Laserfiche WebLink
APPLICATION FO�t � eV�,�„ <br />everett CONPETRRMi TIO(� � <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />❑TY HALL 259-8745 ,_,{ � <br />EVERETT, W�9B201 ��OMBINATION L��BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. � <br />owr�i3�— MnnnooR�ss aiv zir rHovi � <br />�./� ��I��' 1%�a�ari �/�/`/<�ri�sr��� Tc�����7'� `�,S'?l'l �1�� 2-G35"�' � <br />AP(NITICT OR DISIGYIN n1All ADORI55 ❑iY Zlp PIIONf . <br />G[N[RALCONTNACTOR ` M�ILAODRf55 ❑1Y T.IP PIIOUL �ICENSFI <br />.J'��/-�%��� ' I� <br />MFCH�NIUI CONTRACTOR MMl ApDRF55 I <br />❑TY .JP v110N[ tlC[NSE I , <br />FLUMBING fONTq��TOP MMl ADDRI55 CIl1 ZIP PMOM UCENS[ / <br />ClA55Of WORK '-Up� <br />❑NEW ❑ADDITION ❑ALTERATION �EPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑9UILDING RELOCATION <br />V�IU�T�ON Of WpRI� / <br />� �D � � <br />DFSQIBE WORK i, <br />AOVOSFD US[ Oi BUIIDING <br />�� �r �z� <br />IFG�I D[$CRIPTION Of PIIOPfniY 1'. <br />ioT �eioc■� o� <br />ioe �oaecis <br />nuMnMc <br />. ,� NO. TYrE OF <br />' 1 WAtERClOSET(TOII[ <br />' � SATHTUE <br />, '.� � lAVl1TORV (WASN B�5 <br />SNOWER <br />� � KITCMEN SINK 6 DISP. <br />DISW�SMEU <br />LAUNDRVTRAY <br />i, CLOTHES WASHER <br />I WATER MEATEII <br />� URINAI <br />� DRINKING FOUNTAIN <br />i <br />� FIOOR UR�IN <br />��� VACUUM BIIFAKERS <br />� ROOFpRAINS—R�INL <br />USE <br />OF BLDG. <br />l0T AREA <br />OCCUPANCY <br />NO.OFSTOF <br />BASEMENT <br />A►►ROV�If <br />L ENVIRONMENIAI CHECK U5T <br />i. BUILDING PUNS <br />1 FlRE MYDRANT <br />1. FIRE PROTECTION SYSTEM <br />5 GRADINGIE%CAVATIqN b CLI ARINGIGRUI71i1NG <br />fi. 7RAIN�GE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />E. HEALTH DISTRICT <br />TPPI It :V ll1.'J At C If� ri n�.y ( I II t 1.I I� H5 � 41'PH I UH <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINkD THIS AP- � <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL I <br />roua cor �s� -�PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE �I <br />� IHa �rv��n, �" WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A FERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF I <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />{ <br />VAUNT SIiE <br />OVES ❑NO <br />VO OF DWELLINC UNIT$ <br />MA% OCC <br />OR THE PERFORMANCE OF CONSTRUCTION. � <br />SIGNATURE OF CONTRACTOR OR AUTNORIZED �GENT D�TE � <br />� <br />X I j� �ZG�" Z C/CC '%11�7'Z <br />MFCNANICAI <br />NO. TY►E Of EQUI►MENT <br />AIR COND UNITS—H P. E� <br />NEfRIGCRATION UNITS—H.P. fA <br />BO�lERS—N P. EA <br />GAS HRED A.0 UNITS—TONNAGE EA <br />FORCED AIH SYSTEMS—O.T.U. M EA <br />WALL HEATE0.5—B.T.U. M <br />UNIT HEAT[RS—B.TL. M <br />6VA1'ORATIVE COOLERS <br />CIOTHlS DBYfRS <br />VWTIUTION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT— C.EM. <br />SiOVE <br />METAI FlREPUCE 6 CMIMNEY <br />__ fU� TOTAI { <br />PLAN CMECK NUMBER <br />iFES <br />ni�noinc <br />PWMfiINC <br />MI CHAMUL <br />�Y I DATF � OTHCH <br />PINALTV <br />��G. is - � <br />tAl fFE f � <br />PLAN CHECK FEE <br />FEE RECEIPTNO. <br />VALUATION FE <br />s <br />U.PC <br />SCC.I(U(T) <br />TOiAI I I <br />PfRMIT V�LIDATION <br />N'HCN PROPf RlV VAUUAIED �IN iH15 SPACE� THIS IS YOUR PERMIT <br />fEE <br />0 <br />