Laserfiche WebLink
tMEwryrwn A F� LI CATI O N FO R r� ���rc„ <br />"^°' CONSTRUCTION <br />everett PERMIT P+ <br />DFPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259•8715 <br />EVERE7T, WA9B201 ���MBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNIR AI�II AUUXI\5 CIIY 21P PIIONE <br />l.c,��`�rr,� (�. Moci'� i.; i� NI✓K/L'i�D ��vo �,e rl �F'ao.3 <br />AqC11111fLOR01$I(.NIR M�IIApUNISS CIIY ZIP PIIONE , <br />SAr/� ..?5"9-37a� <br />GINIR�lCON1P�l'IOR , M111ApORi55 CIIY LIP PNONE �ICENSFI <br />\IICINNICAI CONIR�CION AIVI �ODNI55 Uil' LIP PIION! IICFNSF � <br />� <br />I <br />PIVNPIIC(UN�N�CIOR MAIIADDRISS CIIY ZIP pMONE IICMSEI � <br />l I U� O� \10NK <br />❑NEIV ❑ADDITION ��LTERATION REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUIIDING RELOCATION <br />� ua�nm o� wonK <br />, 5d-o - � �o <br />OIK41N1 NOP� <br />fF/�OiTian/ .4Z�i2/7TJOn/ o;= R�R/2 oP fFouS� <br />rei�rn��n��si o� xui oiv� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />H-p M�' — 5�A/ G G E F-q ^y i L y PLIGTION AND KNOW THE SAME TO BE TRUE AND CORRECT ALi <br />IIL\I DISCNIP110NOf VROPIRfY�SNON'N q��ON'ON Al1AU110UNCOP1151 PROVISIONS OF LAW$ AND ORDINANCES GJVERNINC THIS TVPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />101 �PIOCA�01 <br />u ix +nnni sti <br />fIUMlING <br />NO. <br />� ����'�"1/T� 07h� <br />TY►E OF il%TURE <br />f T �i011ETI <br />BATHTUB <br />U\'ATORY IN'ASH <br />SHOwF R <br />NI7CHfN SINN 8 C <br />OISwA5ME0. <br />UUNDRY TRAv <br />CIOiMfS WASMER <br />FFF <br />URINAt <br />DRINAINC fOUNTAIN <br />iLOOR DRAIN <br />VACUUM BREAKfRS <br />ROOf DRAINS—R�INLEADfNS <br />SINK �SFRVICf —B�R, FTC 1 <br />SU�TOTAI <br />�ERMIi f <br />TOiAIfEF f <br />SIDF YARD $[iflACK STRF[T SCipA[N RUq Y�RD SETBACY <br />USF ZONE tOT ARE� y���Ni S iF <br />❑YFS �O <br />TYPE Oi CONST OCCUPANCY LROUP NO OF �Wl ll ING UNIIS <br />�--3 / <br />SIZE OF ql�C NO OF STORIF$ h1A% OCC IOAD <br />7 <br />A. <br />iBE ZONE BASFMFNT HIUNUUM1IS ��Rf SPftINKtlRS <br />� NfQU�REf� ^ <br />�►��OVALS <br />1 ENVIRONM[NTAL CMECK 115T -• <br />2 BUILDING PUr+S <br />7 flpE NYDRANT <br />� flNf PpOT[CTIONSVSTEM <br />5 LRADINGq%CAVAl10N8ClUAINGIGRUHNINC <br />6 ON��NACF <br />7 FNVINONMENT�L IMPACT STATfMENT <br />E HFALTN DISTRICT <br />APPIICATION ACC BY PUNS CHECKED BY <br />9.1 :9 <br />tY � DA7F <br />t FOR ISSUANCF BY <br />j�� C. <br />OR NOT. THE GRANTING OF A PERMIT UOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER $TATE OR LOCAL LAW REGULATING CONSTFUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAIURt O{ CONIRACTOR OR AUTNORIZED ACENT DATE <br />X �..<-G.L�s �r✓�� �i'LF-c-R � 7- /�- d��D <br />MECHANIUL <br />NO. TYPE Of EQUI►MENT iEF <br />A�N CONO UNITS—N P FA <br />REfRIGERAIIONUNITS—MP fA <br />BOILlNS--HP EA <br />GAS HRFD AC UNITS—TONNAGE EA <br />FONC[DAINSYSTfMS—PTU M <br />\VALI NFAiENS—BTU M <br />UN11MfATFRS—PTU M <br />!\'APORATIVF COOlFRS <br />GfOTHkS DNVERS <br />V! N f ILATION FAN <br />�IR HANDI <br />S10VE <br />n1! iAl FIRF <br />IEES <br />BUIIDINC <br />PIUMHINC <br />MFCH�MUI <br />O1HF0. <br />PfNAITY <br />1— <br />rElM1T f <br />TOTAL RF f <br />Ff F <br />S <br />UBC <br />SEC ION+I <br />RKFIPT NO <br />TOTAL I I <br />►fI1MIT VAIIDATION <br />WH[N PROPERLY VAIIDAlEOIIN IMIS $PACFI TNIS IS YOUR PFRMIT <br />I <br />i <br />t <br />"` <br />` <br />