Laserfiche WebLink
,�.E�ro�,� -�'1PPLICATlON FO �: <br />CIT/OF CONSTRIJCTIOh <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�8715 <br />evEttEii, wn 9exot �COMBINATION ❑ BUILDING <br />�v� ��Gcii L �1�/fs�/l�v,('i,c7�-o �'L <br />❑MECHANICAL ❑PLUMBING PERMI'f NO. <br />CItY IIP PHOHE <br />,rY<i7/-=% % 9s2°3 .�3� �l�GS'�r <br />arr zir PMONE <br />everen <br />e <br />S�M/- <br />GEN[RAl COMIR�CIOX M�II ADDRESS CITY 21P PNOHF llC[NSF � <br />S/�--Mr <br />Mf[H�NIC�I CONIRACIOR MMl eDDM65 CIIY IIP PMONF IICENSF 1 <br />PIUfIfl1�G ^.ONiRAC10R M�IL eOUN[SS CItY ZIP PNONf lIC[NSE I <br />C,�1�e55 Of NONK <br />UNEW IgA0D1110N <br />WIVAIIOVUI WORR <br />s �(} <br />otscaiee wona <br />�L/�N-/D Ls <br />VROVOSfDUSf Ot PUrtDIVG <br />❑ALTERATION <br />G � <br />� <br />❑REPAIR ❑DEMOLIT�ON ❑FENCE ❑SIGN ❑CARAGE ❑BUILDING REIOCATION <br />f�o �Sc f` ,$yu <br />l[G�L OfSCPIP110H Of YNOP[Rtt �SMOWN 6fLOW OR �iI�CH fOUR COPIISI <br />ioi �PIOCK�Oi ��✓/�S IN.¢.1/NC / <br />�0��%/8 �U/i/.CT.c J U�.Y.l�. f l�F_%�ii % <br />►LUMlING <br />NO. TY�E OF FIKTURE <br />WATER CLOSET ITOLIFTI � <br />BnTHTUB <br />UVATOBY IW�SM BASIN� <br />SHOWF0. <br />KIiCHEN SINK 6 DISP <br />DISWASMER <br />UUNDRY iNAY <br />� CIOTHFS WASHFR <br />WATFR HE�TES <br />URINht <br />FLOOA DRA�N <br />VACUUM BREAK <br />ROOF DRA�NS— <br />SINY. (SERVICF— <br />VnRD SRC <br />!ONE <br />OF CONST <br />OF BLDG <br />I <br />tTOTAI <br />IMIT f <br />TAL �FE 1 <br />T SCTOACK RUR YARD 5 <br />RfA yACANT SITE <br />❑YES ❑NO <br />PANCV GROUP NO OFOWFL <br />F STORIES MA% OCC t( <br />�fNT IILOROOMS fIRE SPRINKI <br />REOUIRFD <br />f"Yl1.�/C [T/,H S > <br />.'1J�yrO.Y .'� �C,eN7c� .A'►'�/�i/NE<iiYG <br />I HEREliY CERTIFY THAT 1 HAVE READ AND E%AMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES COVERNINC THIS TYPE <br />OF WORK WILL BE COMPLIED WITH `NHETHER SPECIFIED HEREIN <br />OR NOT. YHE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTfiORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATU0.E OF CONTRACTOR OR AUTMORIZEO AGENi DATE <br />� �il�-�� � �.�-c.t-� 3�' 7�/ <br />MECHANICAI <br />FEE NO. TYfE OF fQU1�MENT <br />AIR COND UNRS—H P. FA <br />NFFRIL[RATION UNITS—M P FA <br />BOIlERS—HP EA <br />GASFIREDAC UN�TS—TONNACEEA <br />FORCFD AIR SVSiEMS—B T U M <br />WALLHfATERS—BTU M <br />UNIf HEATERS—BTU M <br />FVAPORATIVE COOLERS <br />�MIIOVAIf �1 DAT[ <br />1 ENVIRONMfNTAL CHECK 115T <br />2 BUILDING PUN$ <br />J FIRF NYDRANT <br />� FIRE PROiFCTION SYSTEM <br />S GHADINGIfXUVATION6CLfARINLICRUflNING <br />h D0.AINAGE <br />7. FNVI0.0NMENTAL IMPACT STATfMENT <br />E MfAITM DISTRICT <br />CIOTHFS �RYERS <br />VENTIUTION FAN <br />NANGfHOOD <br />AIR HANDLING UNIT— <br />'SI <br />MFTAL FIRfPIACE 8 CNIMNEI' <br />SU� 70TA1 Y <br />►EPMIT � <br />TOTAL FEE S <br />PL�N CH[CK NUM1�OER PUN CMECK FEE <br />FEE RECEIPT NO. <br />iFES �AIUATION �� <br />5 _ <br />BUIIDING s <br />PLUAIBING <br />MECHANIGL <br />OiMER <br />PINALTY U6C <br />5[C JOHa) <br />70TA1 <br />►[RMIT V�IIDATiOH <br />WfIEN PROPERLY VAIIDATFD�1N TNIS SPACEI fM15IS YOUR PFRMIT <br />