Laserfiche WebLink
AErPLICATION FOIE,,, <br />CITY OF"'°"'A ZONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 25"745 <br />EVEREET.WA98201 ❑COMBINATION ❑BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />2, / <br />— <br />/ <br />� 7t; —uP�r7J ,rT- <br />L <br />.� _ s <br />4 <br />GINIRAI CON ACTOR <br />MAIL ADDRESS <br />CITS ZIP <br />PHONE <br />LICENSE P <br />MICHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY LIP <br />PHONE <br />LICENSE E <br />PIUMRINL CONTRACTOR <br />MAIL ADDRESS <br />CITY 11P <br />PHONE <br />_'ICENSEP <br />CLASSOF WORK <br />❑NEW ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />YAIWOON OI WORE <br />y t 391.6 . �9 <br />DISCRIBI WORK <br />,F ,Pt. <br />PROPOS(OUSI OF RURDINL <br />-T� yle,11/1i=y;,,dUAL.'S C. ✓�U �rG+C� <br />LEGAL DISCRIPTION OFPROPIRTY(SHOW, BELOW OR ATTACH FOUR COPHSI <br />O/C] -�{'E LU <br />LOT�_eLocK_oF <br />f.l <br />- <br />I H..REBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PL CATION AND KNOW THE SAME TO BE TRUE ANDCORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONS ON. <br />SICNATUR F CONTRACTOR OR CFO <br />IZED AG T DATE <br />( ((( <br />• C C`I F�� !�� 9��U� <br />TOP <br />PLUMBING <br />MECH LAICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET(TOLIET) <br />AIR COND UNITS -HP EA <br />BATHTUB <br />REFRIGERATION UNITS -HP EA <br />LAVATORY (WASH BASIN) <br />BOILERS -HP fA <br />SHOWER <br />GASFIREDAC UNITS -TONNAGE fA <br />KITCHEN SNKBDISP <br />fORCEDAIRSYSTEMS-BTU MEA <br />DISWASHIR <br />WALL HEATERS -BTU M <br />LAUNDR' [RAY <br />UNIT HEATERS -BTU M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C.FM <br />VACUUM BREAKERS <br />SIOVF <br />ROOF DRAINS-RAINLEADERS <br />METAL FIREPLACE 6 CHIMNEY <br />SINK (SERVIC:E-BAR. ETC 1 <br />SUN TOTAL <br />6 <br />SUP TOTAL S <br />PERMIT <br />t <br />PERMIT f <br />TOTAL FEE <br />f <br />D <br />TOTAL <br />FEE N <br />SIDE YARD SF TRACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />ffE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SI]p <br />EYES [' O <br />FEES <br />VALUATION <br />F![ <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO Of DWELLING UNITS <br />BUIt DING <br />F <br />d <br />SIZE OF RED �� <br />NO Of STORIES <br />MAX OCC LOAD , <br />55 <br />PLUMBING <br />FIRE ZONE <br />BASE M[NT <br />NI ONUOAIS <br />FIRE SPRINKLERS <br />REQUIRED <br />EYES Lwo <br />MECHANICAL <br />APPROVALS <br />IT <br />DATE <br />OTHER <br />T ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC <br />SEC NSNA) <br />2 BUILDING PLANS <br />TOTAL <br />Y F <br />`' <br />3(/ <br />1'IPF HYDRANT <br />A FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS 15 YOUR PERMIT <br />5 GRADINGIEXC'AVATION&CLEARINGICRUBRING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />9 1.79 <br />