Laserfiche WebLink
,ME„ro�.� APP! ICATION FOR �,��„ <br />CITYOF C(��VSTRUCTIO(v <br />everett PE RM IT e <br />DEPT OF C01.1MUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�8715 <br />EVERETT, W� 98201 ��OMBINATION ❑!UlLDING ❑MECHANICAL ❑PLUMSING PERMIT NO. <br />OWHER M�JI�DON65 r7 ❑TY ZIP PHONE <br />�+c.l��� ^CUN/-� i�,� N:'� YARK �R CJtREI'T �i�82�:i �;15 2-/�z 3 <br />ARCNIIfCiORD[SICt+lR MAIIADDR[55 [ITY z�p prypNE <br />/�%D N E <br />�;'_, MC�vE <br />��^ - . 1'IUMPM(. [OHIR�CIOR i M�II eDDRE55 ❑IY ZIP PHONE IICEHSE 1 <br />�j � � C A%D n/ � <br />':, ', <br />� C�p1�55 Oi NORI( � <br />��-:.•,. . , .otNEW I�ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOGTION <br />' \'�lWilO40f WORk <br />s q �c �� <br />, oisceiet woaK <br />raovostous[ or nunon+G <br />Cl+�6'cr'-� <br />LEG�I OF SC0.1P110N Of YROPlR1Y �SHOWN B[lON' OY n1I�CM fOUR COVIl51 <br />r <br />ior '3� ewcK_or � ^' ;ca� AGD �o+.i io L <br />�EG'+�'-0�O !N VC1 // /Atic9 F/ r f'Y 0� ..�,/CN <br />ioe �ooniss <br />fc/i /1/O �,e,r R <br />rwMsiNc <br />NO. TY�E OF FI%TU�E FEE <br />WATfR CLOSET (iOLIED <br />BATHTUB <br />\'ATORY (WASM 9ASIN� <br />SH WfR <br />KITCH SINK 6 DISP <br />DISWASNF % <br />UUNORV TRA <br />CLOTHES WASMER <br />K'A7ER NEATER <br />UNINAL <br />DRINKING FOUNTAIN / <br />FLOOR ORAIN <br />VACUUM ARE�KfRS � <br />ROOF DRAINS—RAI\LE RS <br />SINK (SERVICE-0AR„P'IC1 <br />fU�iOTAI <br />►FIIMIT ! <br />iOTAI iFF f <br />SIDF YARO 5[TOACK <br />/. � <br />, <br />LOT AREA JC� � I�IO <br />�� I C C i� i�Y <br />TYPL OF CON51"'v�. f OCCUPAN� CR <br />IV <br />�.UCCD 4 �1�� SIC�C/%!Ft -d <br />SIZf OF F�I.OG /� NO OF STORIfS <br />�� i� 2S � <br />fIRC ZON[ 0ASlMtfJl IttUXUC <br />'��� �ViN� 3 <br />A��IIOVALf <br />1 ENVIAONMFNTAL CMFCK LIST <br />1 OUILDING PlANS <br />J FIRF MYDRANT <br />� fIRE PNOT[CTION SYSTfM1I <br />5 GRAUING!%UVATIONBCLfARINGIGRUtlBING <br />6 OPAINAGE <br />7 ENVIHONAIENTALIMPACTSTATEMENT <br />E MFALTM OISiRiCI <br />APPLIUTION ACC DY PlANS CHECNED BY <br />� C.- • <br />g.1•79 <br />3 �S <br />❑YR r(C!O <br />NO OF OWELLING UNIIS <br />� <br />MA% OCC LOAD <br />I 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 COVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY O �RiTATE OR LOCAL UW REGULATING CONSTRUCTION <br />OR E PERFORMANCE F CONSTRUCTION. <br />SIG ATURE OF CONT R AU7HORI2ED AGEN7 DATE <br />iu /o�D <br />x <br />MECHANICAL <br />NO. TY�F OF <br />UNITS-MP. fA <br />HOILER M P EA <br />CAS FlRED UNITS-tONNAGEEA <br />fOPCED AIR SY MS-9TU M EA <br />WALL HfATERS-8 M <br />UNIi HUTERS-8T U M <br />EVAPONAiIVE COOLfRS <br />RANGF MOOD <br />AIN HANDUNG UNIT— <br />Mf TAL FI0.F <br />TOTAIiEE <br />PLAN CIIC K NUMB[R <br />•fUj�yo � FEE/'/, <br />�., <br />iFFS VA <br />tlUILDING S <br />P W MpING <br />A7FCNANIUI <br />tr � D�TE I OTMER <br />nPPR fOR ISSUANCE BY <br />PI NALTV <br />TUTAL <br />UBC <br />SEC JO71e) <br />�{ <br />PLAN CH[CK FEE <br />_ � RECEIPT N <br />►ERMIT VAL10�710N <br />\YHEN PROPERLY VALIOATED �1N iM15 $PAC[� TNIS IS YOUR PFRAIIT <br />:,1 <br />