Laserfiche WebLink
FIRE Ev" ITFT APPLICATION FOR RY�PR„ <br />CITY OF .:ONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT. WA9B201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />owblR MAIL AODkf%S (IT, ZIP PHONE <br />► r c Y� _ S l cL-H c F 1 y I I-,n � aY� �L E. r( J7f,201 <br />ARCHII I CT OR DE LR MAIL ADDRESS CH, ZIP PH(,ML <br />GIMBAL CONTRACTOR MAIL ADDPISS CITY -rZIP PHONE LICENSEE <br />4 Y- t `9c.l-..�oc 'ac, 1 0 ��'V i � c✓' E U� v,e-Ti— 01S-" 2e Q?5 3ilSt 400515`//7 <br />MICHANICAL CONTRACTOR MAIL ADDRESS fnv nn ....... .._.-_-. <br />PLUMBING( L'TRACTOR MAIL ADDRESS (IT, ZIP PHONE LICENSE <br />CLASS OT N'ORA <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />\TIWfION O�WORK <br />S <br />OFSCRIBE WORK ) <br />PROPOSID(310l BURDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 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 WILT. BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT 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 />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />MECHANICAL <br />LEGAL msCRIP110N OI PROPIRIVISHO"N BLEOW OR ATTACH FOUR COPIES) <br />LotBLocA_�ol �- JF LW _c 7 L.'r " <br />IORADpR15t <br />L <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATT R CLOSET TECH It T) <br />AIR COND UNITS —HP IA <br />BATHTUB <br />RIIRIGLRATION UNIIS—H P LA <br />LAVATORY IWASH BASIN) <br />BOILERS —HP EA <br />SHOW l R <br />CAS FIRED A C UNITS —TONNAGE EA <br />KIICHEN SINK A DISP <br />FORCED AIR SYSTLMS—B T U VIA <br />015%VASHER <br />MY ll HEATERS—B7U M <br />I AUNDRY TRAY <br />LINH HIATERS—BTU M <br />CLOTHES YVASHIR <br />IY APORATIVE COOLERS <br />WATER HLATIR <br />CIOTHIS DRYIRS <br />URINAL <br />VI NTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT— CFM <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS—PAINLE AGE ITS <br />METAL F IRl PI ACE A CHIMNEY <br />SINK (SERVICE —BAR, ETC I <br />SUIT TOTAL <br />SUIT TOTAL S <br />PERMIT S <br />PERMIT IT <br />TOTAL FEE S <br />TOTAL FEE F <br />SIDE YARD$E TRACK <br />SIRFETSETBACK <br />RULE YARD SETBACK <br />PLAN CHECK NUMBI R <br />p / 93 / <br />/ <br />PLAN <br />III <br />CHECK FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />S <br />SIZE OF flIDG <br />_ <br />NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZCINI <br />BASEMENT <br />III UROOMS <br />FIRE SPRINKLERS <br />REQUIRED <br />❑YTS ETNO <br />MECHANICAL <br />APPROVALS <br />ITY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />PiNAIIN <br />L'BC <br />SEC 30Y.) <br />I BUILDING PLANS <br />J IIRE HYDRANT <br />TOTAL <br />K FIRE PROIICTION SYSTEM <br />PERMIT VALIDATION <br />WHIN PROP(RLY VALIDATED TIN THIS SPACE I THIS IS YOUR PI RMIT <br />5 GRADING'I K( Av; 1 ON A CL I ARINGIGIFURRING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />A HIALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPLE FOR ISSLIANCI RI <br />9-1-19 <br />