Laserfiche WebLink
- . <br /> �:� <br /> ,ME„ro� APPLICATION FOR ,- ���,�„ <br /> �moF I.JNSTRUCTION e <br /> everett PERMIT <br /> DEPT.OF COMMUNITY DEVEIOPMENT SERVICES <br /> CITY HALL 259-0715 <br /> EVERETT,WA?9201 ��OMBINATION ❑ SUILDING ❑MECHANICAL ❑PLUMlING PERMIT NO. <br /> OWNIR M�II�OONI55 CIIY ZIP IHONI <br /> ;G>,:. /.-..•i-�/.qr/ < �,atK r /;o� . Jln. � _F✓[��c�'�' <br /> nRCNliiCi OR Of51GNt0. M�II�ODI1155 CITT ZIP INOFF <br /> GfNGeLCOYiReCl011 MuIAD�RISS ❑iv IIP ` �NOMF UCINSE� <br /> YT � <br /> �� cMr '�uh-� °.�7�27� J`3/� � �o�.a/'1 3�J�Ja 7P --L z� —ci�-Ar..�n RwR-J � � oc <br /> o�f[Nsr+ICM tOh1MeC10� Mn�l e00�155 CI1v tIP IHON[ UCENSE� <br /> PWMPrvGCON1R�CI01 MAIL�OONl55 CRY 21P iHOMF UCENSEf <br /> C1�5501 WOMN <br /> ❑NEW ❑ADD1710N ❑AIiERATION I�IREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUIIDING REIOCATION <br /> V�WAl10NOi WOMR <br /> �/—t <br /> s 3 7��� <br /> DISCXIPI WORR <br /> C�r�• Y/3/r�/c/�:•.crliv� 'v �/ l'rivr.c.� .../ � �� � � 3 <br /> raovosious� o� nwmir�c I HEREBV CERTIFY THAT I HAVE READ AND E%AMINED THI$ AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> lIG4l OISGIP110NOF PMOPIMIYISNQN'N fl1lON'ON A�1M1[II IOUI1 COPIIS) PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE <br /> - r rv� QF WORK WILL BE COMPl1ED WITN WHETHER SPECIFIED HEREIN <br /> ioi,]L`.�eiaK � G o� � OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME 10 <br /> GIVE AUTHORItY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OiHER STATE OR LOGL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGN�TUNF Of CON7RACTON OR AViHORIZED ACFNT O�TE <br /> ioe�oo+us <br /> � , X�' /O-3o— � a <br /> ►LUM�ING MECHANICAI <br /> NO. TYfE OF il%tURE FEF NO. TT►E Ot FQUI�MENT FEE <br /> WATEM CLOSET�TOIIFT` AIM COND UNITS—H V FA <br /> BATMTU9 NEFRIGFNATION UNITS—NP FA <br /> UVATORYIW�SHB�SIN� POIlFRS—MP EA <br /> SMOW[R GAS FIR[O�C UNITS—TONN�GE FA <br /> KITCHEN SINK 6 DISP �ORCfD Alp SYST[MS-8 T U M E� <br /> DISWASNER wAIIHE�TFRS—BiU M <br /> ULNDRYTRAY UNIiHUTlRS—BTU M <br /> ClO1H[5 WASHFR f VAPORAiIVE COOlFRS <br /> WATER MF�1FR CLOTMFS ORYERS <br /> URINAI VFNTI��iION FAN <br /> DNINKING fOUNT�IN RANLF MOO� <br /> {LOOR DRA�N �IX MANDLING UNIT— C f M <br /> VACUUM BRFAKf0.5 S10VE <br /> ROOi DRAINS—RAINIEADERS METAL fIREPUCI 6 CNIMNfY <br /> SINN RERVICE—BMI.FTCI <br /> fU/TOT�I fU�TOTAI � <br /> R�MIT f fE�MIT { <br /> iOTAI iEE � TOTAL IEt � <br /> SID( YARD S[TBACK STRE[T 5[iP�CK R[AN YARO SETBAIX PUN O/ECK NUMBLP PLAN CHFCK F[F <br /> FFE RECEIPT NO. <br /> USF ZONE LOT�REA y��ANT$IIL � <br /> ❑YFS ❑NO f[ES VAtU�TION iFF <br /> IYPE OF CONST OCCUPANCY GNOUP NO Of OWlLLINL UNITS <br /> BUILDING f � � <br /> SIZf Of BLDG NO OF STONIES MA% OCC IOAD <br /> PWMOINC <br /> FlRE 20NE B�SFMFNT AIOROOMS RFQNN6OKLERS MECHAMUL <br /> I1Y15 ❑NO <br /> A►MOVAIf �f DATF OTN[R <br /> 1 ENVIXONM[NULCMFlKlIST P�N��t� UflC <br /> SFC bN+l <br /> 2 BUIIDINL PUNS <br /> 1 IIME MYDRANf TOUI � <br /> � !Bf :ROT[CTION$YSTEM ►llMlT V�IID�iION <br /> WHlN PNOPERLY VAIIDAT[D IIN THIS SP�CU 7HIS IS YOUR PFAMIT <br /> ' t,N��INGf%UV�TION L CLUNI VGICRU891NG <br /> 6 DNAIN��E <br /> ]. [NVIRONMENT�L IMP�CT STAILM(NT <br /> E NEAIiN DISTRICT � <br /> APYt1UTtON ACC BY Pl/MS CH[CKED BV APPR /DR ISSWNCE BY <br />