Laserfiche WebLink
r .� <br /> �F,w„�„ APPLICATIQN FOR � <br /> everett CONP RM�TTIO� e <br /> DFPT OF COMMUNITY DEVELnPMENT SERVICES <br /> CITY HALL 259-07/5 <br /> EVERETT,WA9EI01 ��OMlINATION ❑ �UILDING ❑MECMANICAL ❑�LUMlING PERMIT NO. <br /> OWNlII M�II�D�MfSS CItY ZIV MOHF <br /> c�arrc+R� �G-a�..� suPBW z53o i�Y��C ,�,� <br /> �IICNIiIQORDl51CNG Melt�pDNF55 CRY ZIP PNONf <br /> G[�+USL COMMCIOM Mql�DDRtSS fifV ZiP rypqF �I[ENSE 1 <br /> SlvA�o�J(o,r,1 /oRP. [�idX (o� i�i ��so <br /> Mf(II�NI[q�OMRnC1011 MAII eDD[65 CILV } LP MONf IICFNS[� <br /> � PWf1PMLCONIR�CT011 M�Il�D00.[SS OIY ZIP PNON[ l�C[MS[� � <br /> ClsS$O�N'O0.N <br /> ❑NEW ❑ADDITIOR ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE I�SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> \'�lUAi'IOlN Of WORR <br /> ��U��6� <br /> OrI�SC0.1q!WORK <br /> 1�- �TTT�tt� i yZ�Mi S �—��1.� <br /> oxoros�uus�oi nmimvc �� I HEREBY CERTIFY iHAT I HAVE READ AND E%AMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ltUl UtSCRIVt10!�U�iMOPIMIY�SNON'N BIION'OR A11AOI fOUR COPIf51 PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITM WHETHER SPECIFIED HEREIN <br /> io�_aioca_o� . OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TQ <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW RECULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE Oi CONTNACTDR OR AUTNORREO ACFNT D�TE <br /> / <br /> ion eunaiss �� �// l G� <br /> 25��0 �v�r� x � I 1 Y l ° <br /> ►W M�ING MECNANICAL <br /> NO. TY►f Oi iIXTU1IE FEE NO. TY►E OF EQUI►MENT FEE <br /> WATfRCL05[TITOLIfTI AIPCOND UNITS-HP EA <br /> B�7MTUB RfFRIGERATION UNITS-MP E� <br /> UVATORY�WASH PASIN� flO1L[MS-H P U <br /> SNOwFN GASFIRE��C UNI75-TONN�GE E� <br /> KI7CNfN SINK 6 DISP fORCkD AIR SYST[MS-B T U. M E� <br /> DISW�SHF0. WAILMEATfRS-B7U M <br /> L�UNDRYTRAY UNITHEATERS-BTU M <br /> CLOTHES WASMER EVAPORAiIV!COOlERS J <br /> w�1ER HEATEM CIOTMFS�RYERS <br /> URINAL V[ATILATION fAY <br /> nRINKING FOUNTAIN RANG[HOOD <br /> F1008 DRAIN AIR N�N�LINL UNIT— C i M. <br /> VACUUM SRFAKERS $TOVE <br /> ROOf OR�INS—R�INLEADFRS MF1AL fBEPUCf 6 CHIMNEY <br /> SINK IS[RVIC!—BAR ElC I <br /> fU/i0i�l fU�TOi�I • <br /> ti K�MIT t R�MIT � <br /> tOGI iFF { TOGL iFf � <br /> SIDF Y�RD SCBACK $TRFFT SRflACK RUN YARD SFTBACK PLAN[HECK NUMBFR iL�N CNECK fEf <br /> iEf RFCEIPT NO. <br /> USE ZON! LOT�RFA y��ANT SITE <br /> ❑YES ❑NO If[5 VALU�t10N iFE <br /> �YPE OI CONST OCCUP�NCY GROUP NO Of DWELIING UNITS <br /> BUILDING SM 0�. l-Z � <br /> SIZE Of BLDG NO.Oi STORIES MAX OCC.LO�D G� <br /> PLUMBING <br /> fIN[ ZONC BASFMfNT flIUPOOMi RfQUIp �pKLfRS MlCN�NIUL � <br /> �— OYfS ❑NO <br /> •RROVAIf �t OAi[ OTMfR <br /> 1 ENV�RONMENTALCMfCKUST UBC <br /> PEN�ITY SEC.IOMU • <br /> 3 BUILDING PUNS <br /> ) FIRF NYDRANT TOTAL t'L � <br /> � I fIRE VROTFCTION SYSTfM K�MIT VAIID�iION <br /> S GNApINGlEkC11VATIpNL CLEA�INC/CRUBflING WHFN PROPERIY VAIIDATFOIIN TNIS SP�Cf)TNIS IS YWR►F�MIT <br /> 6 DR�IN��f <br /> 7 ENVIRONMFNtAL IMP�CT ST�TfMFNT <br /> E HEAITH DISiRICT <br /> �MlIQT10N�Q BY �UNS CMECKED EY !1P►R fOR:SSU�NCE Y <br /> /� <br /> 41�79 �T`g� <br /> L. .� <br />