Laserfiche WebLink
iMEnrpn�n A P P L I CAT I O N F O R- ���,�n <br />CITVOF �,ONS�RU�TION e <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 25'}8745 <br />EVERETT, WA98201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMSING PERMIT NO. <br />�4 N If ,4 �R E l� c, l-/- M,� a z� 5� ��t cu.r�u .� �''Er��c�` Q�2 a � P�o�� 5_z -/ 6 5�' <br />�RfHITtC10R0lSIL�+fR MMI�ODRE55 GITY ZIP YMONF <br />w� [u <br />LICENS[ I <br />PIUWp�vGfONtR�QOR MMIAD�ME55 CI�Y ZIP PHONF UCENSEI <br />CUSS Of N'OPK <br />❑NEW ❑ADDITION ❑ALTERATION I.�REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />�TW�IIONOI WORIt <br />f 26�•�� <br />OlSCFiP1 WORK <br />PROPOSIDUSf OI flUIl01NG <br />IIG�lOfS[RIPyI(O�UOfPROVENiY�SMOKNfl[IOW�O-R�I>I�[�H{�O�U�RpCOPIES) i / <br />ioi �'6L6t��_{..�.ar �Lati IY'c.`� �.�'ii�`^� <br />iox �ooAus <br />:2 � �. r �i a�r�,-�rl.�- <br />►lUMlING <br />WATF <br />KITiNEN SINK 8 DISP <br />OISWASHFR <br />UUNONV TR�V <br />CIOTHES WASHfP <br />UN�NAL <br />DNINKING FOUNTAIN <br />{IOOR DRAIN <br />VACUUM BREAKFRS <br />NOOF DRAINS—RAINIfADFRS <br />SINK ISFRVICF-9�R. ETC 1 <br />YARO <br />OF CONST <br />SU� TOTAI <br />rE�M1T <br />lOT AXfA <br />FEE <br />1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <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 NO? 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. <br />SIGNATUNE Of CONTRACTOR OR AUTHORIZED �GENT DATE <br />X Vr/✓yv�..' 'LF7!Yb.�n'""v�/LG /�� <br />MECH�NIGL <br />NO. TY►E OF EQUI�MENT FEE <br />A�RCOND UNITS—HP EA <br />BOILFRS-MP EA <br />GAS FI0.F0 �C UNITS-TONNAGE EA <br />FORCEDAIRSYSiE�15-BiU MEA <br />WALL HEATFRS-9 TL M <br />CLOTHFS 00.YkRS <br />VENTILATION FAN <br />RANGEHOOD <br />STOVE <br />— CfM <br />SU�TOiAI � <br />� ►ELLMIT � <br />f TUiALF[E � <br />tUX VARD 5[TB�CK PIAN CII(CA NUMBfR PLAN CHFIX FEF <br />FE[ I RECEIPT NO. <br />VAGNi Sllk <br />❑YES ❑NO <br />�O OI DWFLLING UNITS <br />BASFMF4T IffUROOMS tn <br />RF <br />A►MOVAIS �T <br />1 ENVIRONMENTAL CMECK 115T <br />: eunoiNc rur+s <br />J FIR[ HYDRAN7 <br />{ {IRF PROT[CTION SYSTFM <br />5 GXADING/!%GVATIONBCLIARINGlGRUBflING <br />6 DRAINACE <br />7 (NVINONMFNUI IMPACT STATFME'�� <br />p ��I•!n�['icie��. <br />DATF <br />BUILDING � f <br />PlUM01NG <br />M[CNANIGL <br />OTNEX <br />PWALTY U BC. <br />SEC ]oN+l <br />TOiAI I I <br />/FIIMIT VAlIOATION <br />Wt/[N PNOPERLY VAlIOATED IIN TNIS SPACfI THIS IS YOUR PFRMIT <br />