Laserfiche WebLink
IMEnrpn�n A�PLICATION FOR � ��e <br /> ��TM�F .;ONSTRUCTI�N 0 <br /> everett PERMIT <br /> DEPi OF COMMUNITY DEVEIOPMENT SERVICES <br /> CITY HALL 159�8715 <br /> EVERETT,WA9EI01 �COMlINA110N " lL1LDING ❑MECHANICAL ❑PIUMlING PERMIT NO. <br /> � M111 AODMf55 un� nr v��l���� <br /> �i/ /�//� � s a �a,� ���1� �s <br /> TNIIlCIO�DISICNfe Mell/.DORl55 CiiY ZIP YNO E <br /> GINl11Q COYIR�Q011 M�It AO�Rl55 CIIY ZIP P110NF LK[MS[� <br /> MIONS����OR . <br /> Msll�DD�I55 C�i L�� VNO [ IICENS[� <br /> PIU�IPML CONtR�C10R MMl��ORISS CIIY IIC ^HONI UCENS[� <br /> CUSSOI WOXK <br /> ❑NEN' ❑ADDITION ❑ALTERATION EPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> vewnvor o^oex � V <br /> + DU r '�� <br /> DISCR WOPF � <br /> oaovostou or nmm��c I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br /> PLICATIO"7 AND KNOW THE SAME TO BE TRUE AND CORRECi ALL <br /> l(WIOISCRIP110ND1VNOPfR1Y1SHONHpIIONONAl1�CH�OULLCOPIlS) PROVISIONSOFUWSANDORDINANCESGOVERNINGTHISTYPE <br /> I�/ OF WORK WILL BE COMPLIED WItH WHETHER SPECIFIED HEREIN <br /> iQi�qIIXR�?� o� �v � �� OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> � ��Q F ANY OTHER STATE OR LOCA�LAW REGULITING CONSTRUCTION <br /> OR THE PER RMANCE OF C NSTRUCTION. <br /> SIGNATUNE ONTRAC N AU7NOR1 ACENT DATE <br /> IOP�fl�ME55�� � � z <br /> � <br /> ►IUM�ING MFCHANIGL <br /> NO. TY►E Of fl%TU�f <br /> FEE NO. TY�f Of EQUIfM[NT FFE <br /> WATEflClOSETITOIIFT) AIRCOMD UNITS—HP F� <br /> � BATNTU6 REi0.1LFR�110N UNITS—HP FA <br /> LAVATORV�WASH6ASIN� flORERS—HP EA <br /> GASRPfDAC UNITS—IONNAGFEA <br /> SMOWER <br /> fORCE0AIR5Y5TEM5—BTU MEA <br /> � NIl"'kN SINK 6 DISP <br /> WAIIHkATERS—BTU M <br /> DISW.;4[R <br /> �� UUNON� 'RAY <br /> UM1I7NEA7ER$—R1U M <br /> ( CIOTHfS W:'MER IVAPORATIVE COOlFRS <br /> WATfR HEATE�� CIOiHfS�RYf0.5 <br /> ' VI Nt1U110N FAN <br /> URINAI <br /> ORINKING FOUNTAIN RANGt H�7D <br /> fLOOR OR�IN AIR HANOLING UNIi— C F M <br /> •� VACUVM BNfAKERS S70VF <br /> ROOf DRAINS—RAINLEADERS METAL FlRfPUCC 6 CHIMNFY <br /> SINK�SFRVICf—BAN.ETC I <br /> r � <br /> SU�TOTAI s <br /> SU�iOT�I <br /> ' rEI1M11 f ►E�MIT � <br /> I TOTA\IFF 1 TOTAIF[F � <br /> 1 PLAN CHECK FEE <br /> SIDIY�RDSfTBACK STREEIS[iBACK RUFlARD5t78�CK PLANCN[CKNV��H[R R[CEIPTNO. <br /> fE[ <br /> u5E ZONf LOT ANEA yAUNT SI7L ��FS y�LUA710N IFE <br /> ❑Yf5 GNO <br /> TYP[Of CONST OCCUPANCY GPOUP NO OF DWkLLING UNITS <br /> BUIIDING s�� � �Q �7 <br /> LZF OF 3LOG NO Of STORIFS M�X OCC LO�D <br /> PlUM01NG <br /> RP[ZON[ BASEMFNT BIf)NUOMti RFQUIR(I�NKLlNS M[CHANIUI <br /> �]Yf5 ❑NO <br /> A►r�OVAI: �T D�TE O1HER <br /> 1 LNVIRONMFN7AlCHfCKlIST PEN���� UBC <br /> 5[C I011a) <br /> 2 BU�IDING PUNS TOTAI lO L-�CJ <br /> ) IIRE MYDNAN7 <br /> � FINE PROTfC710N SYST[M YIIMIT V�LIDATION <br /> wMkN I'NOP[NlY\'ALIDATED(IN IMIS SPACEI TMIS�5 YOU9 P[RMIT <br /> 5 GPAOING9%CAVATIONACIfAHINGIGRUBBING <br /> 6 DRA�NAGF <br /> 1 INVIRONMFNTAL IMPACT STATtMENT <br /> 0 HIIITHDIttq�Ct <br />