Laserfiche WebLink
tM Ev�rpn�n A P- P LI CAT I O N F O R ���n„ <br />�moF �aN�TRUCTION e <br />everett PERMIT <br />DEPT. OF COMMUNRY DEVELOPMENT SERVICES . <br />CITY HALL 259�87/5 <br />EVERETT, WA 9B201 � BINATION ❑ sUILDING ❑MECHANICAL ❑ PLUMSING PERMIT NO. <br />OW R MMl �OONf15 ��/ CI1Y / ZIP PNUNE qy / <br />/ 'i r'i��.,, 4n Sp'��'i��-j/!I�/ /..ZO� �i7 �S�(�� <br />/) )�/ / L t T- 1�2' I <br />�RCMITlCT OR U[SIGNl0. M�IL �DDRl55 CITY 21P PNON[ <br />�/�/ < <1 ��r�i��l� .�7/D 6�� �i'd¢ � E f��� L?�J`� ��°�/S �/� — <br />�__� ....� ...n..a CIiY ZIP PNONE IICFNSE 1 <br />MfCMAN1Ul CONIP�CIOP MAII �OOR65 "" "' - � � <br />PlUA1PING CONIRACIOR MAII �ODR65 ���Y 21P PHONE IICENSE 1 <br />CUSSOf WORK <br />❑NEW ADDIiION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUI�DING RELOCATION <br />VAW�iIONOf WORR <br />s 6, �-a �' <br />�v.— a� • <br />raorosm us� or evimwc <br />i/7/.� � OI'1 <br />IEUL ❑y���55[[�/qaIP�lL�/pr�N.O{ PPOP Y ISNOW �[lC <br />tOt�yPIOCK�Oi �.,��F; <br />//�\1 ' A/ <br />/ � �� <br />IOP �DD0.f 55 f � <br />��Q �l' � /�h'a'I"/4 <br />PLUM�ING <br />NO. TY►E OF FIXTURE <br />WATFR ClOSfT (TOLIET� <br />PATNiUB <br />LAVAT00.Y �W /.SH OASIN) <br />SHOwER <br />KITCMEN S�NK 8 DISP <br />DISWASHFR <br />LAUNDNY TNAY <br />ClO7ME5 WASMFR <br />WATFR HEATkR <br />VACUUM <br />ROOF DR <br />SINK �SFN <br />SIDf YARD S[TP.\CK <br />�) � % % <br />USE ZON� <br />TYP�{ON;T � <br />V � i� <br />SIZf OF BLOC <br />I HEREBY CERTIFY THAT I H�VE READ AND EXAMINED THIS AP- <br />- PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />OR Ai1�Cl110UN COPILSI 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 ?O <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR 7HE PERFORMANCE OF CONSTRUCTION. <br />SILNATURE Of CONTRACTOR OR AUIHORIIEO AGENT DATE <br />- . T x;��'.,.�° �"�"� -, _ .�//y/�/ <br />3. FTC 1 <br />SU� TOTAL <br />►FlMIT <br />tOTAI IEE <br />$1TRF[T nSCTPACK <br />� <br />l0T ARU <br />OCCUPANCYGROUP <br />M—� <br />FBF 20NC I un>t=_tn i I�+��= <br />ARROVAIf <br />1 ENVIRONM[NTALCM[CKLIST <br />2. BUIIDING PUNS <br />] FIRE HYDRAN7 <br />� FIRE PROTFCTION SYST[M <br />5 GRADINUf%GVATION6ClfARINGlLRUBHING <br />6 DRAINAG[ <br />7 fNVIRONMENTALIMPACT57ATEMENT <br />! 4EAlTM DISTqICT <br />RUft YA0.D SETNACK <br />2v- <br />VACANi SIiE <br />OY[5 �O <br />VU OF OW[LIING UNI75 <br />�- <br />�T I DA7[ <br />APPLIC�TION ACC BY PLANS CIIECKED BY I �PPR FOR ISSUANCF flY <br />MECHANIUI`� =-�'"`��� � �-� <br />NO. TY►E OF UI►MEN <br />AIR COND UNITS-H P. EA <br />REFNIGERATION UNI75-H P EA <br />BOILfRS-HP EA <br />G�S�FI0.EDAC UNITS-10NNAGE <br />FORCFO MR SYSTEMS-B T U <br />WAIL HEAIERS-tl T U M <br />UNIT IIfATERS-B T U M <br />FVAPORATrvE COOLERS <br />CIOTMES ORY[BS <br />VFN11LAilON FAN <br />RANGfHOOD <br />AIq MANpIING UNIT- C F M. <br />$iOVE <br />MfTAL FlNEPUCE 8 CHIMNEY <br />SU� <br />NUMBLR <br />FEE <br />EA <br />PUN CHECR ftt <br />FEE (� j RFCEIPT NO. <br />�[,t �� s31 O <br />v�WAT10N fEF <br />uunoinc s �y S��• <br />VLUM11111NG <br />MkCHANIUL <br />OTHFR <br />PINALTY U fl C <br />5[C JUAa) <br />TOTAI <br />►FIIMIT VAIID�iION <br />N'11EN PNOPFNLY VAIIDATED IIN TMIS SPACE� THIS IS YOUR PFRMIT <br />,�:- ; ���� ��y�ri <br />