Laserfiche WebLink
ApPLICA�'ION FOR �,�,n, <br />G E�"""� ..ONST�UCTION 0 <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICE$ <br />CITY HALL 1546745 <br />EVERETT. WA90201 ❑COMBINATION ❑ SUILDING ❑MECHANICAL ❑PLUM6ING PERMIT NO. _ <br />OWNIR MMl �OUNf55 CIIY 21P — PHONE .- _ . . <br />OR <br />nn %i//iTC�2/C/� �S n0 - /Cu� 9 . - ' <br />�p� mnR nODRL55 CItY ZIP YHOnE IICF <br />r-�_,-�_2m -sa,�ic�7 <br />1'IUMPWf,COYIP�CIOR M�II�UOR[55 CIIY 21P VHON( IICFHSE/ <br />C1�550i WOPR ,,.,/ <br />❑NEW ❑ADDITION ❑ALTERATIUN L'7REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARNGE ❑BUILDING RELOCATION <br />ve�unno�+ or wo�c` <br />f <br />. �� <br />UISCMiP� WURK � <br />G.,I•.�r. .� //VC//l.•T'/NI <br />PROPOSlO Ull OfJU�lUinb <br />�i� -� l��inc l Sr trc/i% T�i �vG <br />IFGAI OI SCR�PllO� Of VROPIRIV �SNON�rv RI lON' OX elUCn 10U0. CO�IISI <br />�or 3 _'1 x,«x�a n�+,m .C.n?s 3- `� <br />IOP ���R(55 <br />►lUMlING <br />NO. TY►E OF <br />WATFR ClOSFT IWUE <br />LAVATORY�WASN BASIN� <br />SNOwFR <br />KITCHFN SINK b DISP <br />DISWASHER <br />UUNDRY THAY <br />ClO7HES WASHER <br />WA7ER NU7LR <br />U0.1N�1 <br />DRINKING FOUNTAIN <br />1 LOOR ORAIN <br />VACUUM BREAKLNS <br />NOOF ORAINS—NAINIfA <br />SINN ISFRVIC[—NAR, [f( <br />rnRo sc <br />20HE <br />OI COI. <br />fU� TOT�I <br />►EIIMIT <br />TOTAI 1[[ <br />51RF[T 5[TPACK <br />lOT AR[A <br />OCCUPANCY GRG <br />NO ��IFS <br />BA$[MfNT 01 <br />A►►ROVAIS <br />1 ENVIRONMINTAI CHECK L15T <br />2. BUII�INL PUNS <br />) fl0.f NYDNANT <br />1 FIAE PROTECTION SYSiIM <br />5 GRADINGII%CAVATIONBQfAAINCfGRUflAINL <br />6 ONAINALE <br />7 ENVIRONMENTALIMPACi57ATFMfNT <br />! MFAITH DISTNICT <br />� <br />I HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO 9E TRUE ANDCORRECT All <br />PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY t0 VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONiR�C700. OR �UTM(�RRFD I�LFNT DATE <br />X/ __ �/`J.Y '� <br />MECMANIUL <br />FEF NO. TY�E OF EQUI�MENT <br />AIN COND U�ITS—N P G <br />REiMICFRAiIONUNlTS—MP FA <br />POII[RS—N P U <br />GAS RRED A C UNITS—iCNNAGE EA <br />{ONCfDAIp5Y57fM5—BTU MEA <br />WALIHtATfRS-87U M <br />UNI7MlA7ER5—ATU M <br />1\'APORA7IVE COOLERS <br />CIOPNfS URi(RS <br />VI N71U710N F AN <br />RANGEHOOD <br />AIR /UNOLINC VNIT— C i M <br />S10VI <br />A1FUL �BFPUC[ 8 Cl/IMNEY <br />SU� TOT�L f <br />�f <br />Rf 1R \ �RO S[ lO�CK <br />WU4T 511[ <br />(�YES ❑NO <br />NO Of DWlLUNG UN115 <br />nuz ott iono <br />(IRL SPRINKIERS <br />PfOUIN[O <br />ry � D�TE <br />�pp��[�TION ACC BY PUNS CHECKkD 7Y I APPF 10X <br />flY <br />rinN <br />� <br />FEE <br />Al F[F • I <br />PLAN CMECK fEE <br />ifE � RECEIPTNO. <br />9UIIDING s <br />RUMOING <br />dLCNANIUL <br />Oi11FR <br />PfN�L7Y V A�� <br />iFC JONa) <br />TOT�L <br />►[�MIT WGD�TION <br />WMLN PROPCRLY WIIDAT[D PN 1Y.15 SPACEI TNIS IS YOUR PERMIT <br />