Laserfiche WebLink
rheE��ergrecn � �ONSTRUCTIO� • <br /> CITY OF <br /> everett PERMIT pERMIT NO. O69$3 <br /> CITY HPLI 259�6745 <br /> EVERETT,1yA 9Bzo� ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ pLUMBING <br /> OWNER MAIL A�ORE55 ��Ty <br /> Z�P PNONE <br /> w; �--�--�-''=-�-1ham 1218 �Val nLt FvPr +t <br /> I ARCNRECT OR GLSIGNER RIAIL A RESG CITY <br /> I�P PHONE <br /> GENERALfANiRACiOR IAAILAODRE55 CIiY ZIP PHONE �ICENSE/ <br /> MECHANICALCONTRACTOR MARADORESS GITY ZiP PMONE LICENSE� <br /> Na �r � �c Fgy��me + i6� 1 a + r nd FvPr ++ <br /> PLUM9INGCONTRACTOR Q8 0� 5R 9dl l <br /> MAILADDFE55 CIiY ZIP PNONE UCENSE� <br /> CLASS OF WORK <br /> ONEW ❑ADOI710N ❑ALTEflAT10N OR[PAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> f <br /> DESCqI�E WORK <br /> cFOPOSEU USE OF BUILDMG <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> IEGAL OESGRIP710N OF PROPERiV�SNOW BEtOW OR ATTACH FpUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> � ALL PROVISIONS OF LAWS AND OFDINANCES GOVERNING THIS <br /> �o* B10�lL_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME 70 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JO�AUD�ESS SIGNAiUqk OF CONiRACI n UINOP�ENT pq}� <br /> - ctieZ <br /> PLUMBING dGFA, ANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSEi ROILETI A'R COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—HP.EA <br /> LAVATORV(LVASH E3ASIN) �OIiERS—HP. EA. <br /> SHOWER <br /> GAS PIPED A.C. UNITS—TpNNAGE EA <br /> KITCHEN SINK 5 DISP. FORCED AIR SVSTEMS—BSL. M EA. <br /> OISNWASH2R WAIL H61TER5—��.i.U. M <br /> LAUNDRYTRAY UNR H[ATERS—�.7.LL M <br /> CLOTHES\NASHEN EI�APORA"i iVE COOLERS <br /> WATER HEATER CLOTHES LqYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RAI�GE HOOU <br /> FLOOR DRAIN AIR HANDLIM,i UNIT— CF.M. <br /> VACUUhiBREAK@RS STOVE <br /> _ ROOF DRAINS—RAINLEADEfiS 6fETAl FIREPLA:E 8 CH�h1NEY <br /> SIPIK�SERVICE --�AR ETC� — <br /> Vater Aeater 2 00 <br /> SUB TOTAL � SUBTOTAL 3 Z O <br /> _ PERMIT S PERMIT � 3 OO <br /> TOTAL FEE S TOTAL FEE 3 cJ OO <br /> SIDE VARD SETHACK STReET SETBACK REAR VARD�[TOACI. PLFlN CHECK NUM�ER PLAN CHECK FEE <br /> FEE HLCLIPi NO. <br /> USE ZONE LO7 AREA VACANT SITE <br /> CJYES ❑NO FEES VALUATION FEE <br /> 7YPE Of WNST. OIX;UPANCY GP.OUP NO.Of DW'ELLING UNITS <br /> BUILDING g <br /> SIZE OF ULDG. N0.OF STORIES MAX.OCQ LOAD <br /> PLUMBING <br /> FIRE ZONG OASEMhNT FIRE SPRINK�ERS <br /> HCOUIRED MECHPNICAL S 00 <br /> lIVES »NO <br /> APPROVALS BY DATE OTHER <br /> t ENVIRONMENTFL CHECK LIST <br /> PENALIY U.B.C. . <br /> � BUILDIN3 PIANS SEC.303(a) <br /> 3. FIRE HVDRANT � TOTAL ' S 00 <br /> a. FIRE PROiEC710N SYSTEM PERMIT VALIDATION <br /> 5. GRADING <br /> WHEN PFOPERLV VALIDATED(IN THIS SPACE)THIS IS YW(i P[RA11T � <br /> ti DRAINAGE 5 4 0 8 E O O i', � O �_ Av� <br /> 7. ENVIRONMENTAL IAIPACT STAiBdENT � �l"� <br /> 0. HEALTH DISTRICT � <br /> APPLICATION ACC.�Y PIANS CH[CKED BV APPR.FOR ISSUANCE Ov ��U U'R R EC E 1 PT O <br /> �HA���K YOU <br /> ADDRESS PILE 3 0 �;�OY ]9 <br />