Laserfiche WebLink
�heErergreen • CO�TRUCTION � <br />ciir oF <br />everett ERNiIT pE�iMll' N0. O7OH�_ <br />CITY HALL 259�8745 <br />EVERETf. WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />t)\YNER MAIL A�ORE55 CITY IIP PMONE <br />' macter 2923 Crand Everett . <br />AACMITECi OR DCSIGNCR MAiL ADDRE55 CIiY ZIP PMONE <br />;EhERILCONTRACTOR MAIL�ID�RESS CITV ZIP PNONE LICENSE� <br />_�i iqn Cora 2719 Manle £verett 252 0086 <br />M[CNANICALCCNi4inC10R MAILr10DHE55 CITY ZIP PMONE UCENSE <br />PLUAIBINGCONiRACTOR M41LApDRE55 CIiY :IP PNONE UGENSE/ <br />LLASSOF WOFN <br />❑NEW ❑ADDITION ❑NLTERA710P� ❑REPAIR UDEIdOLITION ❑FENCE QSIGN OG>RAGE — <br />5 1� <br />eescniee <br />USE OF <br />IEGFI DFSCNiPiION O� PPOPEPT <br />�o� oia:K_or <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />IVATER CLOSET �TOILETI <br />BATHTUB <br />LAVATORY (\YASH OASIN) <br />SHOWER <br />KITCH[N SINK R DISP. <br />DISHWnSHER <br />LAUNDflY TRAV <br />CLOTHES\NASHER <br />IVATER HEATER <br />VPGUUM <br />PGOF DF <br />SINK ISE <br />SIDE YARD SETBACK <br />USE ZONE <br />TVPE OF CONST. <br />SIZ[ OF OLDG. <br />FIRE ZONk <br />0 <br />e <br />qTTACH FOUP <br />STHE6i SET�ACK <br />LOT AflEA <br />OCCUPANCV GROUP <br />wrrnuvw�a <br />L ENVIFCNMFII'FLCHECKLIST <br />2 BUILDING PLANS <br />3. FIPE HYDRANT <br />c. FIfiE PfiOTECTiON SYSTEM <br />5 G�7ADING <br />6 DRf.INAGE <br />7. ENVIPONMENTAL IlAPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. �V PLANS CH[CKED BY <br />FEE <br />REFR VARD 5 <br />VACANT SITE <br />]YES ❑NO <br />NO. OF OWEL <br />MNc.00C. LC <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PAOVISIGNS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF �VORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESU tif E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRC� <br />VISIONS OF ANY OTHER ST.4TE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THF PEHFORMANCE OF CONSTRUCTION <br />gGrlat��eEOFC C LRnu.'�oPL'EDAG'_N1 D4tE <br />i� /'�� �+�•-Y i� �i 21 %9 <br />l UNITS — H.R EA <br />aATION W::TS—IiP EA <br />—HP.F1 <br />D AC UNITS — T�NNA( <br />AIR SYSTLMS — B7 U. <br />ATHRS — 97.U. <br />1TFnS — R 7 ll. <br />M <br />VE^1TILl�iION FAN <br />HAKGFHOOD <br />AIH HANDLING UNIT — QF <br />STOVE <br />6�PTAL FIREPLFCE 8 CHIMNEI <br />P AN <br />UNITS <br />BUILDING <br />PLUM�ING <br />MECHANICAL <br />OTHER <br />hPPR.FCHISJUANCE BY <br />�L F�EE <br />FEE <br />�1500,00 <br />U B.C. <br />SEC. 309 �a) <br />CH[CK FEE <br />RECEIPT NO. <br />FEE <br />9 00 <br />TOTAL 9 00 <br />PEHMI7 VALIDATION <br />WHCN PFiJPEFLY VALIDATED �IN THIS SPACE) THIS IS YUUP PERMIT <br />6281 iD�Q.OU'""� <br />� �.'F� � <br />�lOUR RE�EiPTo <br />7�-IANK YOU <br />; •2 4 o�c 19 <br />�_... <br />