Laserfiche WebLink
IBR Enromn RAPPLICATION FO�1D Pe <br />GAIN Of �; CONSTRUCTIOK` O <br />everett PERMIT <br />DE PT OF COMMUNITY DEVELOPMENT SERVICES <br />CI I HALL 259 8745 <br />EVERETT, WA98201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />UW NIN MAIL AUUNI55 CID ZIP PIIONI <br />73171, rkrILSPVE lI, Lt'f> IcaZf1C.• <br />1 11 l . - - <br />MAIL AVENUES afY zip 1 .1--X3 tll(el' <br />_ — --..♦ � i� n IAA... /_/1C C]rlAi1h Y511QE1 <br />PI l'MBAI: CUNIRAC100. MAIL AUDRISS CITY ZIP PHONE LICENSER <br />f I ASS III NUNR <br />❑NEW []ADDITION NALIERATION ❑REPAIR []DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />\AI LIAMIN UI NORR <br />'2 J' % . <br />INI RINI KORK <br />rRomslU USE OF BUILDING <br />l If,AI li SC0.1Pi ION OF PACH <br />LOT _BLOCK — <br />II IN 1111FRISS _ <br />(SHOWN BF LOW ON)AI IAOI FOUR COME SI <br />Of <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEE' Illl�, Ar• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT 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 CONSTRUCTION. [ J <br />SIGNATURE OF CONTRACTOR OR AUTH0N12I0 ACLNT DATE .) <br />1 <br />MECHANICAL <br />PIUMtINC. <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />NO.MAV"ATORYIWASH <br />TYPE OF FIXTURE <br />SET TOM" <br />AIR CONE UNITS-TIMIA <br />NIIRICERAIIONUNII <br />Q <br />IIUILIR$-TIP fA <br />;] <br />WASH BASIN) <br />CAS FIRIO AC UNITSG[ EA <br />I11RClO AIN SYSILMSMfAK <br />A DISP1\'AEI <br />III All RS-I1TUNIT <br />111 All RS-It1URAY <br />PCF <br />I\OTIII% I\'E COOLEWATER <br />CLO1H15 WASHER <br />STAHELC1011115 <br />ORTf RSVENTILATION <br />FANURINALDRINKING <br />RANGE HOODAIN <br />FOUNTAIN <br />HANDLING UNITMfIOOR <br />DRAINVACUUM <br />BREAKERSSIO\'1.ROOT <br />IAL IIR[PLACE A <br />DqAINS-RAINLFAUfRSME <br />SINK ISFRVICI-OAR•ETC1 <br />TAL fPERMIT <br />fUR TOTALB <br />T STOTAL <br />f <br />f[[ SPLAN <br />FEE <br />YARD SE f BACK STREET SETBACK A[ AR YARD SEIBACK <br />CIIICK IkFSIUf <br />PLAN CHECK NUMBER F �, J HICKLRECEIPT NOl`� <br />�G/h 7 <br />USE ZUNI <br />LOT AREA <br />VACANT SIIE <br />FEES <br />VALUATION <br />fit <br />❑YES LINO <br />IYPI OF CUNST <br />OCCUPANCY CROUP NO <br />Of DWELLING UNITS <br />BUILDING <br />in <br />HIE: <br />ALTER 52 <br />-- <br />SIZE Of BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />`O <br />Q <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />III UNtH1MS <br />I IRS, RECTUIRI 'RS <br />MICIIANICAL <br />' <br />•- <br />'- <br />LINT" IR/SO <br />APPROVALS <br />RY <br />DATE <br />OTHER <br />1 ENVIRONMENIAL CHICK LIST <br />PFNALIY <br />URC <br />SIC H x+I <br />SIC <br />Ee <br />2 BUDDING PLANS <br />' <br />e�IOTA( <br />) TIN! HYDRANT <br />R [FBI PROTICIION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED SIN 1141S SPACE) TIIIS IS YOUR PERMIT <br />S ❑RADINGII KCAVATION 6 CLIARINCIGRUHII'NG <br />6 DRAINAGE <br />7 INVIRONMFNIAI IMPACT STATEMENT <br />B III ALTH DISTRICT <br />APPLICAIION ACC BY <br />PLANS CHECKED HY <br />APPR TOR ISSUANCE BY <br />S7- <br />1 <br />oj <br />