREIN <br /> IOT�BIOCK�O{ OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO � <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF i <br /> � ANY OTHER STATE OR LOCAL LAW REGULATINC CONSTRUCTION � <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> � I SILNATURE OF CONiRACTOR OR AUTHORIZED�GENT DATE ���� i <br /> J { <br /> � IOBAODRES$ _ �1 i <br /> •LUM�ING� MECHANICAI I <br /> , NO. TYrE OF FI%TURE FEE NO. TYPE OF EQUIPMENT FEE <br /> � WATfR CLOSET(TOUET� AIR COND.UNITS—N P.EA <br /> � 9ATHTUB RE�HIGERATION UNIiS—H.P.EA � <br /> i <br /> " UVATORY(WA511 BASIN� HO�lERS—NE EA <br /> $HOWER GAS FIRED A C.UNITS—TONNAGE EA <br /> � � KITCHEN SINK 8 DISP. FORC[D AIR SYSTEMS—B.T.LL M EA � <br /> DISWASMER W���HUTERS—B1L. M � <br /> UUND0.V TRAY UNIT NEATtRS—N.T.U. M <br /> CLOTMES WASHEft F VAPORAT W E COOLf R5 � <br /> WATER HEATCR CLOTHES DRVERS <br /> URINAL VFNTIIAiION FAN '� <br /> DRINKINL FOUNTAIN NAI<GE MOOD _ � <br /> FLOOR DRAIN AIR HANOLINC UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE ' <br /> ROOF DRAINS—RAINLEADERS MLiAL FBEPLACE 6 CNIMNEY � <br /> SINK(SEHVICE—BAR,ETC.� <br /> fU�TOTAI SU�70TA1 f <br /> rERMIT f r[RMIi f <br /> i07A1 iEf t TpTAI iFF f <br /> SIDE YApD SETeACK STREET SETBACK BEAR YARD SETPAIX PUN CHECK NUM9ER PUN CMECK FEE <br /> FEE RECEIP7 NO. <br /> USE ZONE LOi A0.EA y�CANT SITE <br /> OYE$ ❑Np FFES VALLATION iEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELIING UNITS <br /> I <br /> � PUILDINC f <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD D O � <br /> ^LUMI3iNG ' <br /> FBE ZONE BASEMCNT flIUNOOMS FlRf SPRINY.lFRS <br /> NfQUIpfD MkCHAMUL <br /> f]Y!S I1N0 <br /> A►►IIOVAlS BY DATF pTH1.R � <br /> L ENVIRONMFNTAL CHECA 115T <br /> PLNALiY U.O.C. <br /> 2. BUILDINL PUNS SEC.30Na) <br /> 3. FlNE HYDRANT TOTAL <br /> 4. FIRE PROTECTION SYSTEM �ERMIi VALIDATION <br /> WHLN PHOPERLY VALIDATED IIN THI$SPACq TMIS IS YOUR PERMIT <br /> 5 GHAUINC)fXGVATIONACLfAHINGIf,NU11flING y <br /> b. DRAINAGE /_ i �/���J � <br /> Z ENVIRONMFN7AL IMPAGT STAI[MENT r�'V16 �—• `� <br /> 9. HULTN DISTRICi �. <br /> ��'�'I ICA�ION At C IIY PL ' {FCKLU NY A 1 R ISSU4NC H1' <br />